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Research ArticleHead & Neck
Open Access

CT Perfusion Can Predict Overexpression of CXCL8 (Interleukin-8) in Head and Neck Squamous Cell Carcinoma

S.Y. Jo, P.I. Wang, J.E. Nör, E.L. Bellile, Z. Zhang, F.P. Worden, A. Srinivasan and S.K. Mukherji
American Journal of Neuroradiology December 2013, 34 (12) 2338-2342; DOI: https://doi.org/10.3174/ajnr.A3610
S.Y. Jo
aFrom the Departments of Radiology (S.Y.J., A.S., P.I.W., S.K.M.)
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P.I. Wang
aFrom the Departments of Radiology (S.Y.J., A.S., P.I.W., S.K.M.)
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J.E. Nör
bOtolaryngology (J.E.N.)
eAngiogenesis Research Laboratory (J.E.N., Z.Z.), Department of Restorative Sciences, University of Michigan School of Dentistry, Ann Arbor, Michigan.
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E.L. Bellile
dCancer Center Biostatistics Unit (E.L.B.), University of Michigan Hospital, Ann Arbor, Michigan
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Z. Zhang
eAngiogenesis Research Laboratory (J.E.N., Z.Z.), Department of Restorative Sciences, University of Michigan School of Dentistry, Ann Arbor, Michigan.
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F.P. Worden
cMedical Oncology (F.P.W.)
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A. Srinivasan
aFrom the Departments of Radiology (S.Y.J., A.S., P.I.W., S.K.M.)
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S.K. Mukherji
aFrom the Departments of Radiology (S.Y.J., A.S., P.I.W., S.K.M.)
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    Fig 1.

    VEGF pathway for angiogenesis. Bcl-2, in the beginning of the pathway, is inhibited by a small molecule inhibitor, AT-101. The downstream serum marker CXCL8 is depicted by the red circle. Reprinted with permission from the American Association for Cancer Research: Karl E, Warner K, Zeitlin B, et al. Bcl-2 Acts in a Proangiogenic Signaling Pathway through Nuclear Factor-kB and CXC Chemokines. Cancer Res 2005;65:5063–69.

  • Fig 2.
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    Fig 2.

    Peri-stomal recurrence of HNSCC (patient 5) in a 73-year-old woman. A, Base image shows arterial enhancement. Blue arrow points to the right internal carotid artery (for the arterial input signal). Circle 3 is within the tumor; circle 4 is in contralateral noninvolved musculature. B, Blood volume image shows that the region of interest (circle 3) was placed in solid non-necrotic tumor. C, Blood flow imaging shows minimally increased signal within the tumor bed (circle 3).

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    Fig 3.

    Floor-of-the-mouth HNSCC in a 67-year-old man (patient 2). A, Base image shows arterial enhancement. Blue arrow points to the right internal carotid artery (for the arterial input signal). Circle 3 is within the tumor; circle 4 is in noninvolved musculature. B, Blood volume image shows that the region of interest (circle 3) within the tumor was placed in solid non-necrotic tumor. C, Blood flow imaging shows minimally increased signal within the tumor bed (circle 3).

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    Fig 4.

    Scatterplot displays positive correlation between serum CXCL8 expression level (pg/mL) and rBF (mL/100 g per minute) in the 7 patients with advanced stage HNSCC.

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    Table 1:

    Patient data, tumor characteristics, and clinical course in 7 patients with advanced, treatment-resistant HNSCC

    PatientLocationRaceSexAgeMetastatic SiteTobaccoClinical Course
    1Right nasal cavityWhiteMale54n/aNoneDied
    2Left floor of mouthWhiteMale67n/a50 Pack-yearsDied
    3Right parotid glandAfrican AmericanMale68Lung30 Pack-yearsAlive
    4Left oral tongueWhiteMale57Lung, liver, lymph nodes, boneNoneDied
    5Peri-stomalAfrican AmericanFemale73Lung20 Pack-yearsDied
    6Peri-stomalWhiteMale54Lung60 Pack-yearsAlive
    7Left floor of mouthWhiteMale41Lung, lymph nodes15 Pack-yearsAlive
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    Table 2:

    Pearson correlation between serum CXCL8 expression level and CTP parameters

    ParameterCXCL8 Correlation CoefficientP Value
    BF−0.16.67
    BV0.22.47
    CP−0.57.19
    MTT−0.03.92
    rBF0.94.01
    rBV−0.14.77
    rCP−0.07.88
    rMTT0.18.68
    • View popup
    Table 3:

    CTP and CXCL8 expression results in 7 patients

    ParameterMean ± SDRange
    CXCL838.46 ± 30.466.97–99.89
    BF74.08 ± 56.4114.78–187.93
    BV22.56 ± 35.965.08–103.71
    CP48.07 ± 21.5616.73–79.84
    MTT9.46 ± 2.087.34–13.81
    rBF6.18 ± 6.561.08–20.26
    rBV2.77 ± 0.871.31–3.72
    rCP3.31 ± 1.881.46–6.70
    rMTT1.12 ± 0.410.78–1.94
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American Journal of Neuroradiology: 34 (12)
American Journal of Neuroradiology
Vol. 34, Issue 12
1 Dec 2013
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Cite this article
S.Y. Jo, P.I. Wang, J.E. Nör, E.L. Bellile, Z. Zhang, F.P. Worden, A. Srinivasan, S.K. Mukherji
CT Perfusion Can Predict Overexpression of CXCL8 (Interleukin-8) in Head and Neck Squamous Cell Carcinoma
American Journal of Neuroradiology Dec 2013, 34 (12) 2338-2342; DOI: 10.3174/ajnr.A3610

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CT Perfusion Can Predict Overexpression of CXCL8 (Interleukin-8) in Head and Neck Squamous Cell Carcinoma
S.Y. Jo, P.I. Wang, J.E. Nör, E.L. Bellile, Z. Zhang, F.P. Worden, A. Srinivasan, S.K. Mukherji
American Journal of Neuroradiology Dec 2013, 34 (12) 2338-2342; DOI: 10.3174/ajnr.A3610
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