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. 2020 Aug 21;35(3):179–188. doi: 10.7555/JBR.34.20200039

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