TABLE 1

Chemotherapy Response Monitoring in Advanced Colorectal Cancer

AuthorsYearReferenceNo. of patientsTherapyTiming of PET evaluationPET response criteriaOutcome measuresResultsP
Findlay et al.199610185-FU chemotherapy1–2 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.19991165-FU+FA chemotherapy72 h−ΔSUVMorphologic response on CT scan at 6 wk (WHO criteria)Responders −22%; nonresponders +13%<0.01
Dimitrakopoulou-Strauss et al.20031228FOLFOX chemotherapy2 wk, 3 moSUV, FDMorphologic 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.20041325FOLFOX chemotherapy2 wk, 8 wkSUV, k1–k4, FD, VBOSCorrect 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 0.4260.035
OS–SUV correlation at 8 wk 0.5170.001
de Geus-Oei et al.20071450Various chemotherapy schedules2 mo, 6 mo−ΔSUV, −ΔMRgluOS−ΔSUV at 2 mo0.017
−ΔMRglu at 2 mo0.049
Progression-free survival−ΔSUV at 2 mo0.035
−ΔMRglu at 2 mo0.026
  • 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.