TABLE 1

Pre-PET Profile of Treatment Monitoring of Systemic Therapy

Patient characteristic and pre-PET profileProstateBreastLungOtherCombinedDifference between cancer types χ2 P*
Total scans (% of cohort)1,940 (68.3)476 (16.8)185 (6.5)238 (8.4)2,839 (100)
Clinical manifestations at the time of NaF PETP < 0.0001
 Elevated or rising tumor markers709 (36.5)181 (38.0)94 (50.8)101 (42.4)1,085 (38.2)
 Bone pain583 (30.1)45 (9.5)3 (1.6)13 (5.5)644 (22.7)
 Bone pain and rising tumor marker(s)*314 (16.2)164 (34.5)57 (30.8)92 (38.7)627 (22.1)
 Other imaging findings109 (5.6)27 (5.7)10 (5.4)11 (4.6)157 (5.5)
 Other evidence170 (8.8)39 (8.2)8 (4.3)12 (5.0)229 (8.1)
 None55 (2.8)20 (4.2)13 (7.0)9 (3.8)97 (3.4)
Pre-PET summary stage (%)P < 0.0001
 No evidence of disease73 (3.8)38 (8.0)7 (3.8)10 (4.2)128 (4.5)
 Local160 (8.2)8 (1.7)15 (8.1)15 (6.3)198 (7.0)
 Regional53 (2.7)6 (1.3)16 (8.6)1 (0.4)76 (2.7)
 Single distant metastases168 (8.7)54 (11.3)20 (10.8)26 (10.9)268 (9.4)
 Multiple distant metastases1,082 (55.8)311 (65.3)118 (63.8)159 (66.8)1,670 (58.8)
 Unknown404 (20.8)59 (12.4)9 (4.9)27 (11.3)499 (17.6)
Pre-PET suspected response (%)P < 0.0001
 Probable complete response105 (5.4)56 (11.8)14 (7.6)22 (9.2)197 (6.9)
 Possible partial response972 (50.1)252 (52.9)103 (55.7)134 (56.3)1,461 (51.5)
 Suspect no response212 (10.9)79 (16.6)34 (18.4)49 (20.6)374 (13.2)
 Suspect progression651 (33.6)89 (18.7)34 (18.4)33 (13.9)807 (28.4)
Pre-PET treatment plan (%)P < 0.0001
 Continue current treatment1,211 (62.4)365 (76.7)141 (76.2)194 (81.5)1,911 (67.3)
 Modify dose or schedule145 (7.5)26 (5.5)14 (7.6)15 (6.3)200 (7.0)
 Switch to another treatment571 (29.4)81 (17.0)28 (15.1)25 (10.5)705 (24.8)
 Stop treatment and switch to supportive care13 (0.7)4 (0.8)2 (1.1)4 (1.7)23 (0.8)
Comparison with prior bone imagingP < 0.0001
 Comparison made (%)1,520 (78.4)362 (76.1)120 (64.9)158 (66.4)2,160 (76.1)
  Conventional BS (%)423 (21.8)71 (14.9)11 (5.9)25 (10.5)530 (18.7)
  NaF PET scan (%)1,097 (56.5)291 (61.1)109 (58.9)133 (55.9)1,630 (57.4)
 No comparison made (%)420 (21.6)114 (23.9)65 (35.1)80 (33.6)679 (23.9)
  • * Pearson χ2 tests were used to assess association between each pre-PET profile characteristic and cancer type. If significant, certain contrasts were constructed for comparisons of interest.

  • Abnormal tumor markers including elevated alkaline phosphatase.