TABLE 7

Assessment of Chemotherapy Response of Malignant Sarcomas in Pediatric Patients with 18F-FDG PET/CT

StudyType of diseasePatients (n)Timing of PET/CTParameterSensitivitySpecificityPPVNPV
Im (94)OS20InterimSUVmax100%88.9%83.3%100%
MTV100%88.9%83.3%100%
TLG100%88.9%83.3%100%
Therapy responseSUVmax100%88.9%83.3%100%
MTV60%100%100%81.8%
TLG100%77.8%71.4%100%
Denecke (92)OS27Therapy responsePosttherapy SUVmax80%100%100%86%
ΔSUVmax100%83%83%100%
Visual interpretation100%100%100%100%
ESFTTherapy responsePosttherapy SUVmax100%50%85%100%
ΔSUVmax91%50%83%67%
Visual interpretation100%25%79%100%
  • PPV = positive predictive value; NPV = negative predictive value; OS = osteosarcoma; MTV = metabolic tumor volume; TLG = total lesion glycolysis; ESFT = Ewing sarcoma family tumor; ΔSUVmax = reduction in posttherapy SUVmax compared with pretherapy SUVmax.