Chemotherapy Response Monitoring in Advanced Colorectal Cancer
Authors | Year | Reference | No. of patients | Therapy | Timing of PET evaluation | PET response criteria | Outcome measures | Results | P |
---|---|---|---|---|---|---|---|---|---|
Findlay et al. | 1996 | 10 | 18 | 5-FU chemotherapy | 1–2 wk, 4–5 wk | −ΔT:L > 15% (at 4–5 wk) | Morphologic response on CT scan at 12 wk (WHO criteria) | Sensitivity 100%; specificity 75% | |
Bender et al. | 1999 | 11 | 6 | 5-FU+FA chemotherapy | 72 h | −ΔSUV | Morphologic response on CT scan at 6 wk (WHO criteria) | Responders −22%; nonresponders +13% | <0.01 |
Dimitrakopoulou-Strauss et al. | 2003 | 12 | 28 | FOLFOX chemotherapy | 2 wk, 3 mo | SUV, FD | Morphologic response on CT scan at 12 wk (WHO criteria) | Correct classification rate: FD baseline PET 90% for PD; FD baseline PET 75% for SD | |
Dimitrakopoulou-Strauss et al. | 2004 | 13 | 25 | FOLFOX chemotherapy | 2 wk, 8 wk | SUV, k1–k4, FD, VB | OS | Correct classification rate: SUV 62% at 2 wk and 69% at 8 wk; k1–k4, FD, and VB 78% at 2 and 8 wk | |
OS–SUV correlation at 2 wk 0.426 | 0.035 | ||||||||
OS–SUV correlation at 8 wk 0.517 | 0.001 | ||||||||
de Geus-Oei et al. | 2007 | 14 | 50 | Various chemotherapy schedules | 2 mo, 6 mo | −ΔSUV, −ΔMRglu | OS | −ΔSUV at 2 mo | 0.017 |
−ΔMRglu at 2 mo | 0.049 | ||||||||
Progression-free survival | −ΔSUV at 2 mo | 0.035 | |||||||
−ΔMRglu at 2 mo | 0.026 |
ΔT:L = fractional change in tumor-to-liver ratio; FA = folinic acid; ΔSUV = fractional change in SUV; FD = fractal dimension; PD = progressive disease; SD = stable disease; k1–k4 = rate constants; VB = vascular fraction; OS = overall survival; ΔMRglu = fractional change in MRglu.