Eur J Hybrid Imaging. 2017;1(1):13. doi: 10.1186/s41824-017-0018-7. Epub 2017 Dec 01.
Perfusion CT and PET with 18F-FDG and 18F-FCh in the complex diagnosis of hepatocellular carcinoma.
European journal of hybrid imaging
P E Tulin, M B Dolgushin, A A Odzharova, A I Mikhaylov, B M Medvedeva, S V Shiryaev, B I Dolgushin
Affiliations
Affiliations
- 1Department of positron emission tomography of N.N. Blokhin Russian Cancer Research Center, Kashirskoe shosse, 23, Moscow, 115478 Russia.
- ICERR FSBSI N.N. Blokhin RCRC, Moscow, Russia.
- Department of nuclear medicine and radionuclide therapy of N.N. Blokhin RCRC, Moscow, Russia.
PMID: 29782602
PMCID: PMC5954776 DOI: 10.1186/s41824-017-0018-7
Abstract
BACKGROUND: The purpose of the study to evaluate possibilities of CT-perfusion and PET methods with 18F-FDG and 18F-fluorocholine in the complex diagnosis of hepatocellular carcinoma. The study included the results of PET/CT with 18F-FDG, 18F-FCh and CT-perfusion of the liver in 18 patients with histologically confirmed diagnosis of hepatocellular carcinoma (HCC). Depending on the degree of tumor differentiation, all patients were divided into 3 groups - patients with highly differentiated (6 patients), moderately differentiated (4 patients), and low-differentiated HCC (8 patients).
RESULTS: Average values of maxSUV in the group of patients with highly differentiated HCC in PET/CT with 18F-FDG and 18F- fluorocholine in a solid component of tumor reached 3.51 and 18.24, respectively; in patients with moderately differentiated HCC - 3.91 and 12.32, respectively; in patients with low-differentiated HCC - 9.58 and 9.70, respectively. Average values of CT perfusion imaging in a solid component of the tumor in the group of patients with highly differentiated HCC were the following: BF - 55,33 ml/100 ml/min, BV - 13,71 ml/100 ml, ALP - 52,41 ml/100 ml/min, PVP - 10.81 ml/100 ml/min (
CONCLUSIONS: The diagnostic capabilities of the complex of PET/CT techniques with 18F-FDG and 18F-FCh and CT perfusion in a single-scan mode for hepatocellular carcinoma were evaluated for the first time. The obtained data allow to assume that the integrated use of PET with 18F-FDG and 18F-FCh and CT perfusion in a single scan improves the differential diagnostic possibilities of PET/CT diagnostics, which can find application in planning and prognosis of the disease. Due to the small number of patients further study of the problem is required.
Keywords: 18F–FCh; 18F–FDG; CT-perfusion; Hepatocellular carcinoma
Conflict of interest statement
Research, named as «Perfusion CT and PET with 18F–FDG and 18F–FCh in the complex diagnosis of hepatocellular carcinoma», performed in accordance with the Declaration of Helsinki and approved by ethics
References
- Am J Roentgenol Radium Ther Nucl Med. 1968 Dec;104(4):874-9 - PubMed
- AJR Am J Roentgenol. 1980 Nov;135(5):1037-43 - PubMed
- Biochem J. 1981 Apr 15;196(1):261-7 - PubMed
- Annu Rev Nutr. 1994;14:269-96 - PubMed
- Radiology. 1983 Jun;147(3):797-803 - PubMed
- Br J Radiol. 1991 May;64(761):409-12 - PubMed
- Lancet Oncol. 2012 Aug;13(8):790-801 - PubMed
- Br J Radiol. 1992 Jun;65(774):554-5 - PubMed
- J Clin Ultrasound. 1982 Oct;10 (8):373-8 - PubMed
- J Nucl Med. 2010 Nov;51(11):1699-706 - PubMed
- J Clin Invest. 1948 Jul;27(4):476-83 - PubMed
- Radiology. 1980 Dec;137(3):679-86 - PubMed
- Annu Rev Nutr. 1999;19:379-406 - PubMed
- AJR Am J Roentgenol. 2008 Jan;190(1):W28-34 - PubMed
- J Biol Chem. 1997 May 9;272(19):12854-61 - PubMed
- Abdom Imaging. 2009 Mar-Apr;34(2):193-209 - PubMed
- Science. 1965 Nov 19;150(3699):1030-1 - PubMed
- Arch Surg. 1998 May;133(5):510-5; discussion 515-6 - PubMed
- Cancer Res. 2004 Jun 1;64(11):3731-6 - PubMed
- Radiology. 1986 Jul;160(1):53-8 - PubMed
- J Appl Physiol. 1954 Jun;6(12):731-44 - PubMed
- Eur J Nucl Med Mol Imaging. 2016 May;43(5):852-9 - PubMed
- J Nucl Med. 2008 Aug;49(8):1245-8 - PubMed
- Eur J Radiol. 2010 Jan;73(1):148-52 - PubMed
- Ann Nucl Med. 2008 Jan;22(1):83-6 - PubMed
- J Cell Biochem. 2003 Oct 15;90(3):525-33 - PubMed
- Radiology. 1991 Feb;178(2):493-7 - PubMed
- Appl Radiat Isot. 2009 Jul-Aug;67(7-8):1195-8 - PubMed
- Radiology. 1985 Nov;157(2):305-11 - PubMed
- Radiology. 1993 Aug;188(2):405-11 - PubMed
- J Biol Chem. 1991 Mar 25;266(9):5497-507 - PubMed
- Semin Liver Dis. 1999;19(3):271-85 - PubMed
- Lancet. 1981 Nov 21;2(8256):1129-33 - PubMed
Publication Types