Slicer3:UIDesign:WorkingProblems:BCAnalysis:PET

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SUV Analysis for Breast Cancer

Goal

Goal is to accommodate basic RECIST assessment for breast cancer (Response Evaluation Criteria In Solid Tumors). (RECIST is a set of published rules that define when cancer patients improve ("respond"), stay the same ("stable") or worsen ("progression") during treatments).

  • Determine features that currently exist in Slicer
  • Develop features that don't
  • Provide a framework that knits features together in a comfortable workflow.

PET SUV Analysis Workflow

  • Segment the tumor by hand (ROI or VOI, can be simple circle or ellipsoid)
  • Compute SUV of baseline
    • extract parameters from dicom header including
      • concentration
      • injected activity
      • patient weight
    • SUV = ( concentration (microcuries/cc) / injected activity (microcuries) ) - (patient weight (g))
    • use maximum value
  • Compute SUV of followup
    • extract parameters from dicom header including
      • concentration
      • injected activity
      • patient weight
    • SUV = ( concentration (microcuries/cc) / injected activity (microcuries) ) - (patient weight (g))
    • use maximum value
  • Normalize ROI by SUVmax
  • Resport parameters of interest
    • SUVmax_baseline,
    • SUVmax_followup,
    •  % change
  • For multiple tumors, report
    • sum of SUV_baselines
    • sum of SUV_followup
    • percent change