scholarly journals Multiparametric Monitoring of Early Response to Antiangiogenic Therapy: A Sequential Perfusion CT and PET/CT Study in a Rabbit VX2 Tumor Model

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Jung Im Kim ◽  
Hyun-Ju Lee ◽  
Young Jae Kim ◽  
Kwang Gi Kim ◽  
Kyung Won Lee ◽  
...  

Objectives.To perform dual analysis of tumor perfusion and glucose metabolism using perfusion CT and FDG-PET/CT for the purpose of monitoring the early response to bevacizumab therapy in rabbit VX2 tumor models and to assess added value of FDG-PET to perfusion CT.Methods.Twenty-four VX2 carcinoma tumors implanted in bilateral back muscles of 12 rabbits were evaluated. Serial concurrent perfusion CT and FDG-PET/CT were performed before and 3, 7, and 14 days after bevacizumab therapy (treatment group) or saline infusion (control group). Perfusion CT was analyzed to calculate blood flow (BF), blood volume (BV), and permeability surface area product (PS); FDG-PET was analyzed to calculate SUVmax, SUVmean, total lesion glycolysis (TLG), entropy, and homogeneity. The flow-metabolic ratio (FMR) was also calculated and immunohistochemical analysis of microvessel density (MVD) was performed.Results.On day 14, BF and BV in the treatment group were significantly lower than in the control group. There were no significant differences in all FDG-PET-derived parameters between both groups. In the treatment group, FMR prominently decreased after therapy and was positively correlated with MVD.Conclusions.In VX2 tumors, FMR could provide further insight into the early antiangiogenic effect reflecting a mismatch in intratumor blood flow and metabolism.

2012 ◽  
Vol 199 (5) ◽  
pp. 1003-1009 ◽  
Author(s):  
Vicky Goh ◽  
Manu Shastry ◽  
Alec Engledow ◽  
Robert Kozarski ◽  
Jacqui Peck ◽  
...  

2013 ◽  
Vol 39 (12) ◽  
pp. 1358-1363 ◽  
Author(s):  
W.P. Andrade ◽  
E.N.P. Lima ◽  
C.A.B.T. Osório ◽  
M. do Socorro Maciel ◽  
G. Baiocchi ◽  
...  

2012 ◽  
Vol 53 (4) ◽  
pp. 521-529 ◽  
Author(s):  
A. W. Sauter ◽  
S. Winterstein ◽  
D. Spira ◽  
J. Hetzel ◽  
M. Schulze ◽  
...  

2020 ◽  
Vol 34 (11) ◽  
pp. 833-839
Author(s):  
Nanno Schreuder ◽  
Hedwig Klarenbeek ◽  
Brian N. Vendel ◽  
Pieter L. Jager ◽  
Jos G. W. Kosterink ◽  
...  

Abstract Objective In this retrospective, single-center observational study, we investigated whether discontinuing metformin for at least 48 h prevents metformin-induced [18F]fluorodeoxyglucose (FDG) uptake in all segments of the colon. Methods Patients with type 2 diabetes who were using metformin before undergoing an FDG PET/CT scan were included. Two groups were created: patients who discontinued metformin for less than 48 h (< 48 h group) and patients who discontinued metformin for between 48 and 72 h (≥ 48 h group). A control group comprised non-diabetic patients who were not using metformin before undergoing an FDG PET/CT. We visually scored the uptake of FDG in four segments of the colon—the ascendens, transversum, descendens, and rectosigmoid—using a four-point scale (1–4) and considered scores of 3 or 4 to be clinically significant. Results Colonic FDG uptake in the ≥ 48 h group (n = 23) was higher than uptake in the control group (n = 96) in the colon descendens [odds ratio (OR) 14.0; 95% confidence interval (CI) 4.8–40.9; p value: 0.001] and rectosigmoid (OR 11.3; 95% CI 4.0–31.9; p value: 0.001), and there was no difference in the colon ascendens and transversum. Colonic FDG uptake in the < 48 h group (n = 25) was higher than uptake in the ≥ 48 h group (n = 23) in the colon transversum (OR 4.8; 95% CI 1.3–18.5; p value: 0.022) and rectosigmoid (p value: 0.023), and there was no difference in the colon ascendens and descendens. Conclusions Discontinuing metformin for 48 h before undergoing an FDG PET/CT still gives a high uptake in the distal parts of the colon when compared with non-diabetic patients who are not using metformin. Discontinuing metformin for 48 h seems to be useful for scanning the more proximal segments of the colon.


2012 ◽  
Vol 53 (4) ◽  
pp. 512-520 ◽  
Author(s):  
A. Cochet ◽  
S. Pigeonnat ◽  
B. Khoury ◽  
J.-M. Vrigneaud ◽  
C. Touzery ◽  
...  

2010 ◽  
Vol 37 (3) ◽  
pp. 327-333 ◽  
Author(s):  
Shao-li Song ◽  
Chuang Deng ◽  
Ling-feng Wen ◽  
Jian-jun Liu ◽  
Hui Wang ◽  
...  

Radiology ◽  
2011 ◽  
Vol 258 (2) ◽  
pp. 599-609 ◽  
Author(s):  
Yoshiharu Ohno ◽  
Hisanobu Koyama ◽  
Keiko Matsumoto ◽  
Yumiko Onishi ◽  
Daisuke Takenaka ◽  
...  

2017 ◽  
Vol 12 (3) ◽  
pp. 547-555 ◽  
Author(s):  
Rosario Mazzola ◽  
Alba Fiorentino ◽  
Gioacchino Di Paola ◽  
Niccolò Giaj Levra ◽  
Francesco Ricchetti ◽  
...  

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