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However, the rate and degree of SLN detection is not uniform. We quantified SLNs detected with lymphoscintigraphy, and investigated correlations with factors that may influence detection. We then attempted to predict SLN metastasis from lymph node counts, comparing the predictions to subsequent biopsy results. Methods We assessed lymph node counts in 100 breast cancer patients in whom a single SLN was detected with a fixed lymphoscintigraphy procedure. We examined correlations between the counts and factors known to influence lymphoscintigraphic SLN detection (age, body mass index, tumor size, and presence or absence of metastasis), and determined reference values (lymph node counts of 10.0, 19.4 and 53.0) which were used to predict SLN metastasis in 100 subsequent patients. The predictions were then compared with the SLN biopsy findings. Results SLN counts correlated strongly with the presence or absence of metastasis, with metastasis-positive lymph nodes showing significantly lower counts than negative nodes (p\\0.001). Prediction of SLN metastasis achieved a 100% positive predictive value at a reference value of 10.0, and a 100% negative predictive value at a reference value of 53.0. At a reference value of 19.4, the sensitivity, specificity, and diagnostic accuracy were 77.8, 73.2, and 74.0%, respectively. Conclusions The SLN counts detected with lymphoscintigraphy were significantly lower in metastasis-positive lymph nodes than in metastasis-negative lymph nodes. This suggests that prediction of SLN metastasis in breast cancer is possible using lymphoscintigraphy. © The Japanese Society of Nuclear Medicine 2010.", "subitem_description_type": "Abstract"}]}, "item_4_publisher_17": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Springer Verlag (Germany)"}]}, "item_4_relation_12": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isVersionOf", "subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1007/s12149-010-0459-6", "subitem_relation_type_select": "DOI"}}]}, "item_4_rights_23": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "The final publication is available at www.springerlink.com"}]}, "item_4_source_id_11": {"attribute_name": "NCID", "attribute_value_mlt": [{"subitem_source_identifier": "AA10708017", "subitem_source_identifier_type": "NCID"}]}, "item_4_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0914-7187", "subitem_source_identifier_type": "ISSN"}]}, "item_4_version_type_25": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_ab4af688f83e57aa", "subitem_version_type": "AM"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Noguchi, Atsushi"}], "nameIdentifiers": [{"nameIdentifier": "25614", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Onoguchi, Masahisa"}], "nameIdentifiers": [{"nameIdentifier": "1059", "nameIdentifierScheme": "WEKO"}, {"nameIdentifier": "30283102", "nameIdentifierScheme": "研究者番号", "nameIdentifierURI": "https://nrid.nii.ac.jp/nrid/1000030283102"}]}, {"creatorNames": [{"creatorName": "Ohnishi, Takeshi"}], "nameIdentifiers": [{"nameIdentifier": "25615", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hashizume, Terumi"}], "nameIdentifiers": [{"nameIdentifier": "25616", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kajita, Akiyoshi"}], "nameIdentifiers": [{"nameIdentifier": "25617", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Funauchi, Masahiro"}], "nameIdentifiers": [{"nameIdentifier": "25618", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Katsuda, Toshizo"}], "nameIdentifiers": [{"nameIdentifier": "25619", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Motomura, Kazuyoshi"}], "nameIdentifiers": [{"nameIdentifier": "25620", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2017-10-03"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "ME-PR-NOGUCHI-221.pdf", "filesize": [{"value": "524.7 kB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 524700.0, "url": {"label": "ME-PR-NOGUCHI-221.pdf", "url": "https://kanazawa-u.repo.nii.ac.jp/record/14545/files/ME-PR-NOGUCHI-221.pdf"}, "version_id": "cdef7130-b581-460e-8a32-cde10c042e33"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "Breast cancer", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Lymphoscintigraphy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Metastatic prediction", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Sentinel lymph node", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Predicting sentinel lymph node metastasis in breast cancer with lymphoscintigraphy", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Predicting sentinel lymph node metastasis in breast cancer with lymphoscintigraphy"}]}, "item_type_id": "4", "owner": "3", "path": ["1134"], "permalink_uri": "http://hdl.handle.net/2297/28545", "pubdate": {"attribute_name": "公開日", "attribute_value": "2017-10-03"}, "publish_date": "2017-10-03", "publish_status": "0", "recid": "14545", "relation": {}, "relation_version_is_last": true, "title": ["Predicting sentinel lymph node metastasis in breast cancer with lymphoscintigraphy"], "weko_shared_id": -1}
Predicting sentinel lymph node metastasis in breast cancer with lymphoscintigraphy
http://hdl.handle.net/2297/28545
http://hdl.handle.net/2297/28545792a4938-c417-40a3-a0a3-1020bc727e0c
名前 / ファイル | ライセンス | アクション |
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ME-PR-NOGUCHI-221.pdf (524.7 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-10-03 | |||||
タイトル | ||||||
タイトル | Predicting sentinel lymph node metastasis in breast cancer with lymphoscintigraphy | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Noguchi, Atsushi
× Noguchi, Atsushi× Onoguchi, Masahisa× Ohnishi, Takeshi× Hashizume, Terumi× Kajita, Akiyoshi× Funauchi, Masahiro× Katsuda, Toshizo× Motomura, Kazuyoshi |
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書誌情報 |
Annals of Nuclear Medicine 巻 25, 号 3, p. 221-226, 発行日 2011-04-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0914-7187 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA10708017 | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1007/s12149-010-0459-6 | |||||
出版者 | ||||||
出版者 | Springer Verlag (Germany) | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objective Lymphoscintigraphy is an effective method for detecting sentinel lymph nodes (SLNs). However, the rate and degree of SLN detection is not uniform. We quantified SLNs detected with lymphoscintigraphy, and investigated correlations with factors that may influence detection. We then attempted to predict SLN metastasis from lymph node counts, comparing the predictions to subsequent biopsy results. Methods We assessed lymph node counts in 100 breast cancer patients in whom a single SLN was detected with a fixed lymphoscintigraphy procedure. We examined correlations between the counts and factors known to influence lymphoscintigraphic SLN detection (age, body mass index, tumor size, and presence or absence of metastasis), and determined reference values (lymph node counts of 10.0, 19.4 and 53.0) which were used to predict SLN metastasis in 100 subsequent patients. The predictions were then compared with the SLN biopsy findings. Results SLN counts correlated strongly with the presence or absence of metastasis, with metastasis-positive lymph nodes showing significantly lower counts than negative nodes (p\0.001). Prediction of SLN metastasis achieved a 100% positive predictive value at a reference value of 10.0, and a 100% negative predictive value at a reference value of 53.0. At a reference value of 19.4, the sensitivity, specificity, and diagnostic accuracy were 77.8, 73.2, and 74.0%, respectively. Conclusions The SLN counts detected with lymphoscintigraphy were significantly lower in metastasis-positive lymph nodes than in metastasis-negative lymph nodes. This suggests that prediction of SLN metastasis in breast cancer is possible using lymphoscintigraphy. © The Japanese Society of Nuclear Medicine 2010. | |||||
権利 | ||||||
権利情報 | The final publication is available at www.springerlink.com | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa |