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 Journal Article


Authors: Cistaro, A.; Quartuccio, N.; Mojtahedi, A.; Fania, P.; Filosso, P. L.; Campenni, A.; Ficola, U.; Baldari, S.
Article Title: 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
Abstract: Background. 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. Patients and methods. 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 (F-18-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. Results. 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. Conclusions. In stage I-II, SUVmax and tumour size might be helpful to identify the subgroup of patients with high chance for recurrence.
Keywords: survival; overall survival; fdg-pet; standardized uptake value; positron-emission-tomography; prognostic; value; fluorodeoxyglucose uptake; disease-free; maximum standardized uptake value; scan; 2-deoxy-2-[18f]fluoro-d-glucose positron emission tomography; non-small; cell lung cancer
Journal Title: Radiology and Oncology
Volume: 47
Issue: 3
ISSN: 1318-2099
Publisher: Assoc Radiology & Oncology  
Date Published: 2013-01-01
Start Page: 219
End Page: 223
Language: English
DOI: 10.2478/raon-2013-0023
ACCESSION: WOS:000322968000003
PROVIDER: wos
PMCID: PMC3794876
PUBMED: 24133385
Notes: --- - Article - "Source: Wos"
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