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Research ArticleClinical Investigation

Quantitative Assessment of Hypoxia Kinetic Models by a Cross-Study of Dynamic 18F-FAZA and 15O-H2O in Patients with Head and Neck Tumors

Kuangyu Shi, Michael Souvatzoglou, Sabrina T. Astner, Peter Vaupel, Fridtjof Nüsslin, Jan J. Wilkens and Sibylle I. Ziegler
Journal of Nuclear Medicine September 2010, 51 (9) 1386-1394; DOI: https://doi.org/10.2967/jnumed.109.074336
Kuangyu Shi
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Michael Souvatzoglou
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Sabrina T. Astner
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Peter Vaupel
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Fridtjof Nüsslin
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Jan J. Wilkens
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Sibylle I. Ziegler
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Figures

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  • FIGURE 1.
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    FIGURE 1.

    Blood input curves and time–activity curves of whole tumor region and 1 normal muscle region for patient 2.

  • FIGURE 2.
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    FIGURE 2.

    Illustration of different transport mechanisms between 15O-H2O and 18F-FAZA.

  • FIGURE 3.
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    FIGURE 3.

    Procedure for quantitative comparison of hypoxia kinetic models.

  • FIGURE 4.
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    FIGURE 4.

    Six frames of 18F-FAZA PET of a slice for patient 2. Regions of interest outline region of tumor, and t denotes time of start of frame.

  • FIGURE 5.
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    FIGURE 5.

    One slice of CT image and parametric images of reversible and irreversible 2-compartment models for patient 2. Parametric images are computed within region determined by CT. Time–activity curves of tumor region of interest and 2 pixels (arrows) are displayed on right, with corresponding model results. ROI = region of interest.

  • FIGURE 6.
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    FIGURE 6.

    Scatterplots of voxelwise correlation between estimated parameters of reversible 2-compartment model for 18F-FAZA and K1 of 1-compartment model for 15O-H2O in tumor and muscle regions for patient 2.

Tables

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    TABLE 1.

    Patient Characteristics and Voxelwise Correlations Between Static Uptake of 18F-FAZA (at 1 Hour After Injection) and 15O-H2O (at 40–70 Seconds After Injection) in Tumor Region

    Patient no.SexAge (y)Tumor locationTumor volume (cm3)r
    1M44Oropharynx/hypopharynx48.830.517
    2M48Oropharynx75.300.431
    3M49Nasopharynx111.850.272
    4F61Tonsillar fossa25.510.445
    5M56Base of tongue256.290.340
    • View popup
    TABLE 2.

    Voxelwise Correlations Between 18F-FAZA Delivery and Corresponding 15O-H2O Perfusion in Tumor Region for Each Patient

    Patient no.Reversible 2-compartment: K1Irreversible 2-compartment: K1Thorwarth: w0Cho: early
    10.359/0.2310.337/0.1880.507/0.4470.854/0.795
    20.684/0.7440.724/0.7680.523/0.5840.867/0.911
    30.144/0.1030.138/0.0950.183/0.1640.851/0.791
    4−0.025/0.003−0.014/−0.0020.109/0.1820.291/0.152
    50.352/0.3490.332/0.3260.372/0.3880.694/0.705
    • Values after slash (/) indicate computation result when performing half-voxel shift in x direction for registration. Each column of table denotes 1 Pearson correlation coefficient between specified kinetic parameter of 18F-FAZA modeling and kinetic parameter K1 of 15O-H2O modeling.

    • View popup
    TABLE 3.

    Voxelwise Correlations Between 18F-FAZA Accumulation and Corresponding 15O-H2O Perfusion in Tumor Region for Each Patient

    Patient no.Reversible 2-compartment: k3Irreversible 2-compartment: k3Thorwarth: wAPatlak: slopeLogan: DVCho: late
    1−0.462/−0.356−0.674/−0.6360.435/0.5960.487/0.6220.598/0.672−0.558/−0.647
    2−0.490/−0.499−0.344/−0.3520.528/0.5890.348/0.4360.526/0.606−0.600/−0.627
    3−0.441/−0.428−0.506/−0.4920.152/0.1440.162/0.1350.297/0.264−0.404/−0.326
    4−0.156/0.029−0.094/0.0870.578/0.6370.556/0.6410.416/0.548−0.067/0.053
    5−0.107/−0.128−0.167/−0.1730.451/0.4350.535/0.5270.581/0.576−0.242/−0.261
    • Values after slash (/) indicate computation result when performing half-voxel shift in x direction for registration. Each column of table denotes1 Pearson correlation coefficient between specified kinetic parameter of 18F-FAZA modeling and kinetic parameter K1 of 15O-H2O modeling.

    • View popup
    TABLE 4.

    Voxelwise Correlations Between 18F-FAZA Delivery and Corresponding 15O-H2O Perfusion in Region of Muscle for Each Patient

    Patient no.Reversible 2-compartment: K1Irreversible 2-compartment: K1Thorwarth: w0Cho: early
    10.4120.344−0.1310.436
    20.2300.112−0.0680.320
    30.8880.9290.4140.931
    40.5980.6820.1170.720
    50.3490.182−0.0660.046
    σ0.2570.3470.2220.345
    • Each column of table denotes 1 Pearson correlation coefficient between specified kinetic parameter of 18F-FAZA modeling and kinetic parameter K1 of 15O-H2O modeling. σ is SD of normalized correlations of all patients in column.

    • View popup
    TABLE 5.

    Voxelwise Correlations Between 18F-FAZA Accumulation and Corresponding 15O-H2O Perfusion in Region of Muscle for Each Patient

    Patient no.Reversible 2-compartment: k3Irreversible 2-compartment: k3Thorwarth: wAPatlak: slopeLogan: DVCho: late
    10.1660.0870.1140.2260.143−0.290
    20.111−0.1760.4760.4910.343−0.065
    3−0.3790.5670.8680.8620.351−0.814
    40.2810.4460.6740.7920.309−0.667
    50.2320.050−0.094−0.068−0.300−0.239
    σ0.2660.3050.3960.3890.2760.313
    • Each column of table denotes 1 Pearson correlation coefficient between specified kinetic parameter of 18F-FAZA modeling and kinetic parameter K1 of 15O-H2O modeling. σ is SD of normalized correlations of all patients in column.

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Journal of Nuclear Medicine: 51 (9)
Journal of Nuclear Medicine
Vol. 51, Issue 9
September 1, 2010
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Quantitative Assessment of Hypoxia Kinetic Models by a Cross-Study of Dynamic 18F-FAZA and 15O-H2O in Patients with Head and Neck Tumors
Kuangyu Shi, Michael Souvatzoglou, Sabrina T. Astner, Peter Vaupel, Fridtjof Nüsslin, Jan J. Wilkens, Sibylle I. Ziegler
Journal of Nuclear Medicine Sep 2010, 51 (9) 1386-1394; DOI: 10.2967/jnumed.109.074336

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Quantitative Assessment of Hypoxia Kinetic Models by a Cross-Study of Dynamic 18F-FAZA and 15O-H2O in Patients with Head and Neck Tumors
Kuangyu Shi, Michael Souvatzoglou, Sabrina T. Astner, Peter Vaupel, Fridtjof Nüsslin, Jan J. Wilkens, Sibylle I. Ziegler
Journal of Nuclear Medicine Sep 2010, 51 (9) 1386-1394; DOI: 10.2967/jnumed.109.074336
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