Prediction of 2 years-survival in patients with stage I and II non-small cell lung cancer utilizing (18)F-FDG PET/CT SUV quantification.

Prediction of 2 years-survival in patients with stage I and II non-small cell lung cancer utilizing (18)F-FDG PET/CT SUV quantification.
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DOI:
10.2478/raon-2013-0023
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发表时间:
2013
影响因子:
2.4
通讯作者:
Baldari S
Baldari S
中科院分区:
医学3区
文献类型:
--
作者:
Cistaro A;Quartuccio N;Mojtahedi A;Fania P;Filosso PL;Campenni A;Ficola U;Baldari S

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本研究的目的是评价I、II期非小细胞肺癌(NSCLC)患者2年随访时最大标准化摄取值(SUVmax)、原发病灶大小、无病生存期(DFS)和总生存期(OS)之间的相关性。本研究纳入了49例I-II期NSCLC患者。对所有患者进行术前2-脱氧-2-[18 F]氟-D-葡萄糖正电子发射断层扫描(18 F-FDG PET/CT)研究。测量SUVmax、肿瘤大小和临床结果之间的关系。计算具有最佳预后意义的SUVmax和肿瘤大小的截止值、DFS的概率以及SUVmax与治疗反应之间的相关性。SUVmax和DFS之间存在统计学显著相关性(p = 0.029)。SUVmax的最佳临界值为9.00(p = 0.0013),肿瘤大小的最佳临界值为30 mm(p = 0.0028)。SUVmax > 9且原发病灶大小> 30 mm的患者的预期2年无病生存率为37.5%,而如果肿瘤<30 mm和/或SUVmax <9,则该预期2年无病生存率上升至90%。在I-II期,SUVmax和肿瘤大小可能有助于确定复发机会高的患者亚组。
The purpose of the study was to evaluate the correlation between the maximum standardized uptake value (SUVmax), size of primary lung lesion, disease-free survival (DFS) and overall survival (OS) in patients with stage I and II non-small cell lung cancer (NSCLC) in 2 years follow-up. Forty-nine patients with stage I–II NSCLC were included in this study. Pre-surgical 2-deoxy-2-[18F]fluoro-D-glucose positron-emission tomography (18F-FDG PET/CT) study was performed for all patients. The relationship between SUVmax, tumour size and clinical outcome was measured. The cut-off value for SUVmax and tumour size with the best prognostic significance, probability of DFS and the correlation between SUVmax and the response to therapy were calculated. There was a statistically significant correlation between SUVmax and DFS (p = 0.029). The optimal cut-offs were 9.00 for SUVmax (p = 0.0013) and 30mm for tumour size (p = 0.0028). Patients with SUVmax > 9 and primary lesion size > 30 mm had an expected 2years-DFS of 37.5%, while this rose to 90% if the tumour was <30 mm and/or SUVmax was <9. In stage I-II, SUVmax and tumour size might be helpful to identify the subgroup of patients with high chance for recurrence.
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