TABLE 4.

Predicting Prognosis Via 18F-FDG PET/CT

Study designPatients (n)Median age (y)Time pointsParametersClinical outcomeCutoff for worse prognosisHazard ratio95% CIPReference
Retrospective study3127.5Baseline, after NCTSUVmax, TLGPFSSUVmax (baseline) > 154.5141.335–15.260.015(51)
SUVmax (after NCT) > 54.5271.548–13.240.006
TLG % change (10%)1.0961.017–1.1810.016
OSSUVmax (after NCT) > 3.3NR0.043
TLG (baseline, per unit)1.0031.000–1.0050.021
Retrospective review4015.1Baseline, after NCTSUVmaxPFSSUVmax (after NCT) > 2.5NR0.021(33)
Retrospective study8316Baseline, after NCTSUVmax, MRV, MTV, TLGMetastasis-free survivalBaseline MTV (2.0) > 1053.81.5–9.590.002(52)
Baseline TLG (45%) > 1872.471.056–5.790.037
Retrospective study3113.9Baseline, after NCTSUVmax, SUVpeak, SUVmean, MTV, TLG, textural features, shape featuresPFSElongation (baseline) (cutoff NR)5.583NR0.019(53)
OSElongation (baseline) (cutoff NR)7.113NR0.0062
Retrospective review3412.2Baseline, during NCT, after NCTSUVmax, SUVpeak, MTV, TLGEvent-free survivalMTV (2.5) (baseline) > 238.065.024*1.51–16.770.01*(54)
TLG (2.5) (baseline) > 981.975.740*1.34–24.510.006*
MTV (2.5) (during NCT) > 35.88.155*1.52–43.690.046*
OSMTV (2.5) (baseline) > 238.0629.447*2.21–392.270.033*
TLG (2.5) (baseline) > 1,022.329.447*2.21–392.270.033*
TLG (2.5) (during NCT) > 120.434.789*2.50–483.840.033*
  • 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.