Table 2. Comparisons of CT imaging features between different tumor grades according to WHO 2017 classification in PNENs.
CT features | Group | Grade (WHO 2017) | P | P * | P ** | ||
PNENs G1 (n) | PNENs G2 (n) | PNENs G3 (n) | |||||
CT: computed tomography; WHO: World Health Organization; PNENs: pancreatic neuroendocrine neoplasms; HU: Hounsfield units. P*: PNENs G1/G2 vs. PNENs G3; P**: PNENs G1 vs. PNENs G2.P-values were calculated using chi-square test. | |||||||
Tumor size (mm) | Mean±SD | 21.93±14.40 | 45.93±32.56 | 47.80±19.17 | <0.001 | 0.005 | <0.001 |
<20 | 25 | 10 | 0 | <0.001 | 0.003 | <0.001 | |
≥20 | 14 | 32 | 13 | ||||
Location | Head/neck | 21 | 24 | 8 | 0.881 | 0.686 | 0.765 |
Body/tail | 18 | 18 | 5 | ||||
Shape | Regular | 31 | 22 | 0 | <0.001 | <0.001 | 0.010 |
Irregular | 8 | 20 | 13 | ||||
Margin | Well-defined | 37 | 35 | 1 | <0.001 | <0.001 | 0.099 |
Ill-defined | 2 | 7 | 12 | ||||
Heterogeneity | Absent | 24 | 17 | 2 | 0.010 | 0.018 | 0.058 |
Present | 15 | 25 | 11 | ||||
Edge enhancement | Absent | 32 | 31 | 12 | 0.314 | 0.226 | 0.373 |
Present | 7 | 11 | 1 | ||||
Cystic or necrotic components | Absent | 34 | 27 | 11 | 0.040 | 0.462 | 0.017 |
Present | 5 | 15 | 2 | ||||
Intratumoral blood vessels | Absent | 38 | 32 | 8 | 0.003 | 0.027 | 0.005 |
Present | 1 | 10 | 5 | ||||
Vascular invasion | Absent | 38 | 31 | 6 | <0.001 | 0.001 | 0.003 |
Present | 1 | 11 | 7 | ||||
Calcification | Absent | 37 | 37 | 12 | 0.547 | 0.909 | 0.278 |
Present | 2 | 5 | 1 | ||||
Enhancement pattern (arterial phase) | Hyper- | 33 | 33 | 2 | <0.001 | <0.001 | 0.484 |
Iso-/hypo- | 6 | 9 | 11 | ||||
Enhancement pattern (portal phase) | Hyper- | 29 | 26 | 2 | <0.001 | <0.001 | 0.230 |
Iso-/hypo- | 10 | 16 | 11 | ||||
Enhancement degree (HU), mean±SD | Arterial phase | 110.78±33.72 | 118.95±33.77 | 81.75±40.54 | 0.005 | 0.001 | 0.369 |
Portal phase | 99.95±22.18 | 101.14±21.63 | 76.04±26.86 | 0.002 | 0.001 | 0.899 | |
Tumor-to-pancreas enhancement ratio, mean±SD | Arterial phase | 1.36±0.40 | 1.32±0.53 | 0.97±0.38 | 0.028 | 0.002 | 0.202 |
Portal phase | 1.26±0.25 | 1.22±0.29 | 0.96±0.34 | 0.005 | <0.001 | 0.275 | |
Peak attenuation phase | Arterial phase | 24 | 32 | 8 | 0.317 | 0.585 | 0.154 |
Portal phase | 15 | 10 | 5 | ||||
Upstream pancreatic duct dilatation | Absent | 32 | 28 | 9 | 0.274 | 0.714 | 0.114 |
Present | 7 | 14 | 4 | ||||
Common bile duct dilatation | Absent | 39 | 39 | 8 | 0.003 | <0.001 | 0.089 |
Present | 0 | 3 | 5 | ||||
Lymph node metastases | Absent | 38 | 36 | 5 | <0.001 | <0.001 | 0.061 |
Present | 1 | 6 | 8 | ||||
Liver metastases | Absent | 39 | 39 | 9 | 0.001 | 0.001 | 0.089 |
Present | 0 | 3 | 4 |