[18F]fluoro-2-deoxyglucose-positron emission tomography for the assessment of histopathological response after preoperative chemoradiotherapy in advanced oral squamous cell carcinoma

Verfasser / Beitragende:
[Hiroyuki Shimomura, Tomonori Sasahira, Yasutsugu Yamanaka, Miyako Kurihara, Yuichiro Imai, Shigehiro Tamaki, Nobuhiro Yamakawa, Norihisa Shirone, Masatoshi Hasegawa, Hiroki Kuniyasu, Tadaaki Kirita]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/2(2015-04-01), 308-316
Format:
Artikel (online)
ID: 605491844
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024 7 0 |a 10.1007/s10147-014-0711-5  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10147-014-0711-5 
245 0 0 |a [18F]fluoro-2-deoxyglucose-positron emission tomography for the assessment of histopathological response after preoperative chemoradiotherapy in advanced oral squamous cell carcinoma  |h [Elektronische Daten]  |c [Hiroyuki Shimomura, Tomonori Sasahira, Yasutsugu Yamanaka, Miyako Kurihara, Yuichiro Imai, Shigehiro Tamaki, Nobuhiro Yamakawa, Norihisa Shirone, Masatoshi Hasegawa, Hiroki Kuniyasu, Tadaaki Kirita] 
520 3 |a Background: [18F]fluoro-2-deoxyglucose-positron emission tomography (FDG-PET) is widely used to evaluate tumor metabolic activity. The aim of this study was to evaluate the usefulness of FDG-PET in assessing the histopathological response to preoperative concurrent chemoradiotherapy (CRT) in patients with oral squamous cell carcinoma (OSCC). Methods: Forty-five patients with resectable advanced OSCC who had received preoperative CRT followed by tumor ablative surgery between January 2004 and December 2011 were included in the study. All patients underwent FDG-PET before and after preoperative CRT. The maximum standardized uptake value (SUVmax) before (pre-SUV) and after preoperative CRT (post-SUV) and the SUVmax reduction rate (ΔSUV%) were used to evaluate the response to preoperative CRT. Correlations among SUVmax, histopathological response, and expression of cancer antigen Ki-67 and hypoxia-inducible factor-1α (HIF-1α) were analyzed. Results: Preoperative CRT significantly reduced intratumoral FDG uptake (P<0.001). The pre-SUV and post-SUV were significantly lower in patients with a pathological complete response (pCR) than in those with a non-pCR (pre-SUV P=0.037; post-SUV P=0.001). ΔSUV% was higher in patients with pCR than in those with non-pCR (P=0.029). The pre-SUV was significantly correlated with Ki-67 and HIF-1α expression in pretreatment biopsy specimens (Ki-67 P=0.046, R=0.292; HIF-1α P=0.007, R=0.385). The expression of both Ki-67 and HIF-1α was significantly lower in patients with pCR than in those with non-pCR (Ki-67 P<0.001; HIF-1α P<0.001). Conclusions: Low pre-SUV and post-SUV and high ΔSUV% may predict a good histopathological response to preoperative CRT. Ki-67 and HIF-1α expression in pretreatment biopsy specimens were predictors of histopathological response to preoperative CRT. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Oral squamous cell carcinoma  |2 nationallicence 
690 7 |a FDG-PET  |2 nationallicence 
690 7 |a Standardized uptake value  |2 nationallicence 
690 7 |a Ki-67  |2 nationallicence 
690 7 |a HIF-1α  |2 nationallicence 
690 7 |a Chemoradiotherapy  |2 nationallicence 
700 1 |a Shimomura  |D Hiroyuki  |u Department of Oral and Maxillofacial Surgery, Nara Medical University, 804 Shijo-cho, 634-8522, Kashihara, Nara, Japan  |4 aut 
700 1 |a Sasahira  |D Tomonori  |u Department of Molecular Pathology, Nara Medical University, Kashihara, Nara, Japan  |4 aut 
700 1 |a Yamanaka  |D Yasutsugu  |u Department of Dentistry and Oral Surgery, Takai Hospital, 461-2 Kuranosho-cho, 632-0006, Tenri, Nara, Japan  |4 aut 
700 1 |a Kurihara  |D Miyako  |u Department of Molecular Pathology, Nara Medical University, Kashihara, Nara, Japan  |4 aut 
700 1 |a Imai  |D Yuichiro  |u Department of Oral and Maxillofacial Surgery, Nara Medical University, 804 Shijo-cho, 634-8522, Kashihara, Nara, Japan  |4 aut 
700 1 |a Tamaki  |D Shigehiro  |u Department of Dentistry and Oral Surgery, Takai Hospital, 461-2 Kuranosho-cho, 632-0006, Tenri, Nara, Japan  |4 aut 
700 1 |a Yamakawa  |D Nobuhiro  |u Department of Oral and Maxillofacial Surgery, Nara Medical University, 804 Shijo-cho, 634-8522, Kashihara, Nara, Japan  |4 aut 
700 1 |a Shirone  |D Norihisa  |u Department of Radiology, Takai Hospital, Tenri, Nara, Japan  |4 aut 
700 1 |a Hasegawa  |D Masatoshi  |u Department of Radiation Oncology, Nara Medical University, Kashihara, Nara, Japan  |4 aut 
700 1 |a Kuniyasu  |D Hiroki  |u Department of Molecular Pathology, Nara Medical University, Kashihara, Nara, Japan  |4 aut 
700 1 |a Kirita  |D Tadaaki  |u Department of Oral and Maxillofacial Surgery, Nara Medical University, 804 Shijo-cho, 634-8522, Kashihara, Nara, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/2(2015-04-01), 308-316  |x 1341-9625  |q 20:2<308  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-014-0711-5  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-014-0711-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shimomura  |D Hiroyuki  |u Department of Oral and Maxillofacial Surgery, Nara Medical University, 804 Shijo-cho, 634-8522, Kashihara, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sasahira  |D Tomonori  |u Department of Molecular Pathology, Nara Medical University, Kashihara, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yamanaka  |D Yasutsugu  |u Department of Dentistry and Oral Surgery, Takai Hospital, 461-2 Kuranosho-cho, 632-0006, Tenri, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kurihara  |D Miyako  |u Department of Molecular Pathology, Nara Medical University, Kashihara, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Imai  |D Yuichiro  |u Department of Oral and Maxillofacial Surgery, Nara Medical University, 804 Shijo-cho, 634-8522, Kashihara, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tamaki  |D Shigehiro  |u Department of Dentistry and Oral Surgery, Takai Hospital, 461-2 Kuranosho-cho, 632-0006, Tenri, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yamakawa  |D Nobuhiro  |u Department of Oral and Maxillofacial Surgery, Nara Medical University, 804 Shijo-cho, 634-8522, Kashihara, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shirone  |D Norihisa  |u Department of Radiology, Takai Hospital, Tenri, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hasegawa  |D Masatoshi  |u Department of Radiation Oncology, Nara Medical University, Kashihara, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kuniyasu  |D Hiroki  |u Department of Molecular Pathology, Nara Medical University, Kashihara, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kirita  |D Tadaaki  |u Department of Oral and Maxillofacial Surgery, Nara Medical University, 804 Shijo-cho, 634-8522, Kashihara, Nara, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/2(2015-04-01), 308-316  |x 1341-9625  |q 20:2<308  |1 2015  |2 20  |o 10147