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Carbon-11-methionine PET Imaging of Choroidal Melanoma before and after Proton Beam Radiotherapy

https://repo.qst.go.jp/records/68023
https://repo.qst.go.jp/records/68023
3840b20e-915c-4e91-b6f3-b6385f5d8a23
Item type 会議発表用資料 / Presentation(1)
公開日 2005-02-22
タイトル
タイトル Carbon-11-methionine PET Imaging of Choroidal Melanoma before and after Proton Beam Radiotherapy
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_c94f
資源タイプ conference object
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Tamura, Katsumi

× Tamura, Katsumi

WEKO 668062

Tamura, Katsumi

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Yoshikawa, Kyosan

× Yoshikawa, Kyosan

WEKO 668063

Yoshikawa, Kyosan

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Ishikawa, Hiroyuki

× Ishikawa, Hiroyuki

WEKO 668064

Ishikawa, Hiroyuki

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et.al

× et.al

WEKO 668065

et.al

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田村 克巳

× 田村 克巳

WEKO 668066

en 田村 克巳

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吉川 京燦

× 吉川 京燦

WEKO 668067

en 吉川 京燦

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石川 博之

× 石川 博之

WEKO 668068

en 石川 博之

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抄録
内容記述タイプ Abstract
内容記述 PURPOSE:Choroidal melanomas shrink slowly after radiotherapy but do not disappear completely in general. Moreover, histological evaluation after therapy cannot be made except for the case of enucleation. Therefore, another rvaluation method in addition to the measurement of tumor size is desirable. The purpose of this study is to assess the ability of Carbon-11-methionine PET (MET PET) to detect choroidal melanoma lesion and the feasibility of MET PET as an evaluation method of therapeutic effect in proton beam radiotherapy.
METHOD AND MATERIALS:We studied consecutive six patients with choroidal malignant melanoma treated with proton beam therapy in 2001-2002. The mean follow up time was 22.2 months (ranged from 12 to 32 months). All patients underwent at least three MET PET scans, before therapy, one month after therapy and about six after therapy. And some patients underwent further follow up MET PET scans. Three patients underwent fourth MET PET about 12 months after therapy, and three patients underwent fifth (two patients, forth) MET PET about 24 months after therapy. MRI was performed one week within each MET PET scan. We evaluated the lesion semiquantitatively on the basis of the Tumor-To-Brain Ratio (TBR).
RESULTS:No patients in this study showed tumor regrowth or local recurrence to date. Alll choroidal lesions were positive on MET PET before therapy. Mean TBR before therapy was 1.29±0.31(n=6), and did not changed at one month after therapy (p=0.987). But,mean TBR decreased to 0.77±0.23 (n=6) 6 months after therapy (p=0.003) and additionally decreased to 0.39±0.24 (n=3) 12 months after therapy (p=0.033). Mean TBR 24 months after therapy was not almost changed (0.41±0.18) compared with that 12 months after therapy. In respect of visual evaluation, all MET uptake disappeared 12 and 24 months after therapy. On the other hand, mean tumor size showed only 27.5% decrease even 24 months after therapy.
CONCLUSION:Carbon-11-methionine is considered to be a useful tracer to detect choroidal melanoma. MET PET after proton beam radiotherapy may be a valuable method to evaluate the effect of proton beam radiotherapy.
会議概要(会議名, 開催地, 会期, 主催者等)
内容記述タイプ Other
内容記述 RSNA2004 90th Scientific Assembly and Annual Meeting
発表年月日
日付 2004-12-04
日付タイプ Issued
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