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Initial Report on [18F]FAZA-PET/CT Clinical Study in Lung Cancer

https://repo.qst.go.jp/records/70586
https://repo.qst.go.jp/records/70586
096d3fab-e7b6-42e4-9d72-61fad0aea7d7
Item type 会議発表用資料 / Presentation(1)
公開日 2011-10-26
タイトル
タイトル Initial Report on [18F]FAZA-PET/CT Clinical Study in Lung Cancer
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 Inubushi, Masayuki

× Inubushi, Masayuki

WEKO 693256

Inubushi, Masayuki

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Koizumi, Mitsuru

× Koizumi, Mitsuru

WEKO 693257

Koizumi, Mitsuru

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Saga, Tsuneo

× Saga, Tsuneo

WEKO 693258

Saga, Tsuneo

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犬伏 正幸

× 犬伏 正幸

WEKO 693259

en 犬伏 正幸

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小泉 満

× 小泉 満

WEKO 693260

en 小泉 満

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佐賀 恒夫

× 佐賀 恒夫

WEKO 693261

en 佐賀 恒夫

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抄録
内容記述タイプ Abstract
内容記述 Aim: The aim of the clinical study is to investigate whether PET imaging with a hypoxia tracer [18F]fluoroazomycin arabinoside (FAZA) can discriminate between radioresistant and radiosensitive cancers in histologically-proven primary lung cancer patients planned for radiotherapy. Here shown are the initial results on the [18F]FAZA uptake to the primary lesions.
Materials & Methods: Eighteen primary lung cancer patients were enrolled (63 +- 9 y/o, male: female = 11: 7, adenocarcinomas: squamous cell carcinomas: large cell carcinomas = 9: 5: 4, clinical stage IIIA: IIIB: IV = 7: 7: 4). [18F]FAZA-PET images were obtained 2 hours after the tracer injection (370 MBq). The standardized uptake values (SUV), the tumor-to-contralateral normal lung (T/N) ratio, the tumor-to-blood measured in the left ventricle (T/Bl) ratio, and the tumor-to-buck muscles (T/M) ratio were calculated as the semiquantitative parameters for [18F]FAZA uptakes to the primary lesions under the guidance of concomitant CT images. The SUV of [18F]Fluorodeoxylucose (FDG) was also compared with these parameters.
Results: There was no statistical difference in the maximum tumor diameter or in the SUV of [18F]FDG between genders, among histological types, or among clinical stages. The T/N ratio of [18F]FAZA was significantly higher in patients with large cell carcinomas than those with adenocarcinomas (5.0 +- 1.9 vs 2.5 +- 0.9, p < 0.0001). The T/Bl ratio of [18F]FAZA was significantly correlated with the maximum tumor diameter (R2 = 0.670, p < 0.0001) and with the SUV of [18F]FDG (R2 = 0.507, p < 0.0001), as well as with the SUV of [18F]FAZA (R2 = 0.748, p < 0.0001). The T/M ratio, however, seemed inappropriate as the parameter in lung cancer, since there was a gender difference in the SUV of [18F]FAZA to the buck muscles themselves (male 1.45 +- 0.12 vs female 1.26 +- 0.19, p = 0.02).
Conclusion: Histological difference was found in a parameter of [18F]FAZA uptake to the primary lesions in the lung cancer patients. In addition, reasonable relationships with the tumor size and with the tumor [18F]FDG uptake was found in another parameter of the [18F]FAZA uptake. The best parameter of the [18F]FAZA uptake for predicting the resistance to radiotherapy will be determined through following up the therapeutic outcome of these patients. (364 words)
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 EANM'11 - Annual Congress of the European Association of Nuclear Medicine
発表年月日
日付 2011-10-19
日付タイプ Issued
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