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OtherClinical Investigations

Relationship Between Retention Index in Dual-Phase 18F-FDG PET, and Hexokinase-II and Glucose Transporter-1 Expression in Pancreatic Cancer

Tatsuya Higashi, Tsuneo Saga, Yuji Nakamoto, Takayoshi Ishimori, Marcelo H. Mamede, Michihiko Wada, Ryuichiro Doi, Ryo Hosotani, Masayuki Imamura and Junji Konishi
Journal of Nuclear Medicine February 2002, 43 (2) 173-180;
Tatsuya Higashi
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Tsuneo Saga
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Yuji Nakamoto
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Takayoshi Ishimori
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Marcelo H. Mamede
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Michihiko Wada
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Ryuichiro Doi
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Ryo Hosotani
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Masayuki Imamura
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Junji Konishi
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  • FIGURE 1.
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    FIGURE 1.

    Results of SUV at 1 h and RI of dual-phase 18F-FDG PET. Positive correlation existed between SUV at 1 h and RI (P < 0.05). Four patients with negative RI showed low SUVs at 1 h.

  • FIGURE 2.
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    FIGURE 2.

    Results of immunohistochemical staining using anti-GLUT-1 and anti-HK-II. They correlated closely (P < 0.005).

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    FIGURE 3.

    Results of comparative analysis between quantitative values of dual-phase 18F-FDG PET and immunohistochemical staining. SUV at 1 h showed a weak positive correlation with GLUT-1 glucose transporter expression (P = 0.055), whereas no significant relationship was found between SUV at 1 h and HK-II hexokinase expression. However, RI had no significant relationship with GLUT-1 glucose transporter expression, whereas RI and HK-II hexokinase expression had significant positive relationship (P < 0.05).

  • FIGURE 4.
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    FIGURE 4.

    Invasive ductal adenocarcinoma (arrows) in pancreatic head of patient 1. 18F-FDG PET images obtained at 1 h, when tumor SUV was 2.82 (A), and at 2 h, when tumor SUV was 2.48 (B), with RI of −12.1%. Immunohistochemical staining of GLUT-1 (C) and of HK-II (D) shows no significant strong expression of GLUT-1 or HK-II. Percentages of strong expressed cells of both proteins were scored as <20%. (×400; bar = 20 μm)

  • FIGURE 5.
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    FIGURE 5.

    Invasive ductal adenocarcinoma (arrows) in pancreatic head of patient 17. 18F-FDG PET images obtained at 1 h, when tumor SUV was 6.0 (A), and at 2 h, when tumor SUV was 7.75 (B), with RI of 29.2%. Immunohistochemical staining of GLUT-1 (C) and of HK-II (D) shows overexpression of GLUT-1 and HK-II. Expression of GLUT-1 is observed mainly in membrane, whereas that of HK-II is observed mainly in cytoplasm. Percentages of strong expressed cells of GLUT-1 were scored as 50%–80%, and those of HK-II were scored as >80%. (×400; bar = 20 μm)

Tables

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    TABLE 1

    Patient Characteristics

    Patient no.SexAge (y)Histologic diagnosisDifferentiationOperationSUV (at 1 h)SUV (at 2 h)RI
    1F71Invasive ductal carcinomaWellResectable2.822.48−12.06
    2M68Invasive ductal carcinomaPoorlyUnresectable*3.162.84−10.13
    3F58Invasive ductal carcinomaPoorlyUnresectable*3.583.35−6.42
    4M52Invasive ductal carcinomaModeratelyResectable3.062.90−5.23
    5F66Invasive ductal carcinomaModeratelyResectable4.995.143.01
    6M58Invasive ductal carcinomaPoorlyUnresectable*5.245.433.63
    7M70Invasive ductal carcinomaPoorlyResectable4.785.065.86
    8M62Invasive ductal carcinomaModeratelyResectable4.424.726.79
    9M62Invasive ductal carcinomaModerately/poorlyUnresectable*3.764.047.45
    10M49Invasive ductal carcinomaPoorlyUnresectable*3.734.027.77
    11M57Invasive ductal carcinomaPoorlyUnresectable*5.856.4410.09
    12F82Invasive ductal carcinomaModeratelyUnresectable*4.264.7010.33
    13M53Invasive ductal carcinomaPoorlyResectable9.3410.5112.53
    14F68Invasive ductal carcinomaModerately/poorlyUnresectable*10.7612.6717.75
    15M58Invasive ductal carcinomaModeratelyResectable4.865.9622.63
    16F62Invasive ductal carcinomaModeratelyUnresectable*7.689.4723.31
    17M54Invasive ductal carcinomaWellUnresectable*6.007.7529.17
    18M59Mucinous cystadenocarcinomaWellResectable4.244.639.20
    19F64Mucinous cystadenocarcinomaWellUnresectable*6.547.3412.23
    20F40Mucinous cystadenocarcinomaWellResectable3.414.1922.87
    21M63Intraductal papillary carcinomaWellResectable4.835.166.83
    • ↵* Needle biopsy under laparotomy.

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    TABLE 2

    Results of Immunohistochemistry and Tumor Cellularity

    Patient no.GLUT-1 (G-index)HK-II (HK-index)Cellularity (C-index)
    AverageCounting trialAverageCounting trialAverageCounting trial
    FirstSecondThirdFirstSecondThirdFirstSecond
    11.01111.01113.033
    21.01111.31211.512
    33.03331.32115.055
    41.01113.33342.532
    51.31211.01112.523
    62.72334.74555.055
    74.04443.33431.512
    85.05554.03452.532
    91.01111.32112.022
    103.34335.05555.055
    113.74343.04235.055
    121.01112.74223.033
    135.05555.05554.554
    142.03212.02225.055
    154.34454.03453.033
    161.31213.33434.044
    173.73445.05552.532
    181.01111.73114.053
    191.31212.02222.022
    202.72334.74554.044
    214.04445.05552.022
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Journal of Nuclear Medicine
Vol. 43, Issue 2
February 1, 2002
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Relationship Between Retention Index in Dual-Phase 18F-FDG PET, and Hexokinase-II and Glucose Transporter-1 Expression in Pancreatic Cancer
Tatsuya Higashi, Tsuneo Saga, Yuji Nakamoto, Takayoshi Ishimori, Marcelo H. Mamede, Michihiko Wada, Ryuichiro Doi, Ryo Hosotani, Masayuki Imamura, Junji Konishi
Journal of Nuclear Medicine Feb 2002, 43 (2) 173-180;

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Relationship Between Retention Index in Dual-Phase 18F-FDG PET, and Hexokinase-II and Glucose Transporter-1 Expression in Pancreatic Cancer
Tatsuya Higashi, Tsuneo Saga, Yuji Nakamoto, Takayoshi Ishimori, Marcelo H. Mamede, Michihiko Wada, Ryuichiro Doi, Ryo Hosotani, Masayuki Imamura, Junji Konishi
Journal of Nuclear Medicine Feb 2002, 43 (2) 173-180;
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  • Prognostic Significance of 18F-FDG PET/CT and Tumor Metabolic Changes in Patients With Pancreatic Ductal Adenocarcinoma
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  • Relationship Between 18F-FDG Accumulation and Lactate Dehydrogenase A Expression in Lung Adenocarcinomas
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  • Evaluation of the Role of Hexokinase Type II in Cellular Proliferation and Apoptosis Using Human Hepatocellular Carcinoma Cell Lines
  • 18F-FDG PET Findings and GLUT-1 Expression in IPMNs of the Pancreas
  • Colorectal Tumor Cells Treated with 5-FU, Oxaliplatin, Irinotecan, and Cetuximab Exhibit Changes in 18F-FDG Incorporation Corresponding to Hexokinase Activity and Glucose Transport
  • Clinical applications and advances of positron emission tomography with fluorine-18-fluorodeoxyglucose (18F-FDG) in the diagnosis of liver neoplasms
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  • Biologic Correlates of Intratumoral Heterogeneity in 18F-FDG Distribution with Regional Expression of Glucose Transporters and Hexokinase-II in Experimental Tumor
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