Quantification of fat content in lipid-rich myxoid liposarcomas with MRI: a single-center experience with survival analysis.

Objective: To determine the fat content of myxoid liposarcomas (MLS) on MRI and to identify any association between lipid content and survival.Materials and Methods: The fat percentage of MLS diagnosed between January 2006 and December 2016 at a single institution was assessed by two radiologists on...

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Publicado en:Skeletal Radiology Vol. 47; no. 10; pp. 1411 - 1418
Autores principales: Kuyumcu, Gokhan, Rubin, Brian P., Bullen, Jennifer, Ilaslan, Hakan
Formato: Journal Article
Publicado: Springer Nature Oct2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2018
      vid: 47
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00256-018-2974-9
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        atl: Quantification of fat content in lipid-rich myxoid liposarcomas with MRI: a single-center experience with survival analysis.
      aug:
        au:
          Kuyumcu, Gokhan
          Rubin, Brian P.
          Bullen, Jennifer
          Ilaslan, Hakan
        affil: Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA
      sug:
        subj:
          Magnetic Resonance Imaging
          Liposarcoma, Myxoid
          Neoplasms, Adipose Tissue
          Liposarcoma, Myxoid Mortality
          Survival Analysis
          Cox Proportional Hazards Model
          Retrospective Design
          Neoplasms, Adipose Tissue Mortality
          Kaplan-Meier Estimator
          Lipids
      ab: Objective: To determine the fat content of myxoid liposarcomas (MLS) on MRI and to identify any association between lipid content and survival.Materials and Methods: The fat percentage of MLS diagnosed between January 2006 and December 2016 at a single institution was assessed by two radiologists on preoperative MR images. A Cox proportional hazard model was used to determine any association between tumor fat percentage and survival time. Tumor fat percentage was the single predictor in the model. A significance level of 0.05 was used. The Kaplan-Meier estimator was also used to provide a nonparametric estimate of the survivor function within the entire sample and within two patient subgroups consists of lipid-rich and lipid-poor tumors. Lipid-rich tumors were defined as any tumors showing more than 20% of fat on MRI. A 20% cutoff was determined arbitrarily.Results: Of the 43 cases identified through retrospective review, 8 tumors demonstrated ≥10% fat on MRI, and 4 tumors demonstrated ≥20% fat (highest fat percentage, 38%). There was no significant survival difference between patients with high tumor fat, which was defined as ≥20% fat, compared with those with little to no tumor fat.Conclusion: Myxoid liposarcomas may demonstrate a higher fat content on MRI than has previously been reported in the literature. Increased tumor fat percentage in lipid-rich tumors was not found to be associated with increased risk of death. Radiologists must be aware of the existence of MLS lesions with higher fat content.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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