Association Between Pulmonary Uptake of Fluorodeoxyglucose Detected by Positron Emission Tomography Scanning After Radiation Therapy for Non–Small-Cell Lung Cancer and Radiation Pneumonitis

Purpose To study the relationship between fluorodeoxyglucose (FDG) uptake in pulmonary tissue after radical radiation therapy (RT) and the presence and severity of radiation pneumonitis. Methods and Materials In 88 consecutive patients,18 F-FDG–positron emission tomography was performed at a median...

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Veröffentlicht in:International journal of radiation oncology, biology, physics biology, physics, 2011-08, Vol.80 (5), p.1365-1371
Hauptverfasser: Mac Manus, Michael P., M.D., MRCP., FRCR., FRANZCR, Ding, Zhe, M.D, Hogg, Annette, B.App.Sc., Ph.D, Herschtal, Alan, BE (Hons)., Post Grad. Dip. (App. Stat.), Binns, David, Dip Appl Sci., ANMT, Ball, David L., M.D., FRANZCR, Hicks, Rodney J., MB BS (Hons)., M.D., FRACP
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container_end_page 1371
container_issue 5
container_start_page 1365
container_title International journal of radiation oncology, biology, physics
container_volume 80
creator Mac Manus, Michael P., M.D., MRCP., FRCR., FRANZCR
Ding, Zhe, M.D
Hogg, Annette, B.App.Sc., Ph.D
Herschtal, Alan, BE (Hons)., Post Grad. Dip. (App. Stat.)
Binns, David, Dip Appl Sci., ANMT
Ball, David L., M.D., FRANZCR
Hicks, Rodney J., MB BS (Hons)., M.D., FRACP
description Purpose To study the relationship between fluorodeoxyglucose (FDG) uptake in pulmonary tissue after radical radiation therapy (RT) and the presence and severity of radiation pneumonitis. Methods and Materials In 88 consecutive patients,18 F-FDG–positron emission tomography was performed at a median of 70 days after completion of RT. Patients received 60 Gy in 30 fractions, and all but 15 had concurrent platinum-based chemotherapy. RT-induced pulmonary inflammatory changes occurring within the radiation treatment volume were scored, using a visual (0 to 3) radiotoxicity grading scale, by an observer blinded to the presence or absence of clinical radiation pneumonitis. Radiation pneumonitis was retrospectively graded using the Radiation Therapy Oncology Group (RTOG) scale by an observer blinded to the PET radiotoxicity score. Results There was a significant association between the worst RTOG pneumonitis grade occurring at any time after RT and the positron emission tomograph (PET) radiotoxicity grade (one-sided p = 0.033). The worst RTOG pneumonitis grade occurring after the PET scan was also associated with the PET radiotoxicity grade (one-sided p = 0.035). For every one-level increase in the PET toxicity scale, the risk of a higher RTOG radiation pneumonitis score increased by approximately 40%. The PET radiotoxicity score showed no significant correlation with the duration of radiation pneumonitis. Conclusions The intensity of FDG uptake in pulmonary tissue after RT determined using a simple visual scoring system showed significant correlation with the presence and severity of radiation pneumonitis.18 F-FDG–PET may be useful in the prediction, diagnosis and therapeutic monitoring of radiation pneumonitis.
doi_str_mv 10.1016/j.ijrobp.2010.04.021
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Dip. (App. Stat.) ; Binns, David, Dip Appl Sci., ANMT ; Ball, David L., M.D., FRANZCR ; Hicks, Rodney J., MB BS (Hons)., M.D., FRACP</creator><creatorcontrib>Mac Manus, Michael P., M.D., MRCP., FRCR., FRANZCR ; Ding, Zhe, M.D ; Hogg, Annette, B.App.Sc., Ph.D ; Herschtal, Alan, BE (Hons)., Post Grad. Dip. (App. Stat.) ; Binns, David, Dip Appl Sci., ANMT ; Ball, David L., M.D., FRANZCR ; Hicks, Rodney J., MB BS (Hons)., M.D., FRACP</creatorcontrib><description>Purpose To study the relationship between fluorodeoxyglucose (FDG) uptake in pulmonary tissue after radical radiation therapy (RT) and the presence and severity of radiation pneumonitis. Methods and Materials In 88 consecutive patients,18 F-FDG–positron emission tomography was performed at a median of 70 days after completion of RT. Patients received 60 Gy in 30 fractions, and all but 15 had concurrent platinum-based chemotherapy. RT-induced pulmonary inflammatory changes occurring within the radiation treatment volume were scored, using a visual (0 to 3) radiotoxicity grading scale, by an observer blinded to the presence or absence of clinical radiation pneumonitis. Radiation pneumonitis was retrospectively graded using the Radiation Therapy Oncology Group (RTOG) scale by an observer blinded to the PET radiotoxicity score. Results There was a significant association between the worst RTOG pneumonitis grade occurring at any time after RT and the positron emission tomograph (PET) radiotoxicity grade (one-sided p = 0.033). The worst RTOG pneumonitis grade occurring after the PET scan was also associated with the PET radiotoxicity grade (one-sided p = 0.035). For every one-level increase in the PET toxicity scale, the risk of a higher RTOG radiation pneumonitis score increased by approximately 40%. The PET radiotoxicity score showed no significant correlation with the duration of radiation pneumonitis. Conclusions The intensity of FDG uptake in pulmonary tissue after RT determined using a simple visual scoring system showed significant correlation with the presence and severity of radiation pneumonitis.18 F-FDG–PET may be useful in the prediction, diagnosis and therapeutic monitoring of radiation pneumonitis.</description><identifier>ISSN: 0360-3016</identifier><identifier>EISSN: 1879-355X</identifier><identifier>DOI: 10.1016/j.ijrobp.2010.04.021</identifier><identifier>PMID: 20675076</identifier><identifier>CODEN: IOBPD3</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>ANTILEPTONS ; ANTIMATTER ; ANTIMETABOLITES ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; ANTIPARTICLES ; BETA DECAY RADIOISOTOPES ; BETA-PLUS DECAY RADIOISOTOPES ; Biological and medical sciences ; BODY ; Carboplatin - administration &amp; dosage ; Carcinoma, Non-Small-Cell Lung - diagnostic imaging ; Carcinoma, Non-Small-Cell Lung - drug therapy ; Carcinoma, Non-Small-Cell Lung - radiotherapy ; CHEMOTHERAPY ; Cisplatin - administration &amp; dosage ; COMPUTERIZED TOMOGRAPHY ; DIAGNOSTIC TECHNIQUES ; DISEASES ; DRUGS ; ELEMENTARY PARTICLES ; ELEMENTS ; EMISSION COMPUTED TOMOGRAPHY ; FERMIONS ; FLUORINE 18 ; FLUORINE ISOTOPES ; FLUORODEOXYGLUCOSE ; Fluorodeoxyglucose F18 - adverse effects ; Fluorodeoxyglucose F18 - pharmacokinetics ; Fluorouracil - administration &amp; dosage ; HAZARDS ; Hematology, Oncology and Palliative Medicine ; HOURS LIVING RADIOISOTOPES ; Humans ; INFLAMMATION ; ISOMERIC TRANSITION ISOTOPES ; ISOTOPES ; LEPTONS ; LIGHT NUCLEI ; Lung - diagnostic imaging ; Lung - metabolism ; Lung - radiation effects ; Lung cancer ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - drug therapy ; Lung Neoplasms - radiotherapy ; LUNGS ; Lymphatic Irradiation ; MATTER ; Medical sciences ; MEDICINE ; METALS ; NANOSECONDS LIVING RADIOISOTOPES ; NEOPLASMS ; NUCLEAR MEDICINE ; NUCLEI ; ODD-ODD NUCLEI ; Oncology ; ORGANS ; Paclitaxel - administration &amp; dosage ; PATHOLOGICAL CHANGES ; PLATINUM ; PLATINUM METALS ; Pneumology ; PNEUMONITIS ; POSITRON COMPUTED TOMOGRAPHY ; Positron emission tomography ; Positron-Emission Tomography - adverse effects ; Positron-Emission Tomography - methods ; POSITRONS ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive - complications ; Radiation ; Radiation pneumonitis ; Radiation Pneumonitis - diagnostic imaging ; Radiation Pneumonitis - metabolism ; Radiation Pneumonitis - pathology ; RADIOISOTOPES ; RADIOLOGY ; RADIOLOGY AND NUCLEAR MEDICINE ; Radiopharmaceuticals - adverse effects ; Radiopharmaceuticals - pharmacokinetics ; RADIOTHERAPY ; Radiotherapy Dosage ; RESPIRATORY SYSTEM ; Response assessment ; Risk factors ; Scanning ; SYMPTOMS ; THERAPY ; Time Factors ; TOMOGRAPHY ; Toxicity ; TRANSITION ELEMENTS ; Tumors of the respiratory system and mediastinum</subject><ispartof>International journal of radiation oncology, biology, physics, 2011-08, Vol.80 (5), p.1365-1371</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c573t-e03105ed0fcfea63b18f4ad4a0cf6d2b13e26b32463c9999459357d994d75c43</citedby><cites>FETCH-LOGICAL-c573t-e03105ed0fcfea63b18f4ad4a0cf6d2b13e26b32463c9999459357d994d75c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0360301610005961$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24391787$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20675076$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21587637$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Mac Manus, Michael P., M.D., MRCP., FRCR., FRANZCR</creatorcontrib><creatorcontrib>Ding, Zhe, M.D</creatorcontrib><creatorcontrib>Hogg, Annette, B.App.Sc., Ph.D</creatorcontrib><creatorcontrib>Herschtal, Alan, BE (Hons)., Post Grad. Dip. (App. Stat.)</creatorcontrib><creatorcontrib>Binns, David, Dip Appl Sci., ANMT</creatorcontrib><creatorcontrib>Ball, David L., M.D., FRANZCR</creatorcontrib><creatorcontrib>Hicks, Rodney J., MB BS (Hons)., M.D., FRACP</creatorcontrib><title>Association Between Pulmonary Uptake of Fluorodeoxyglucose Detected by Positron Emission Tomography Scanning After Radiation Therapy for Non–Small-Cell Lung Cancer and Radiation Pneumonitis</title><title>International journal of radiation oncology, biology, physics</title><addtitle>Int J Radiat Oncol Biol Phys</addtitle><description>Purpose To study the relationship between fluorodeoxyglucose (FDG) uptake in pulmonary tissue after radical radiation therapy (RT) and the presence and severity of radiation pneumonitis. Methods and Materials In 88 consecutive patients,18 F-FDG–positron emission tomography was performed at a median of 70 days after completion of RT. Patients received 60 Gy in 30 fractions, and all but 15 had concurrent platinum-based chemotherapy. RT-induced pulmonary inflammatory changes occurring within the radiation treatment volume were scored, using a visual (0 to 3) radiotoxicity grading scale, by an observer blinded to the presence or absence of clinical radiation pneumonitis. Radiation pneumonitis was retrospectively graded using the Radiation Therapy Oncology Group (RTOG) scale by an observer blinded to the PET radiotoxicity score. Results There was a significant association between the worst RTOG pneumonitis grade occurring at any time after RT and the positron emission tomograph (PET) radiotoxicity grade (one-sided p = 0.033). The worst RTOG pneumonitis grade occurring after the PET scan was also associated with the PET radiotoxicity grade (one-sided p = 0.035). For every one-level increase in the PET toxicity scale, the risk of a higher RTOG radiation pneumonitis score increased by approximately 40%. The PET radiotoxicity score showed no significant correlation with the duration of radiation pneumonitis. Conclusions The intensity of FDG uptake in pulmonary tissue after RT determined using a simple visual scoring system showed significant correlation with the presence and severity of radiation pneumonitis.18 F-FDG–PET may be useful in the prediction, diagnosis and therapeutic monitoring of radiation pneumonitis.</description><subject>ANTILEPTONS</subject><subject>ANTIMATTER</subject><subject>ANTIMETABOLITES</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>ANTIPARTICLES</subject><subject>BETA DECAY RADIOISOTOPES</subject><subject>BETA-PLUS DECAY RADIOISOTOPES</subject><subject>Biological and medical sciences</subject><subject>BODY</subject><subject>Carboplatin - administration &amp; dosage</subject><subject>Carcinoma, Non-Small-Cell Lung - diagnostic imaging</subject><subject>Carcinoma, Non-Small-Cell Lung - drug therapy</subject><subject>Carcinoma, Non-Small-Cell Lung - radiotherapy</subject><subject>CHEMOTHERAPY</subject><subject>Cisplatin - administration &amp; dosage</subject><subject>COMPUTERIZED TOMOGRAPHY</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>DISEASES</subject><subject>DRUGS</subject><subject>ELEMENTARY PARTICLES</subject><subject>ELEMENTS</subject><subject>EMISSION COMPUTED TOMOGRAPHY</subject><subject>FERMIONS</subject><subject>FLUORINE 18</subject><subject>FLUORINE ISOTOPES</subject><subject>FLUORODEOXYGLUCOSE</subject><subject>Fluorodeoxyglucose F18 - adverse effects</subject><subject>Fluorodeoxyglucose F18 - pharmacokinetics</subject><subject>Fluorouracil - administration &amp; dosage</subject><subject>HAZARDS</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>HOURS LIVING RADIOISOTOPES</subject><subject>Humans</subject><subject>INFLAMMATION</subject><subject>ISOMERIC TRANSITION ISOTOPES</subject><subject>ISOTOPES</subject><subject>LEPTONS</subject><subject>LIGHT NUCLEI</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - metabolism</subject><subject>Lung - radiation effects</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Lung Neoplasms - drug therapy</subject><subject>Lung Neoplasms - radiotherapy</subject><subject>LUNGS</subject><subject>Lymphatic Irradiation</subject><subject>MATTER</subject><subject>Medical sciences</subject><subject>MEDICINE</subject><subject>METALS</subject><subject>NANOSECONDS LIVING RADIOISOTOPES</subject><subject>NEOPLASMS</subject><subject>NUCLEAR MEDICINE</subject><subject>NUCLEI</subject><subject>ODD-ODD NUCLEI</subject><subject>Oncology</subject><subject>ORGANS</subject><subject>Paclitaxel - administration &amp; dosage</subject><subject>PATHOLOGICAL CHANGES</subject><subject>PLATINUM</subject><subject>PLATINUM METALS</subject><subject>Pneumology</subject><subject>PNEUMONITIS</subject><subject>POSITRON COMPUTED TOMOGRAPHY</subject><subject>Positron emission tomography</subject><subject>Positron-Emission Tomography - adverse effects</subject><subject>Positron-Emission Tomography - methods</subject><subject>POSITRONS</subject><subject>Prospective Studies</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Radiation</subject><subject>Radiation pneumonitis</subject><subject>Radiation Pneumonitis - diagnostic imaging</subject><subject>Radiation Pneumonitis - metabolism</subject><subject>Radiation Pneumonitis - pathology</subject><subject>RADIOISOTOPES</subject><subject>RADIOLOGY</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Radiopharmaceuticals - adverse effects</subject><subject>Radiopharmaceuticals - pharmacokinetics</subject><subject>RADIOTHERAPY</subject><subject>Radiotherapy Dosage</subject><subject>RESPIRATORY SYSTEM</subject><subject>Response assessment</subject><subject>Risk factors</subject><subject>Scanning</subject><subject>SYMPTOMS</subject><subject>THERAPY</subject><subject>Time Factors</subject><subject>TOMOGRAPHY</subject><subject>Toxicity</subject><subject>TRANSITION ELEMENTS</subject><subject>Tumors of the respiratory system and mediastinum</subject><issn>0360-3016</issn><issn>1879-355X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks2O0zAUhSMEYoaBN0DIEkJik2LHcdJukEqZAaQKKlokdpZj37TuJHbHToDseAceiHfhSbhRy4_YkE2i6Dv355ybJA8ZnTDKimf7id0HXx0mGcVfNJ_QjN1Kztm0nKVciI-3k3PKC5pyhM-SezHuKaWMlfnd5CyjRSloWZwn3-cxem1VZ70jL6D7DODIqm9a71QYyIdDp66B-JpcNb0P3oD_MmybXvsI5CV0oDswpBrIykfbBaxx2doYx2Ib3_ptUIfdQNZaOWfdlszrDgJ5r8yp4WYHSAyk9oG89e7H12_rVjVNuoCmIcseFQvlNEqUM3_JVg56HNB2Nt5P7tSqifDg9L5INleXm8XrdPnu1ZvFfJlqUfIuBcoZFWBorWtQBa_YtM6VyRXVdWGyinHIiopnecH1DJ9czLgoDX6YUuicXySPj2V97KyM2uLmO-2dQwNkxsS0LHiJ1NMjdQj-pofYSTRD4y7Kge-jZJyJgoosZ4jmR1QHH2OAWh6CbdFyyagc85V7ecxXjvlKmkvMF2WPTh36qgXzW_QrUASenAAVtWrqgP7Z-IfL-YyV03HU50cO0LRPFsK4FKDXxoZxJ-Pt_yb5t4BurLPY8xoGiHvfB4eBSCZjJqlcj7c4niLDKxSzgvGfMm7e1Q</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Mac Manus, Michael P., M.D., MRCP., FRCR., FRANZCR</creator><creator>Ding, Zhe, M.D</creator><creator>Hogg, Annette, B.App.Sc., Ph.D</creator><creator>Herschtal, Alan, BE (Hons)., Post Grad. 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Dip. (App. Stat.)</creatorcontrib><creatorcontrib>Binns, David, Dip Appl Sci., ANMT</creatorcontrib><creatorcontrib>Ball, David L., M.D., FRANZCR</creatorcontrib><creatorcontrib>Hicks, Rodney J., MB BS (Hons)., M.D., FRACP</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>OSTI.GOV</collection><jtitle>International journal of radiation oncology, biology, physics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mac Manus, Michael P., M.D., MRCP., FRCR., FRANZCR</au><au>Ding, Zhe, M.D</au><au>Hogg, Annette, B.App.Sc., Ph.D</au><au>Herschtal, Alan, BE (Hons)., Post Grad. Dip. (App. Stat.)</au><au>Binns, David, Dip Appl Sci., ANMT</au><au>Ball, David L., M.D., FRANZCR</au><au>Hicks, Rodney J., MB BS (Hons)., M.D., FRACP</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association Between Pulmonary Uptake of Fluorodeoxyglucose Detected by Positron Emission Tomography Scanning After Radiation Therapy for Non–Small-Cell Lung Cancer and Radiation Pneumonitis</atitle><jtitle>International journal of radiation oncology, biology, physics</jtitle><addtitle>Int J Radiat Oncol Biol Phys</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>80</volume><issue>5</issue><spage>1365</spage><epage>1371</epage><pages>1365-1371</pages><issn>0360-3016</issn><eissn>1879-355X</eissn><coden>IOBPD3</coden><abstract>Purpose To study the relationship between fluorodeoxyglucose (FDG) uptake in pulmonary tissue after radical radiation therapy (RT) and the presence and severity of radiation pneumonitis. Methods and Materials In 88 consecutive patients,18 F-FDG–positron emission tomography was performed at a median of 70 days after completion of RT. Patients received 60 Gy in 30 fractions, and all but 15 had concurrent platinum-based chemotherapy. RT-induced pulmonary inflammatory changes occurring within the radiation treatment volume were scored, using a visual (0 to 3) radiotoxicity grading scale, by an observer blinded to the presence or absence of clinical radiation pneumonitis. Radiation pneumonitis was retrospectively graded using the Radiation Therapy Oncology Group (RTOG) scale by an observer blinded to the PET radiotoxicity score. Results There was a significant association between the worst RTOG pneumonitis grade occurring at any time after RT and the positron emission tomograph (PET) radiotoxicity grade (one-sided p = 0.033). The worst RTOG pneumonitis grade occurring after the PET scan was also associated with the PET radiotoxicity grade (one-sided p = 0.035). For every one-level increase in the PET toxicity scale, the risk of a higher RTOG radiation pneumonitis score increased by approximately 40%. The PET radiotoxicity score showed no significant correlation with the duration of radiation pneumonitis. Conclusions The intensity of FDG uptake in pulmonary tissue after RT determined using a simple visual scoring system showed significant correlation with the presence and severity of radiation pneumonitis.18 F-FDG–PET may be useful in the prediction, diagnosis and therapeutic monitoring of radiation pneumonitis.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20675076</pmid><doi>10.1016/j.ijrobp.2010.04.021</doi><tpages>7</tpages></addata></record>
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identifier ISSN: 0360-3016
ispartof International journal of radiation oncology, biology, physics, 2011-08, Vol.80 (5), p.1365-1371
issn 0360-3016
1879-355X
language eng
recordid cdi_osti_scitechconnect_21587637
source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects ANTILEPTONS
ANTIMATTER
ANTIMETABOLITES
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
ANTIPARTICLES
BETA DECAY RADIOISOTOPES
BETA-PLUS DECAY RADIOISOTOPES
Biological and medical sciences
BODY
Carboplatin - administration & dosage
Carcinoma, Non-Small-Cell Lung - diagnostic imaging
Carcinoma, Non-Small-Cell Lung - drug therapy
Carcinoma, Non-Small-Cell Lung - radiotherapy
CHEMOTHERAPY
Cisplatin - administration & dosage
COMPUTERIZED TOMOGRAPHY
DIAGNOSTIC TECHNIQUES
DISEASES
DRUGS
ELEMENTARY PARTICLES
ELEMENTS
EMISSION COMPUTED TOMOGRAPHY
FERMIONS
FLUORINE 18
FLUORINE ISOTOPES
FLUORODEOXYGLUCOSE
Fluorodeoxyglucose F18 - adverse effects
Fluorodeoxyglucose F18 - pharmacokinetics
Fluorouracil - administration & dosage
HAZARDS
Hematology, Oncology and Palliative Medicine
HOURS LIVING RADIOISOTOPES
Humans
INFLAMMATION
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
LEPTONS
LIGHT NUCLEI
Lung - diagnostic imaging
Lung - metabolism
Lung - radiation effects
Lung cancer
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - drug therapy
Lung Neoplasms - radiotherapy
LUNGS
Lymphatic Irradiation
MATTER
Medical sciences
MEDICINE
METALS
NANOSECONDS LIVING RADIOISOTOPES
NEOPLASMS
NUCLEAR MEDICINE
NUCLEI
ODD-ODD NUCLEI
Oncology
ORGANS
Paclitaxel - administration & dosage
PATHOLOGICAL CHANGES
PLATINUM
PLATINUM METALS
Pneumology
PNEUMONITIS
POSITRON COMPUTED TOMOGRAPHY
Positron emission tomography
Positron-Emission Tomography - adverse effects
Positron-Emission Tomography - methods
POSITRONS
Prospective Studies
Pulmonary Disease, Chronic Obstructive - complications
Radiation
Radiation pneumonitis
Radiation Pneumonitis - diagnostic imaging
Radiation Pneumonitis - metabolism
Radiation Pneumonitis - pathology
RADIOISOTOPES
RADIOLOGY
RADIOLOGY AND NUCLEAR MEDICINE
Radiopharmaceuticals - adverse effects
Radiopharmaceuticals - pharmacokinetics
RADIOTHERAPY
Radiotherapy Dosage
RESPIRATORY SYSTEM
Response assessment
Risk factors
Scanning
SYMPTOMS
THERAPY
Time Factors
TOMOGRAPHY
Toxicity
TRANSITION ELEMENTS
Tumors of the respiratory system and mediastinum
title Association Between Pulmonary Uptake of Fluorodeoxyglucose Detected by Positron Emission Tomography Scanning After Radiation Therapy for Non–Small-Cell Lung Cancer and Radiation Pneumonitis
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