18F-FDG PET/CT as a potential predictor of survival in patient with oesophageal cancer: a preliminary result

Verfasser / Beitragende:
[A. Fathinul Fikri, R. Dharmendran, P. Vikneswaran, A. Nordin]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/6(2015-08-01), 1457-1464
Format:
Artikel (online)
ID: 605492891
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024 7 0 |a 10.1007/s00261-014-0343-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0343-2 
245 0 0 |a 18F-FDG PET/CT as a potential predictor of survival in patient with oesophageal cancer: a preliminary result  |h [Elektronische Daten]  |c [A. Fathinul Fikri, R. Dharmendran, P. Vikneswaran, A. Nordin] 
520 3 |a Aims: A study was undertaken to investigate the value of pretreatment PET-CT in predicting survival in patients with oesophageal cancer (OC). Methods: Between June 2010 and December 2011, 18 consecutive OC patients median (61.00±12.07years) with median survival of 7.5 month had a pretreatment PET-CT scan. Staging of the disease was made in accordance to the American Joint Committee on Cancer staging system (7th edition) and grouped as stage I-IIA and stage IIB-IV. Maximum standardized uptake value (SUVmax), size of a primary tumour and the presence of fluorodeoxyglucose (FDG)-avid lymph nodes were evaluated for all patients. Survival was analysed using the Kaplan-Meier product limit method and Cox proportional hazards regression model. Results: PET-CT stages I-IIA and IIB-IV had a 1-year survival of 50% and 25%, respectively. Patient with size of primary tumour (<4.5cm) had significantly (p<0.036) better survival than those with large size (>4.5cm). Multivariate Cox regression analysis showed that SUVmax of >5.5 in the primary tumour [hazard ratio (HR) 23.017; 95% confidence interval, p=0.038] and the presence of FDG-avid lymph node (HR 1.248; p=0.028) were strongly predictive of poor overall survival on multivariate analysis. Conclusion: Pretreatment 18F-FDG PET-CT SUVmax of a primary tumour and the presence of FDG-avid lymph nodes independently predict survival in patients with oesophageal carcinoma which may potentially be used as surrogate markers for prognostic and therapeutic purposes. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Oesophageal carcinoma  |2 nationallicence 
690 7 |a FDG PET  |2 nationallicence 
690 7 |a PE-CT  |2 nationallicence 
690 7 |a Survival  |2 nationallicence 
690 7 |a SUVmax  |2 nationallicence 
700 1 |a Fathinul Fikri  |D A.  |u Centre for Diagnostic Nuclear Imaging, University Putra Malaysia, 43400, Serdang, Selangor, Malaysia  |4 aut 
700 1 |a Dharmendran  |D R.  |u Department of Surgery, Hospital Tuanku Ja'afar, 70300, Seremban, Negeri Sembilan, Malaysia  |4 aut 
700 1 |a Vikneswaran  |D P.  |u Department of Surgery, Hospital Tuanku Ja'afar, 70300, Seremban, Negeri Sembilan, Malaysia  |4 aut 
700 1 |a Nordin  |D A.  |u Centre for Diagnostic Nuclear Imaging, University Putra Malaysia, 43400, Serdang, Selangor, Malaysia  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1457-1464  |x 0942-8925  |q 40:6<1457  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0343-2  |q text/html  |z Onlinezugriff via DOI 
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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/s00261-014-0343-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fathinul Fikri  |D A.  |u Centre for Diagnostic Nuclear Imaging, University Putra Malaysia, 43400, Serdang, Selangor, Malaysia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dharmendran  |D R.  |u Department of Surgery, Hospital Tuanku Ja'afar, 70300, Seremban, Negeri Sembilan, Malaysia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Vikneswaran  |D P.  |u Department of Surgery, Hospital Tuanku Ja'afar, 70300, Seremban, Negeri Sembilan, Malaysia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nordin  |D A.  |u Centre for Diagnostic Nuclear Imaging, University Putra Malaysia, 43400, Serdang, Selangor, Malaysia  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/6(2015-08-01), 1457-1464  |x 0942-8925  |q 40:6<1457  |1 2015  |2 40  |o 261