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Research ArticleClinical Investigation

Correlation Between 18F-FDG Uptake on PET and Molecular Biology in Metastatic Pulmonary Tumors

Kyoichi Kaira, Takehiro Okumura, Yasuhisa Ohde, Toshiaki Takahashi, Haruyasu Murakami, Noboru Oriuchi, Masahiro Endo, Haruhiko Kondo, Takashi Nakajima and Nobuyuki Yamamoto
Journal of Nuclear Medicine May 2011, 52 (5) 705-711; DOI: https://doi.org/10.2967/jnumed.111.087676
Kyoichi Kaira
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Takehiro Okumura
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Yasuhisa Ohde
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Toshiaki Takahashi
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Haruyasu Murakami
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Noboru Oriuchi
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Masahiro Endo
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Haruhiko Kondo
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Takashi Nakajima
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Nobuyuki Yamamoto
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  • FIGURE 1.
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    FIGURE 1.

    Contribution of T/M ratio of 18F-FDG in metastatic pulmonary tumors, control group (benign lesion), and NSCLC. T/M ratio was significantly higher in patients with metastatic pulmonary tumors (P = 0.0261) and NSCLC (P < 0.0001) than in control group. T/M ratio of metastatic pulmonary tumors was significantly lower than that of NSCLC (P < 0.0001). PMT = metastatic pulmonary tumor.

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    FIGURE 2.

    Overall survival curve according to T/M ratio. Overall survival of patients with high T/M ratio was significantly longer than that of patients with low T/M ratio.

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    TABLE 1

    Comparison of 18F-FDG Uptake and Biomarkers Between Pulmonary Metastases and Primary Lung Cancer

    All casesAdenocarcinomaSQC
    BiomarkerMetastasis (n = 146)Primary (n = 138)PMetastasis (n = 103)Primary (n = 93)PMetastasis (n = 13)Primary (n = 45)P
    T/M ratio3.25 ± 0.225.96 ± 0.38<0.00013.42 ± 0.274.47 ± 0.400.02813.67 ± 0.789.04 ± 0.64<0.0001
    Glut12.92 ± 0.082.42 ± 0.09<0.00013.12 ± 0.092.02 ± 0.09<0.00013.39 ± 0.183.23 ± 0.090.4716
    Glut31.27 ± 0.051.30 ± 0.060.62501.12 ± 0.041.29 ± 0.070.02201.46 ± 0.221.33 ± 0.100.5616
    Hexokinase I2.53 ± 0.092.81 ± 0.100.02952.55 ± 0.092.49 ± 0.120.69793.15 ± 0.323.45 ± 0.130.3244
    HIF-1α2.90 ± 0.093.42 ± 0.110.00043.02 ± 0.102.50 ± 0.120.00073.69 ± 0.174.15 ± 0.150.1246
    VEGF23.9 ± 1.5030.3 ± 1.700.005024.0 ± 1.7024.5 ± 1.800.838141.5 ± 5.1044.9 ± 2.700.5615
    CD3425.1 ± 0.9024.0 ± 1.100.451824.4 ± 1.1020.3 ± 1.300.016032.9 ± 2.5031.5 ± 1.300.6115
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    TABLE 2

    Comparison of 18F-FDG Uptake and Biomarkers Between Malignant Lesions and Benign Lesions

    Pulmonary metastasis vs. control groupPrimary lung cancer vs. control group
    BiomarkerMalignant (n = 146)Benign (n = 29)PMalignant (n = 140)Benign (n = 29)P
    T/M ratio3.25 ± 0.222.12 ± 0.250.02615.96 ± 0.382.12 ± 0.25<0.0001
    Glut12.92 ± 0.081.83 ± 0.16<0.00012.42 ± 0.091.83 ± 0.160.0048
    Glut31.27 ± 0.051.76 ± 0.150.00031.30 ± 0.061.76 ± 0.150.0012
    Hexokinase I2.53 ± 0.091.89 ± 0.150.00222.81 ± 0.101.89 ± 0.15<0.0001
    HIF-1α2.90 ± 0.092.10 ± 0.170.00033.42 ± 0.112.10 ± 0.17<0.0001
    VEGF23.9 ± 1.5013.2 ± 2.340.002430.3 ± 1.7013.2 ± 2.34<0.0001
    CD3425.1 ± 0.9017.8 ± 1.730.001924.0 ± 1.1017.8 ± 1.730.0125
    • View popup
    TABLE 3

    Comparison of 18F-FDG Uptake and Biomarkers Among Patients with Pulmonary Metastases

    Adenocarcinoma vs. SQCAdenocarcinoma vs. sarcomaSQC vs. sarcoma
    BiomarkerAdenocarcinoma (n = 103)SQC (n = 13)PAdenocarcinoma(n = 103)Sarcoma (n = 17)PSQC (n = 13)Sarcoma (n = 17)P
    T/M ratio3.43 ± 0.273.68 ± 0.780.76353.43 ± 0.272.04 ± 0.350.04673.67 ± 0.782.04 ± 0.350.0473
    Glut13.12 ± 0.093.39 ± 0.180.30123.12 ± 0.091.82 ± 0.21<0.00013.39 ± 0.181.82 ± 0.21<0.0001
    Glut31.12 ± 0.041.46 ± 0.220.01171.12 ± 0.041.77 ± 0.26<0.00011.46 ± 0.221.77 ± 0.260.4030
    Hexokinase I2.55 ± 0.093.15 ± 0.320.04292.55 ± 0.092.06 ± 0.250.69793.15 ± 0.322.06 ± 0.250.0102
    HIF-1α3.02 ± 0.103.69 ± 0.170.01983.02 ± 0.101.77 ± 0.24<0.00013.69 ± 0.171.77 ± 0.24<0.0001
    VEGF24.0 ± 1.7041.5 ± 5.070.000924.0 ± 1.7015.7 ± 3.920.048241.5 ± 5.0715.7 ± 3.920.0003
    CD3424.4 ± 1.1432.9 ± 2.550.012124.4 ± 1.1425.1 ± 2.990.816932.9 ± 2.5525.1 ± 2.990.0667

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Journal of Nuclear Medicine: 52 (5)
Journal of Nuclear Medicine
Vol. 52, Issue 5
May 1, 2011
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Correlation Between 18F-FDG Uptake on PET and Molecular Biology in Metastatic Pulmonary Tumors
Kyoichi Kaira, Takehiro Okumura, Yasuhisa Ohde, Toshiaki Takahashi, Haruyasu Murakami, Noboru Oriuchi, Masahiro Endo, Haruhiko Kondo, Takashi Nakajima, Nobuyuki Yamamoto
Journal of Nuclear Medicine May 2011, 52 (5) 705-711; DOI: 10.2967/jnumed.111.087676

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Correlation Between 18F-FDG Uptake on PET and Molecular Biology in Metastatic Pulmonary Tumors
Kyoichi Kaira, Takehiro Okumura, Yasuhisa Ohde, Toshiaki Takahashi, Haruyasu Murakami, Noboru Oriuchi, Masahiro Endo, Haruhiko Kondo, Takashi Nakajima, Nobuyuki Yamamoto
Journal of Nuclear Medicine May 2011, 52 (5) 705-711; DOI: 10.2967/jnumed.111.087676
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