Prognostic Value of 18F-FDG PET-CT in Nasopharyngeal Carcinoma: Is Dynamic Scanning Helpful?

Objectives. To evaluate the differences in prognostic values of static and dynamic PET-CT in nasopharyngeal carcinoma (NPC). Material and Methods. Forty-five patients who had static scan were recruited. Sixteen had dynamic scan. The primary lesions were delineated from standardized uptake value (SUV...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 8
Autores principales: Huang, Bingsheng, Wong, Ching-Yee Oliver, Lai, Vincent, Kwong, Dora Lai-Wan, Khong, Pek-Lan
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell 4/30/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/30/2015
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        109274074
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        109274074
        10.1155/2015/582614
        109274074
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        atl: Prognostic Value of 18F-FDG PET-CT in Nasopharyngeal Carcinoma: Is Dynamic Scanning Helpful?
      aug:
        au:
          Huang, Bingsheng
          Wong, Ching-Yee Oliver
          Lai, Vincent
          Kwong, Dora Lai-Wan
          Khong, Pek-Lan
        affil: Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong
      sug:
        subj:
          Nasopharyngeal Neoplasms Prognosis
          Tomography, Emission-Computed Methods
          Human
          Funding Source
          Fisher's Exact Test
          Descriptive Statistics
          ROC Curve
          Adult
          Middle Age
          Aged
          Male
          Female
          Pearson's Correlation Coefficient
          T-Tests
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objectives. To evaluate the differences in prognostic values of static and dynamic PET-CT in nasopharyngeal carcinoma (NPC). Material and Methods. Forty-five patients who had static scan were recruited. Sixteen had dynamic scan. The primary lesions were delineated from standardized uptake value (SUV) maps from static scan and Ki maps from dynamic scan. The average follow-up lasted for 34 months. The patients who died or those with recurrence/residual disease were considered “poor outcome”; otherwise they were considered “good outcome.” Fisher’s exact test and ROC analysis were used to evaluate the prognostic value of various factors. Results. Tumor volume thresholded by 40% of maximal SUV (VOLSUV40) significantly predicted treatment outcome (p=0.024) in the whole cohort. In 16 patients with dynamic scan, all parameters by dynamic scan were insignificant in predicting the outcome. The combination of maximal SUV, maximal Ki, VOLSUV40, and VOLKi37 (the tumor volume thresholded by 37% maximal Ki) achieved the highest predicting accuracy for treatment outcome with sensitivity, specificity, and accuracy of 100% in these 16 patients; however this improvement compared to VOLSUV40 was insignificant. Conclusion. Tumor volume from static scan is useful in NPC prognosis. However, the role of dynamic scanning was not justified in this small cohort.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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