Research Article

Combined Volumetric and Density Analyses of Contrast-Enhanced CT Imaging to Assess Drug Therapy Response in Gastroenteropancreatic Neuroendocrine Diffuse Liver Metastasis

Figure 3

The tumor volume and HU histogram changes in one of the cases. Gastroenteropancreatic neuroendocrine liver metastasis pre- and posttreatment illustrating total tumor volume and mean volumetric tumor density changes from contrast-enhanced CT images in a single tumor progression patient. GEP-NETs with liver metastasis pretreatment (a) show a pretreatment tumor volume of 45.1 cm3, whereas in (b) the posttreatment, tumor volume was 77.6 cm3. The HU histogram (c) shows a rightward shift, representing increased enhancement on posttreatment CT imaging. The tumor HU value increased from 45.7 to 57.8 HU.
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