Validation of the Semiautomatic Quantification of 18F-Fluoride PET/CT Whole-Body Skeletal Tumor Burden.

Our purpose was to validate a semiautomatic quantification of the skeletal tumor burden on 18F-fluoride PET/CT using manual quantification as a reference. Methods: We quantified 51 18F-fluoride PET/CT examinations performed on female breast cancer patients. Clinical information (age; time of disease...

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Published in:Journal of Nuclear Medicine Technology Vol. 46; no. 4; pp. 378 - 384
Main Authors: Brito, Ana E., Mourato, Felipe, Santos, Allan, Mosci, Camila, Ramos, Celso, Etchebehere, Elba, Brito, Ana Emília Teixeira
Format: research Journal Article
Published: Society of Nuclear Medicine Dec2018
Online Access:View this record in EBSCOhost
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      dt: Dec2018
      vid: 46
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      pub: Society of Nuclear Medicine
      place: Reston, Virginia
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        10.2967/jnmt.118.211474
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        atl: Validation of the Semiautomatic Quantification of 18F-Fluoride PET/CT Whole-Body Skeletal Tumor Burden.
      aug:
        au:
          Brito, Ana E.
          Mourato, Felipe
          Santos, Allan
          Mosci, Camila
          Ramos, Celso
          Etchebehere, Elba
          Brito, Ana Emília Teixeira
        affil: Real Nuclear of Real Hospital Português de Beneficência em Pernambuco, Recife, Brazil
      sug:
        subj:
          Fluorides
          Bone Neoplasms
          Body Weights and Measures
          Fluorine Radioisotopes
          Bone Neoplasms Pathology
          Human
          Female
          Automation
          Breast Neoplasms Pathology
          Image Processing, Computer Assisted
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Female
      ab: Our purpose was to validate a semiautomatic quantification of the skeletal tumor burden on 18F-fluoride PET/CT using manual quantification as a reference. Methods: We quantified 51 18F-fluoride PET/CT examinations performed on female breast cancer patients. Clinical information (age; time of disease presentation; presence of visceral metastases; and time to death, progression, or a bone event) was recorded. The total volume of 18F-fluoride-avid skeletal metastases and the total activity of 18F-fluoride-avid metastases were calculated manually and semiautomatically. Results: Manual and semiautomatic metrics correlated strongly (P < 0.0001; 95% confidence interval, 0.9300-0.9769). On multivariable analysis, the semiautomatic measures of total activity for 18F-fluoride-avid metastasis correlated significantly with overall survival (P = 0.0001) and progression-free survival (P = 0.0006). Approximate times for calculating skeletal tumor burden (semiautomatic vs. manual) were, respectively, 30 s versus 321 s in patients with fewer than 5 metastases, 120 s versus 640 s in patients with 5-10 metastases, and 240 s versus 1207s in patients with more than 10 metastases. Conclusion: Semiautomatic quantification of whole-body 18F-fluoride PET/CT skeletal tumor burden can replace manual quantification in breast cancer patients and is a strong independent biomarker of prognosis.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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