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Research ArticleClinical Investigations

Can an 18F-ALF-NOTA-PRGD2 PET/CT Scan Predict Treatment Sensitivity to Concurrent Chemoradiotherapy in Patients with Newly Diagnosed Glioblastoma?

Hui Zhang, Ning Liu, Song Gao, Xudong Hu, Wei Zhao, Rongjie Tao, Zhaoqiu Chen, Jinsong Zheng, Xiaorong Sun, Liang Xu, Wanhu Li, Jinming Yu and Shuanghu Yuan
Journal of Nuclear Medicine April 2016, 57 (4) 524-529; DOI: https://doi.org/10.2967/jnumed.115.165514
Hui Zhang
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
2School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan, Shandong, China
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Ning Liu
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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Song Gao
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
2School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan, Shandong, China
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Xudong Hu
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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Wei Zhao
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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Rongjie Tao
3Department of Neurosurgery, Shandong Cancer Hospital and Institute, Jinan, Shandong, China; and
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Zhaoqiu Chen
4Department of Radiology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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Jinsong Zheng
4Department of Radiology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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Xiaorong Sun
4Department of Radiology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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Liang Xu
4Department of Radiology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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Wanhu Li
4Department of Radiology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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Jinming Yu
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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Shuanghu Yuan
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Jinan, Shandong, China
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  • FIGURE 1.
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    FIGURE 1.

    18F-RGD PET/CT at baseline and 3 wk in nonresponding patient (A; patient 11; Table 2) and responding patient (B; patient 14; Table 2).

  • FIGURE 2.
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    FIGURE 2.

    Comparison of 18F-RGD PET/CT and MRI at baseline and 3 wk (patient 19; Table 2).

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    FIGURE 3.

    ROC curves of parameters.

Tables

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    TABLE 1

    Patient Characteristics

    Characteristicn
    Total no.25
    Age (y)
     Median49.5
     Range30–64
    Sex
     Male15 (60%)
     Female10 (40%)
    Karnofsky performance score80 (range, 70–90)
     70–8016
     90–1009
    PathologyGBM (World Health Organization, IV)
    SurgeryPartial resection
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    TABLE 2

    Tumor Response Comparison by Different Criteria in Patients with Newly Diagnosed Glioblastoma

    Response evaluation
    Patient no.RANOΔVOLT1–3
    1SD−73%
    2SD−70%
    3SD−58%
    4PR−81%
    5PR−90%
    6SD−36%
    7SD−42%
    8CR−100%
    9PD−58%
    10CR−100%
    11PD23%
    12PR−55%
    13SD−57%
    14PR−71%
    15SD−27%
    16SD−22%
    17PR−76%
    18SD0%
    19PR−53%
    20PD62%
    21CR−73%
    22PD65%
    23PR−66%
    24SD−13%
    25CR−100%
    • ΔVOLT1–3 was calculated by (VOLT3 − VOLT1)/VOLT1 on MR images.

    • ΔVOLT1–3 = change in lesion volume from T1 to T3 on MRI; SD = stable disease; PR = partial response; CR = complete response; PD = progressive disease.

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    TABLE 3

    Lesion Volume Change on MRI in Patients with Newly Diagnosed Glioblastoma

    Lesion volume on MRIAverage (mm3)Range (mm3)
    VOLT127,5936,752–67,523
    VOLT315,4110–69,560
    ΔVOLT1–3−46.85%65% to −100%
    • VOLT1 = lesion volume on baseline of MR images; VOLT3 = lesion volume on 11th week of MR images; ΔVOLT1–3 = change ratio of lesion volume from T1 to T3.

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Journal of Nuclear Medicine: 57 (4)
Journal of Nuclear Medicine
Vol. 57, Issue 4
April 1, 2016
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Can an 18F-ALF-NOTA-PRGD2 PET/CT Scan Predict Treatment Sensitivity to Concurrent Chemoradiotherapy in Patients with Newly Diagnosed Glioblastoma?
Hui Zhang, Ning Liu, Song Gao, Xudong Hu, Wei Zhao, Rongjie Tao, Zhaoqiu Chen, Jinsong Zheng, Xiaorong Sun, Liang Xu, Wanhu Li, Jinming Yu, Shuanghu Yuan
Journal of Nuclear Medicine Apr 2016, 57 (4) 524-529; DOI: 10.2967/jnumed.115.165514

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Can an 18F-ALF-NOTA-PRGD2 PET/CT Scan Predict Treatment Sensitivity to Concurrent Chemoradiotherapy in Patients with Newly Diagnosed Glioblastoma?
Hui Zhang, Ning Liu, Song Gao, Xudong Hu, Wei Zhao, Rongjie Tao, Zhaoqiu Chen, Jinsong Zheng, Xiaorong Sun, Liang Xu, Wanhu Li, Jinming Yu, Shuanghu Yuan
Journal of Nuclear Medicine Apr 2016, 57 (4) 524-529; DOI: 10.2967/jnumed.115.165514
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Keywords

  • 18F-RGD
  • positron emission tomography (PET)
  • Predict
  • chemoradiotherapy
  • Glioblastoma
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