Predicting Prognosis Via 18F-FDG PET/CT
Study design | Patients (n) | Median age (y) | Time points | Parameters | Clinical outcome | Cutoff for worse prognosis | Hazard ratio | 95% CI | P | Reference |
---|---|---|---|---|---|---|---|---|---|---|
Retrospective study | 31 | 27.5 | Baseline, after NCT | SUVmax, TLG | PFS | SUVmax (baseline) > 15 | 4.514 | 1.335–15.26 | 0.015 | (51) |
SUVmax (after NCT) > 5 | 4.527 | 1.548–13.24 | 0.006 | |||||||
TLG % change (10%) | 1.096 | 1.017–1.181 | 0.016 | |||||||
OS | SUVmax (after NCT) > 3.3 | NR | 0.043 | |||||||
TLG (baseline, per unit) | 1.003 | 1.000–1.005 | 0.021 | |||||||
Retrospective review | 40 | 15.1 | Baseline, after NCT | SUVmax | PFS | SUVmax (after NCT) > 2.5 | NR | 0.021 | (33) | |
Retrospective study | 83 | 16 | Baseline, after NCT | SUVmax, MRV, MTV, TLG | Metastasis-free survival | Baseline MTV (2.0) > 105 | 3.8 | 1.5–9.59 | 0.002 | (52) |
Baseline TLG (45%) > 187 | 2.47 | 1.056–5.79 | 0.037 | |||||||
Retrospective study | 31 | 13.9 | Baseline, after NCT | SUVmax, SUVpeak, SUVmean, MTV, TLG, textural features, shape features | PFS | Elongation (baseline) (cutoff NR) | 5.583 | NR | 0.019 | (53) |
OS | Elongation (baseline) (cutoff NR) | 7.113 | NR | 0.0062 | ||||||
Retrospective review | 34 | 12.2 | Baseline, during NCT, after NCT | SUVmax, SUVpeak, MTV, TLG | Event-free survival | MTV (2.5) (baseline) > 238.06 | 5.024* | 1.51–16.77 | 0.01* | (54) |
TLG (2.5) (baseline) > 981.97 | 5.740* | 1.34–24.51 | 0.006* | |||||||
MTV (2.5) (during NCT) > 35.8 | 8.155* | 1.52–43.69 | 0.046* | |||||||
OS | MTV (2.5) (baseline) > 238.06 | 29.447* | 2.21–392.27 | 0.033* | ||||||
TLG (2.5) (baseline) > 1,022.3 | 29.447* | 2.21–392.27 | 0.033* | |||||||
TLG (2.5) (during NCT) > 120.4 | 34.789* | 2.50–483.84 | 0.033* |
Retrospective review = retrospective review of prospective study; PFS = progression-free survival; NR = not reported.
↵* Adjusted for histologic response.
Numbers in parentheses indicate segmentation methods to measure MTV and TLG, with (2.0) indicating fixed absolute threshold of SUV 2.0, (2.5) indicating fixed absolute threshold of SUV 2.5, and (45%) indicating fixed relative threshold of 45% of SUVmax.