{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T06:21:22Z","timestamp":1782800482122,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T00:00:00Z","timestamp":1743638400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003819","name":"Natural Science Foundation of Hubei Province","doi-asserted-by":"publisher","award":["2022CFB713"],"award-info":[{"award-number":["2022CFB713"]}],"id":[{"id":"10.13039\/501100003819","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82171972"],"award-info":[{"award-number":["82171972"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp;amp; Neck"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To investigate the value of pretreatment nasopharyngeal and neck magnetic resonance imaging (NN\u2010MRI) combined with positron emission tomography (PET)\/CT\u2010guided therapy for improving survival in upper aerodigestive tract NK\/T\u2010cell lymphoma (UADT\u2010NKTL) patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a prospective cohort study including 171 untreated patients histologically diagnosed with UADT\u2010NKTL, of whom 71 patients received PET\/CT combined with NN\u2010MRI and the other 100 patients received PET\/CT alone. The clinical stage of every patient was classified according to the Ann Arbor and TNM staging systems. Clinical stage, target volume delineation, and survival were evaluated and compared for PET\/CT with and without NN\u2010MRI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      By detecting additional local lesions,\n                      <jats:styled-content style=\"fixed-case\">NN<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>\n                      upgraded the clinical stages on the basis of the Ann Arbor staging system and\n                      <jats:styled-content style=\"fixed-case\">TNM<\/jats:styled-content>\n                      staging system compared to the results of\n                      <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      (9\/71,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011; 11\/71,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019, respectively), which revised the target volume delineation of radiotherapy (9\/71) in the\n                      <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>\n                      group. Compared with those in the\n                      <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      group, 3\u2010year local recurrence\u2010free survival was prolonged in the\n                      <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>\n                      group (100% vs. 74.9%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and 3\u2010year overall survival and progression\u2010free survival were better in the\n                      <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>\n                      group (84.5% vs. 76.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04 and 78.3% vs. 67.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NN\u2010MRI and PET\/CT\u2010guided therapy could complementarily assist in optimizing the determination of clinical stage and target delineation, which could improve the prognosis of UADT\u2010NKTL patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hed.28137","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T19:59:32Z","timestamp":1743796772000},"page":"2392-2400","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Magnetic Resonance Imaging and [\n                    <scp>18F<\/scp>\n                    ]\u2010Fluorodeoxyglucose Positron Emission Tomography\/Computed Tomography\u2010Guided Therapy Improves Survival in Upper Aerodigestive Tract\n                    <scp>NK<\/scp>\n                    \/T\u2010Cell Lymphoma, Nasal Type: A Prospective Cohort Study"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0522-0243","authenticated-orcid":false,"given":"Quanguang","family":"Ren","sequence":"first","affiliation":[{"name":"Department of Medical Oncology Sun Yat\u2010sen University Cancer Center State Key Laboratory of Oncology in Southern China Collaborative 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Shenzhen China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huangming","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Oncology Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Sun Yat\u2010sen University Cancer Center State Key Laboratory of Oncology in Southern China Collaborative Innovation Center of Cancer Medicine  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojie","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Sun Yat\u2010sen University Cancer Center State Key Laboratory of Oncology in Southern China Collaborative Innovation Center of Cancer Medicine  Guangzhou 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