Li MH, Li WW, He L, Li JF, Zhang SY. Quantitative evaluation of colorectal tumour vasculature using contrast-enhanced ultrasound: Correlation with angiogenesis and prognostic significance. World J Gastrointest Surg 2023; 15(9): 2052-2062 [PMID: 37901730 DOI: 10.4240/wjgs.v15.i9.2052]
Corresponding Author of This Article
Sun-Yan Zhang, MD, Attending Doctor, Department of Ultrasonography, Nantong Haimen District People’s Hospital, No. 1201 Beijing Road, Haimen District, Nantong 226100, Jiangsu Province, China. klts1223@sohu.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
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World J Gastrointest Surg. Sep 27, 2023; 15(9): 2052-2062 Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.2052
Table 1 Patient characteristics
Characteristic
Number of patients
Percentage
Total patients
100
100%
Men
57
57%
Women
43
43%
Tumour location
Rectum
52
52%
Sigmoid colon
26
26%
Ascending colon
12
12%
Descending colon
10
10%
Tumour stage
Stage I
21
21%
Stage II
29
29%
Stage III
35
35%
Stage IV
15
15%
Metastasis
Lymph node metastasis
50
50%
Distant metastasis
15
15%
Table 2 Correlations between contrast-enhanced ultrasound parameters and angiogenesis markers
Parameters
Pearson correlation coefficient (r)
P value
PI and VEGF
0.73
< 0.001
PI and MVD
0.75
< 0.001
TTP and VEGF
-0.68
< 0.001
TTP and MVD
-0.72
< 0.001
AUC and VEGF
0.71
< 0.001
AUC and MVD
0.74
< 0.001
Table 3 Associations between contrast-enhanced ultrasound parameters, angiogenesis markers, and clinicopathological characteristics
Tumour stage
Lymph node metastasis
Distant metastasis
Age (yr)
Sex
PI
P < 0.001
P < 0.001
P < 0.001
NS
NS
TTP
P < 0.001
P < 0.001
P < 0.001
NS
NS
AUC
P < 0.001
P < 0.001
P < 0.001
NS
NS
VEGF expression
P < 0.001
P < 0.001
P < 0.001
NS
NS
MVD
P < 0.001
P < 0.001
P < 0.001
NS
NS
Table 4 Multivariate analysis of prognostic factors for overall survival and disease-free survival
Prognostic factor
Hazard ratio (OS)
95%CI (OS)
P value (OS)
Hazard ratio (DFS)
95%CI (DFS)
P value (DFS)
VEGF expression
2.47
1.31-4.65
0.005
2.31
1.24-4.32
0.008
MVD
2.81
1.49-5.30
0.001
2.67
1.42-5.03
0.002
PI
2.55
1.36-4.78
0.003
2.38
1.28-4.42
0.006
TTP
2.34
1.24-4.41
0.008
2.26
1.20-4.26
0.011
AUC
2.62
1.38-4.96
0.003
2.54
1.34-4. 81
0.004
Citation: Li MH, Li WW, He L, Li JF, Zhang SY. Quantitative evaluation of colorectal tumour vasculature using contrast-enhanced ultrasound: Correlation with angiogenesis and prognostic significance. World J Gastrointest Surg 2023; 15(9): 2052-2062