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Research ArticleClinical Investigation

Correlation of 6-18F-Fluoro-l-Dopa PET Uptake with Proliferation and Tumor Grade in Newly Diagnosed and Recurrent Gliomas

Barbara J. Fueger, Johannes Czernin, Timothy Cloughesy, Daniel H. Silverman, Cheri L. Geist, Martin A. Walter, Christiaan Schiepers, Phioanh Nghiemphu, Albert Lai, Michael E. Phelps and Wei Chen
Journal of Nuclear Medicine October 2010, 51 (10) 1532-1538; DOI: https://doi.org/10.2967/jnumed.110.078592
Barbara J. Fueger
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Johannes Czernin
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Timothy Cloughesy
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Daniel H. Silverman
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Cheri L. Geist
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Martin A. Walter
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Christiaan Schiepers
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Phioanh Nghiemphu
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Albert Lai
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Michael E. Phelps
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Wei Chen
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  • FIGURE 1.
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    FIGURE 1.

    18F-FDOPA uptake in gliomas.

  • FIGURE 2.
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    FIGURE 2.

    18F-FDOPA uptake and tumor grade in newly diagnosed and previously treated tumors combined (A), in newly diagnosed tumors (B), and in previously treated tumors (C).

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    FIGURE 3.

    Correlation between 18F-FDOPA uptake and Ki-67 index in newly diagnosed and previously treated tumors combined (A), in newly diagnosed tumors (B), and in previously treated tumors (C).

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    TABLE 1.

    Patient Characteristics

    CharacteristicAll patients (n = 59)Newly diagnosed (n = 22)Recurrent (n = 37)
    Sex
     Female19 (32)9 (41)10 (27)
     Male40 (68)13 (59)27 (73)
    Age (y)
     Median44.542.145.9
     Range23.1–71.223.9–64.323.1–71.2
    Duration of disease (wk)
     Median110.59.8167.7
     Range0.1–984.690.1–33.43.9–984.9
    Pathohistology
     WHO grade II13 (22)9 (41)4 (11)
      Astrocytoma4 (7)4 (18)0
      Oligoastrocytoma3 (5)2 (9)1 (3)
      Oligodendroglioma6 (10)3 (14)3 (8)
     WHO grade III19 (32)7 (32)12 (32)
      Anaplastic astrocytoma8 (14)2 (9)6 (16)
      Anaplastic oligoastrocytoma6 (10)3 (14)3 (8)
      Anaplastic oligodendroglioma5 (8)2 (9)3 (8)
     WHO grade IV27 (46)6 (27)21 (57)
      Glioblastoma25 (42.4)6 (27)19 (51.4)
      Gliosarcoma2 (3.4)02 (5.4)
    Low-grade tumors13 (22)9 (41)4 (11)
    High-grade tumors43 (73)13 (59)33 (89)
    Astrocytomas27 (46)12 (55)15 (41)
    Nonastrocytomas32 (54)10 (45)22 (59)
    • Data in parentheses are percentages.

    • View popup
    TABLE 2.

    18F-FDOPA Uptake in Various Tumors

    CharacteristicAll patients (n = 59)Untreated (n = 22)Pretreated (n = 37)
    SUVmax ± SD3.34 ± 1.383.45 ± 1.603.28 ± 1.26
     Low grade
      WHO grade II2.44 ± 1.262.34 ± 1.352.67 ± 1.18
      WHO grade III3.34 ± 1.023.38 ± 0.933.33 ± 1.10
      WHO grade IV3.78 ± 1.485.19 ± 0.933.38 ± 1.37
     High grade3.60 ± 1.324.22 ± 1.303.36 ± 1.26
      WHO grade II vs. IIIP = 0.009P = 0.044P = 0.33
      WHO grade II vs. IVP = 0.004P = 0.007P = 0.21
      WHO grade III vs. IVP = 0.42P = 0.010P = 0.76
      WHO grade II vs. III/VIP = 0.001P = 0.005P = 0.22
    Mean Ki-67 index ± SD (%)22.45 ± 20.6917.32 ± 15.9325.16 ± 22.59
     WHO grade II3.92 ± 2.363.44 ± 1.675.00 ± 3.56
     WHO grade III17.68 ± 9.0619.29 ± 5.3516.75 ± 10.78
     WHO grade IV35.19 ± 23.4535.83 ± 16.2533.81 ± 25.510
    • View popup
    TABLE 3.

    Linear Regression Results of Various SUV Indices and Ki-67 Index

    TumorsSUV indexRP
    All (n = 59)Mean SUV0.2670.041
    SUVmax0.2890.027
    SUVmax200.3100.017
    Tumor burden0.3640.005
    T/N mean SUV ratio0.2690.040
    T/N SUVmax ratio0.2840.029
    T/N SUVmax20 ratio0.3030.020
    Newly diagnosed (n = 22)Mean SUV0.6470.001
    SUVmax0.6560.001
    SUVmax200.6600.001
    Tumor burden0.6660.001
    T/N mean SUV ratio0.779<0.0001
    T/N SUVmax ratio0.778<0.0001
    T/N SUVmax20 ratio0.786<0.0001
    Treated (n = 37)Mean SUV0.1130.51
    SUVmax0.1400.41
    SUVmax200.1690.32
    Tumor burden0.2690.11
    T/N mean SUV ratio0.0240.89
    T/N SUVmax ratio0.0600.72
    T/N SUVmax20 ratio0.0850.62
    • SUVmax20 = mean values of voxels with top 20% SUVs; T/N ratio = ratio of 18F-FDOPA uptake to mean values of contralateral normal brain.

    • Tumor burden was obtained by multiplying tumor volume and mean SUV in volume.

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Journal of Nuclear Medicine: 51 (10)
Journal of Nuclear Medicine
Vol. 51, Issue 10
October 1, 2010
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Correlation of 6-18F-Fluoro-l-Dopa PET Uptake with Proliferation and Tumor Grade in Newly Diagnosed and Recurrent Gliomas
Barbara J. Fueger, Johannes Czernin, Timothy Cloughesy, Daniel H. Silverman, Cheri L. Geist, Martin A. Walter, Christiaan Schiepers, Phioanh Nghiemphu, Albert Lai, Michael E. Phelps, Wei Chen
Journal of Nuclear Medicine Oct 2010, 51 (10) 1532-1538; DOI: 10.2967/jnumed.110.078592

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Correlation of 6-18F-Fluoro-l-Dopa PET Uptake with Proliferation and Tumor Grade in Newly Diagnosed and Recurrent Gliomas
Barbara J. Fueger, Johannes Czernin, Timothy Cloughesy, Daniel H. Silverman, Cheri L. Geist, Martin A. Walter, Christiaan Schiepers, Phioanh Nghiemphu, Albert Lai, Michael E. Phelps, Wei Chen
Journal of Nuclear Medicine Oct 2010, 51 (10) 1532-1538; DOI: 10.2967/jnumed.110.078592
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