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EJNMMI Res. 2017 Dec;7(1):45. doi: 10.1186/s13550-017-0293-0. Epub 2017 May 23.

Optimization of diagnostic performance for differentiation of recurrence from radiation necrosis in patients with metastatic brain tumors using tumor volume-corrected .

EJNMMI research

Tae-Young Jung, In-Young Kim, Sa-Hoe Lim, Ki Seong Park, Dong-Yeon Kim, Shin Jung, Kyung-Sub Moon, Woo-Youl Jang, Sae-Ryung Kang, Sang-Geon Cho, Jung-Joon Min, Hee-Seung Bom, Seong Young Kwon

Affiliations

  1. Department of Neurosurgery, Chonnam National University Hwasun Hospital, 322 Seoyang-ro, Hwasun-eup, Hwasun-gun, Jeonnam, 58128, Republic of Korea.
  2. Department of Nuclear Medicine, Chonnam National University Hwasun Hospital, 322 Seoyang-ro, Hwasun-eup, Hwasun-gun, Jeonnam, 58128, Republic of Korea.
  3. Department of Nuclear Medicine, Chonnam National University Hwasun Hospital, 322 Seoyang-ro, Hwasun-eup, Hwasun-gun, Jeonnam, 58128, Republic of Korea. [email protected].

PMID: 28536967 PMCID: PMC5442037 DOI: 10.1186/s13550-017-0293-0

Abstract

BACKGROUND: Tumor to normal tissue ratio (T/N ratio) on

RESULTS: Among 77 lesions, 51 were diagnosed with recurrence. The mean T/N ratio was 2.25 (± 1.12) for recurrent lesions and 1.44 (± 0.22) for radiation necrosis (P < 0.001). T/N ratio of 1.61 (non-corrected) provided the best sensitivity, specificity, and diagnostic accuracy (70.6, 80.8, and 74.0%, respectively). Using the MTV criteria, optimal cutoff values of the T/N ratios in each group were 1.23 (MTV ≤ 0.5 cm

CONCLUSIONS: MTV-corrected cutoff values of T/N ratio could maintain the diagnostic performance of

Keywords: 11C-methionine PET/CT; Metabolic tumor volume; Metastatic brain tumor; Radiation necrosis; Recurrence

References

  1. Clin Cancer Res. 2004 Nov 1;10(21):7163-70 - PubMed
  2. Eur J Nucl Med Mol Imaging. 2010 Jan;37(1):84-92 - PubMed
  3. Eur J Nucl Med Mol Imaging. 2013 Apr;40(4):615-35 - PubMed
  4. J Korean Neurosurg Soc. 2013 Aug;54(2):107-11 - PubMed
  5. J Neurooncol. 1996 Feb;27(2):163-71 - PubMed
  6. Nucl Med Mol Imaging. 2015 Dec;49(4):291-7 - PubMed
  7. Mol Imaging. 2012 Nov-Dec;11(6):516-27 - PubMed
  8. N Engl J Med. 2010 Mar 25;362(12):1119-27 - PubMed
  9. J Nucl Med. 2008 May;49(5):694-9 - PubMed
  10. Clin Nucl Med. 2014 Nov;39(11):939-43 - PubMed
  11. Acta Radiol. 1991 May;32(3):197-202 - PubMed
  12. Neurosurg Rev. 2017 Apr;40(2):223-229 - PubMed
  13. Clin Nucl Med. 2012 Feb;37(2):158-63 - PubMed
  14. Neuro Oncol. 2013 May;15(5):515-34 - PubMed
  15. Ann Nucl Med. 2011 Apr;25(3):213-20 - PubMed
  16. PLoS One. 2015 Jul 13;10 (7):e0132515 - PubMed
  17. J Comput Assist Tomogr. 1979 Jun;3(3):299-308 - PubMed
  18. Int J Radiat Oncol Biol Phys. 2001 Apr 1;49(5):1339-49 - PubMed
  19. J Nucl Med. 2007 Jun;48(6):932-45 - PubMed
  20. J Neurosurg. 2003 May;98 (5):1056-64 - PubMed
  21. Ann Nucl Med. 2004 Jun;18(4):291-6 - PubMed

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