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A PET-Based Nomogram for Oropharyngeal Cancers

J. Castelli, A. Depeursinge, V. Ndoh, J.O. Prior, M. Ozsahin, A. Devillers, H. Bouchaab, E. Chajon, R. de Crevoisier, N. Scher, F. Jegoux, B. Laguerre, B. De Bari, J. Bourhis

European Journal of Cancer, vol. 75, pp. 222-230, April 2017.



Purpose: In the context of locally advanced oropharyngeal cancer (LAOC) treated with definitive radiotherapy (RT) (combined with chemotherapy or cetuximab), the aims of this study were: (1) to identify PET-FDG parameters correlated with overall survival (OS) from a first cohort of patients; then (2) to compute a prognostic score; and (3) finally to validate this scoring system in a second independent cohort of patients.

Materials and methods: A total of 76 consecutive patients (training cohort from Rennes) treated with chemoradiotherapy or RT with cetuximab for LAOC were used to build a predictive model of locoregional control (LRC) and OS based on PET-FDG parameters. After internal calibration and validation of this model, a nomogram and a scoring system were developed and tested in a validation cohort of 46 consecutive patients treated with definitive RT for LAOC in Lausanne.

Results: In multivariate analysis, the metabolic tumour volume (MTV) of the primary tumour and the lymph nodes were independent predictive factors for LRC and OS. Internal calibration showed a very good adjustment between the predicted OS and the observed OS at 24 months. Using the predictive score, two risk groups were identified (median OS 42 versus 14 months, p < 0.001) and confirmed in the validation cohort from Lausanne (median OS not reached versus 26 months, p = 0.008).


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AUTHOR="Castelli, J. and Depeursinge, A. and Ndoh, V. and Prior, J.O.
        and Ozsahin, M. and Devillers, A. and Bouchaab, H. and Chajon, E.
        and de Crevoisier, R. and Scher, N. and Jegoux, F. and Laguerre, B.
        and De Bari, B. and Bourhis, J.",
TITLE="A {PET}-Based Nomogram for Oropharyngeal Cancers",
JOURNAL="European Journal of Cancer",
YEAR="2017",
volume="75",
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pages="222--230",
month="April",
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