Table 3.
Prognostic value comparison between the PET/CT volumetric prognostic (PVP) index, TNM stage, and whole-body metabolic tumor volume.
| Variables | N | Univariate Analysis
|
Multivariate Analysis*
|
||||
|---|---|---|---|---|---|---|---|
| HR [95%CI] | p-value | C | HR [95%CI] | p-value | C | ||
|
|
|
||||||
| PVP index | 328 | 2.72 [2.28,3.24] | <0.001 | 0.71† | 2.70 [2.16,3.37] | <0.001 | 0.74$ |
| ln(MTVWB) | 328 | 1.60 [1.46,1.75]# | <0.001 | 0.69 | 1.51 [1.36,1.67] | <0.001 | 0.73 |
| TNM Stage | 328 | <0.001^ | <0.001^ | ||||
| I+II | 126 | (reference) | (reference) | ||||
| III | 91 | 2.73 [1.96,3.79] | 0.66 | 2.07 [1.44,2.97] | 0.72 | ||
| IV | 111 | 4.55 [3.31,6.25] | 3.55 [2.43,5.18] | ||||
| TNM Stage | 328 | <0.001^ | <0.001^ | ||||
| IA | 46 | (reference) | (reference) | ||||
| IB | 43 | 2.24 [1.25,4.04] | 1.94 [1.06, 3.55] | ||||
| IIA | 19 | 2.04 [0.98,4.23] | 1.94 [0.92, 4.08] | ||||
| IIB | 18 | 3.04 [1.49,6.22] | 0.67 | 1.97 [0.94, 4.12] | 0.72 | ||
| IIIA | 52 | 4.46 [2.56,7.79] | 3.49 [1.93, 6.32] | ||||
| IIIB | 39 | 5.35 [2.99,9.55] | 3.20 [1.73, 5.92] | ||||
| IV | 111 | 8.08 [4.83,13.51] | 5.83 [3.28, 10.33] | ||||
Notes: N = number of patients; HR = Hazard Ratio; CI = Confidence Interval; C= Gönen and Heller’s K concordance statistic ln(MTVWB) is natural log-transformed whole-body metabolic tumor volume.
Adjusted for age, gender, treatment and histology.
p=0.033 for PVP index vs. ln(MTVWB); p<0.001 for PVP index vs. TNM stage (for both three- and seven-level staging).
p<0.01 for PVP index vs. ln(MTVWB); p<0.01 for PVP index vs. TNM stage (for both three- and seven-level staging).
The HR for MTVWB on the log10 scale would be exp(0.468*2.303) = 2.94, where 0.468 is the regression coefficient for ln(MTVWB) in this model and 2.303 is a conversion factor. Thus, for a 10-fold increase in MTV, the hazard of death increases by a factor of 2.94.
Based on a 2 degree of freedom test for the 3-level staging variable and 6 degree of freedom test for the 7-level staging variable.