scholarly journals Prognostic Value of Dual-Time-Point 18F-Fluorodeoxyglucose PET/CT in Metastatic Breast Cancer: An Exploratory Study of Quantitative Measures

Diagnostics ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 398
Author(s):  
Mohammad Naghavi-Behzad ◽  
Charlotte Bjerg Petersen ◽  
Marianne Vogsen ◽  
Poul-Erik Braad ◽  
Malene Grubbe Hildebrandt ◽  
...  

This study aimed to compare the prognostic value of quantitative measures of [18F]-fluorodeoxyglucose positron emission tomography with integrated computed tomography (FDG-PET/CT) for the response monitoring of patients with metastatic breast cancer (MBC). In this prospective study, 22 patients with biopsy-verified MBC diagnosed between 2011 and 2014 at Odense University Hospital (Denmark) were followed up until 2019. A dual-time-point FDG-PET/CT scan protocol (1 and 3 h) was applied at baseline, when MBC was diagnosed. Baseline characteristics and quantitative measures of maximum standardized uptake value (SUVmax), mean standardized uptake value (SUVmean), corrected SUVmean (cSUVmean), metabolic tumor volume (MTV), total lesion glycolysis (TLG), and corrected TLG (cTLG) were collected. Survival time was analyzed using the Kaplan–Meier method and was regressed on MTV, TLG, and cTLG while adjusting for clinicopathological characteristics. Among the 22 patients included (median age: 59.5 years), 21 patients (95%) died within the follow-up period. Median survival time was 29.13 months (95% Confidence interval: 20.4–40 months). Multivariable Cox proportional hazards regression analyses of survival time showed no influence from the SUVmean, cSUVmean, or SUVmax, while increased values of MTV, TLG, and cTLG were significantly associated with slightly higher risk, with hazard ratios ranging between 1.0003 and 1.004 (p = 0.007 to p = 0.026). Changes from 1 to 3 h were insignificant for all PET measures in the regression model. In conclusion, MTV and TLG are potential prognostic markers for overall survival in MBC patients.

PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0199529 ◽  
Author(s):  
Edouard Depardon ◽  
Salim Kanoun ◽  
Olivier Humbert ◽  
Aurélie Bertaut ◽  
Jean-Marc Riedinger ◽  
...  

2019 ◽  
Vol 44 (7) ◽  
pp. 572-573
Author(s):  
Priscilla Guglielmo ◽  
Mariachiara Paderno ◽  
Federica Elisei ◽  
Luca Guerra ◽  
Claudio Landoni ◽  
...  

2021 ◽  
Vol 32 ◽  
pp. S498
Author(s):  
M. Vogsen ◽  
F. Harbo ◽  
N.M. Jakobsen ◽  
H.J. Nissen ◽  
S.E. Dahlsgaard-Wallenius ◽  
...  

2016 ◽  
Vol 3 ◽  
Author(s):  
Dorothée Goulon ◽  
Hatem Necib ◽  
Brice Henaff ◽  
Caroline Rousseau ◽  
Thomas Carlier ◽  
...  

2011 ◽  
Vol 39 (3) ◽  
pp. 450-460 ◽  
Author(s):  
Nina Mortazavi-Jehanno ◽  
Anne-Laure Giraudet ◽  
Laurence Champion ◽  
Florence Lerebours ◽  
Elise Le Stanc ◽  
...  

Diagnostics ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 106 ◽  
Author(s):  
Fredrik Helland ◽  
Martine Hallin Henriksen ◽  
Oke Gerke ◽  
Marianne Vogsen ◽  
Poul Flemming Høilund-Carlsen ◽  
...  

18F-fluorodeoxyglucose positron emission tomography with integrated computed tomography (FDG-PET/CT) and contrast-enhanced computed tomography (CT) can be used for response evaluation in metastatic breast cancer (MBC). In this study, we aimed to review literature comparing the PET Response Criteria in Solid Tumors (PERCIST) with Response Evaluation Criteria in Solid Tumors (RECIST) in patients with MBC. We made a systematic search in Embase, PubMed/Medline, and Cochrane Library using a modified PICO model. The population was MBC patients and the intervention was PERCIST or RECIST. Quality assessment was performed using the QUADAS-2 checklist. A total of 1975 articles were identified. After screening by title/abstract, 78 articles were selected for further analysis of which 2 duplicates and 33 abstracts/out of focus articles were excluded. The remaining 43 articles provided useful information, but only one met the inclusion and none of the exclusion criteria. This was a retrospective study of 65 patients with MBC showing one-year progression-free survival for responders versus non-responders to be 59% vs. 27% (p = 0.2) by RECIST compared to 64% vs. 0% (p = 0.0001) by PERCIST. This systematic literature review identified a lack of studies comparing the use of RECIST (with CE-CT) and PERCIST (with FDG-PET/CT) for response evaluation in metastatic breast cancer. The available sparse literature suggests that PERCIST might be more appropriate than RECIST for predicting prognosis in patients with MBC.


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