Comparison of Computed Tomography and Ultrasound Techniques for Quantifying Canine Urinary Bladder Transitional Cell Carcinoma Tumor Volume

摘要

Transitional cell carcinoma is the most common cancer of the canine urinary tract. The inconsistent appearance of transitional cell carcinoma in patients introduces error if applying mathematic models for extrapolating total tumor volume from linear measurements. Reliable techniques to assess tumor size are important for monitoring treatment response. A method comparison study was performed comparing four techniques for calculating tumor volume were compared: 1 & 2) contoured tracing of tumor margins using serial computed tomography (CT) images using pre-(1) and post-intravenous (2) contrast medium studies, 3) longest three linear dimensions using CT, and 4) longest three linear dimensions on abdominal ultrasound (US). Volumes of the transitional cell carcinoma tumor calculated by CT tracing techniques were significantly smaller than volumes calculated with an ellipsoid mathematic model using the linear measurements (p < 0.01). Intravenous contrast medium did not significantly change the volumes calculated from tracing tumor margins on CT for observer B; however, volumes differed for observer A. The volumes extrapolated from linear measurements using CT and US did not differ significantly. The interobserver reliability was highest for the pre-contrast CT contoured technique and was lowest using the ultrasound linear technique. Tumor volumes differed significantly between techniques of contoured tracing of the tumor margins on serial CT images compared to calculation of tumor volume from linear dimensions. The calculated volume of a transitional cell carcinoma depends upon the technique used. Characterizing the response of urinary bladder transitional cell carcinoma tumor size to therapy differs based on the method and modality used.