Understanding the Standardized Uptake Value, Its Methods, and Implications for Usage

TABLE 2

Variability of Average SUVs Among Institutions for Particular Categories of 18F-FDG PET Studies

Category n Average SUV Average log10SUV ± SD
Non-Hodgkin’s lymphoma 21 8.0 0.81 ± 0.29
22 9.2 0.89 ± 0.29
22 12.5 1.02 ± 0.27
Breast cancer 41 3.5 0.49 ± 0.20
24 4.5 0.57 ± 0.27
36 5.1 0.63 ± 0.23
26 12.8 1.02 ± 0.29
Pancreatic cancer 42 3.2 0.45 ± 0.24
34 4.4 0.60 ± 0.18
23 6.5 0.77 ± 0.18
Head and neck squamous cell cancer 48 3.2 0.49 ± 0.11
22 6.3 0.74 ± 0.24
37 9.4 0.94 ± 0.19
Normal liver 82 1.7 0.22 ± 0.13
24 2.5 0.40 ± 0.07
37 2.7 0.43 ± 0.09
  • In meta-analysis (22) within each category, using individual patient log10SUV values in Kruskal–Wallis ANOVA, the P value for at least 2 institutions differing in means is always found to be <0.0001. Reasons can be a combination of factors in Table 1 along with variations in populations and pathologies chosen for study. The higher SD values of the logarithms (which are approximately [1/ln 10] × coefficients of variation of SUVs here) for cancers compared with those of normal liver presumably show variability stemming from extents of disease.

This Article

  1. J Nucl Med vol. 45 no. 9 1431-1434