Prognostic Value of Preoperative Metabolic Tumor Volume and Total Lesion Glycolysis in Patients with Epithelial Ovarian Cancer

Purpose Metabolic tumor volume (MTV) and total lesion glycolysis (TLG) are measures of metabolic activity of tumors determined by fluorine-18 fluorodeoxyglucose ([ 18 F]FDG) uptake on PET/CT images. The purpose of this study was to investigate the relationship between functional tumor parameters (MT...

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Veröffentlicht in:Annals of surgical oncology 2012-06, Vol.19 (6), p.1966-1972
Hauptverfasser: Chung, Hyun Hoon, Kwon, Hyun Woo, Kang, Keon Wook, Park, Noh-Hyun, Song, Yong-Sang, Chung, June-Key, Kang, Soon-Beom, Kim, Jae Weon
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container_end_page 1972
container_issue 6
container_start_page 1966
container_title Annals of surgical oncology
container_volume 19
creator Chung, Hyun Hoon
Kwon, Hyun Woo
Kang, Keon Wook
Park, Noh-Hyun
Song, Yong-Sang
Chung, June-Key
Kang, Soon-Beom
Kim, Jae Weon
description Purpose Metabolic tumor volume (MTV) and total lesion glycolysis (TLG) are measures of metabolic activity of tumors determined by fluorine-18 fluorodeoxyglucose ([ 18 F]FDG) uptake on PET/CT images. The purpose of this study was to investigate the relationship between functional tumor parameters (MTV and TLG) and clinical outcomes in patients with epithelial ovarian cancer (EOC). Methods Fifty-five patients with EOC who had undergone [ 18 F]FDG PET/CT before surgical staging were included in this retrospectively study. For each patient, we determined the highest (SUV max and SUV avg ), the cumulative TLG, and the sum of all MTV, and compared their predictive value of recurrence and the effects of pretreatment functional tumor activity on progression-free interval (PFI). Results The median duration of PFI was 11 (range 3–43) months, and 20 patients (36.4%) experienced recurrence. Poor outcome was associated with higher values for both the MTV ( P  = 0.022, hazard ratio 5.571, 95% confidence interval 1.279–24.272) and the TLG ( P  = 0.037, hazard ratio 2.967, 95% confidence interval 1.065–8.265). The Kaplan–Meier survival graphs showed a significant difference in PFI between the groups categorized by MTV and TLG, respectively ( P   =  0.01 for MTV, P   =  0.0287 for TLG, log rank test). Conclusions Pretreatment metabolic parameters such as MTV and TLG showed statistically significant association with recurrence in patients with EOC. These values can be useful quantitative criteria for disease prognostication in patients with EOC before treatment.
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The purpose of this study was to investigate the relationship between functional tumor parameters (MTV and TLG) and clinical outcomes in patients with epithelial ovarian cancer (EOC). Methods Fifty-five patients with EOC who had undergone [ 18 F]FDG PET/CT before surgical staging were included in this retrospectively study. For each patient, we determined the highest (SUV max and SUV avg ), the cumulative TLG, and the sum of all MTV, and compared their predictive value of recurrence and the effects of pretreatment functional tumor activity on progression-free interval (PFI). Results The median duration of PFI was 11 (range 3–43) months, and 20 patients (36.4%) experienced recurrence. Poor outcome was associated with higher values for both the MTV ( P  = 0.022, hazard ratio 5.571, 95% confidence interval 1.279–24.272) and the TLG ( P  = 0.037, hazard ratio 2.967, 95% confidence interval 1.065–8.265). The Kaplan–Meier survival graphs showed a significant difference in PFI between the groups categorized by MTV and TLG, respectively ( P   =  0.01 for MTV, P   =  0.0287 for TLG, log rank test). Conclusions Pretreatment metabolic parameters such as MTV and TLG showed statistically significant association with recurrence in patients with EOC. These values can be useful quantitative criteria for disease prognostication in patients with EOC before treatment.</description><identifier>ISSN: 1068-9265</identifier><identifier>EISSN: 1534-4681</identifier><identifier>DOI: 10.1245/s10434-011-2153-x</identifier><identifier>PMID: 22124757</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adenocarcinoma, Clear Cell - diagnosis ; Adenocarcinoma, Clear Cell - mortality ; Adenocarcinoma, Clear Cell - surgery ; Adenocarcinoma, Mucinous - diagnosis ; Adenocarcinoma, Mucinous - mortality ; Adenocarcinoma, Mucinous - surgery ; Adult ; Aged ; Aged, 80 and over ; Cystadenocarcinoma, Serous - diagnosis ; Cystadenocarcinoma, Serous - mortality ; Cystadenocarcinoma, Serous - surgery ; Endometrial Neoplasms - diagnosis ; Endometrial Neoplasms - mortality ; Endometrial Neoplasms - surgery ; Female ; Fluorodeoxyglucose F18 ; Follow-Up Studies ; Glycolysis ; Gynecologic Oncology ; Humans ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multimodal Imaging ; Neoplasm Grading ; Neoplasm Recurrence, Local - diagnosis ; Neoplasm Recurrence, Local - mortality ; Neoplasm Recurrence, Local - surgery ; Neoplasm Staging ; Oncology ; Ovarian cancer ; Ovarian Neoplasms - diagnosis ; Ovarian Neoplasms - mortality ; Ovarian Neoplasms - surgery ; Positron-Emission Tomography ; Prognosis ; Radiopharmaceuticals ; Retrospective Studies ; Surgery ; Surgical Oncology ; Survival Rate ; Tomography, X-Ray Computed</subject><ispartof>Annals of surgical oncology, 2012-06, Vol.19 (6), p.1966-1972</ispartof><rights>Society of Surgical Oncology 2011</rights><rights>Society of Surgical Oncology 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-1619d2713482a0fe99ac9645e2a310c68a65d89d2664e2087b4b36dad82286c03</citedby><cites>FETCH-LOGICAL-c372t-1619d2713482a0fe99ac9645e2a310c68a65d89d2664e2087b4b36dad82286c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1245/s10434-011-2153-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1245/s10434-011-2153-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22124757$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chung, Hyun Hoon</creatorcontrib><creatorcontrib>Kwon, Hyun Woo</creatorcontrib><creatorcontrib>Kang, Keon Wook</creatorcontrib><creatorcontrib>Park, Noh-Hyun</creatorcontrib><creatorcontrib>Song, Yong-Sang</creatorcontrib><creatorcontrib>Chung, June-Key</creatorcontrib><creatorcontrib>Kang, Soon-Beom</creatorcontrib><creatorcontrib>Kim, Jae Weon</creatorcontrib><title>Prognostic Value of Preoperative Metabolic Tumor Volume and Total Lesion Glycolysis in Patients with Epithelial Ovarian Cancer</title><title>Annals of surgical oncology</title><addtitle>Ann Surg Oncol</addtitle><addtitle>Ann Surg Oncol</addtitle><description>Purpose Metabolic tumor volume (MTV) and total lesion glycolysis (TLG) are measures of metabolic activity of tumors determined by fluorine-18 fluorodeoxyglucose ([ 18 F]FDG) uptake on PET/CT images. The purpose of this study was to investigate the relationship between functional tumor parameters (MTV and TLG) and clinical outcomes in patients with epithelial ovarian cancer (EOC). Methods Fifty-five patients with EOC who had undergone [ 18 F]FDG PET/CT before surgical staging were included in this retrospectively study. For each patient, we determined the highest (SUV max and SUV avg ), the cumulative TLG, and the sum of all MTV, and compared their predictive value of recurrence and the effects of pretreatment functional tumor activity on progression-free interval (PFI). Results The median duration of PFI was 11 (range 3–43) months, and 20 patients (36.4%) experienced recurrence. Poor outcome was associated with higher values for both the MTV ( P  = 0.022, hazard ratio 5.571, 95% confidence interval 1.279–24.272) and the TLG ( P  = 0.037, hazard ratio 2.967, 95% confidence interval 1.065–8.265). The Kaplan–Meier survival graphs showed a significant difference in PFI between the groups categorized by MTV and TLG, respectively ( P   =  0.01 for MTV, P   =  0.0287 for TLG, log rank test). Conclusions Pretreatment metabolic parameters such as MTV and TLG showed statistically significant association with recurrence in patients with EOC. These values can be useful quantitative criteria for disease prognostication in patients with EOC before treatment.</description><subject>Adenocarcinoma, Clear Cell - diagnosis</subject><subject>Adenocarcinoma, Clear Cell - mortality</subject><subject>Adenocarcinoma, Clear Cell - surgery</subject><subject>Adenocarcinoma, Mucinous - diagnosis</subject><subject>Adenocarcinoma, Mucinous - mortality</subject><subject>Adenocarcinoma, Mucinous - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cystadenocarcinoma, Serous - diagnosis</subject><subject>Cystadenocarcinoma, Serous - mortality</subject><subject>Cystadenocarcinoma, Serous - surgery</subject><subject>Endometrial Neoplasms - diagnosis</subject><subject>Endometrial Neoplasms - mortality</subject><subject>Endometrial Neoplasms - surgery</subject><subject>Female</subject><subject>Fluorodeoxyglucose F18</subject><subject>Follow-Up Studies</subject><subject>Glycolysis</subject><subject>Gynecologic Oncology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine &amp; 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Public Health</topic><topic>Middle Aged</topic><topic>Multimodal Imaging</topic><topic>Neoplasm Grading</topic><topic>Neoplasm Recurrence, Local - diagnosis</topic><topic>Neoplasm Recurrence, Local - mortality</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Neoplasm Staging</topic><topic>Oncology</topic><topic>Ovarian cancer</topic><topic>Ovarian Neoplasms - diagnosis</topic><topic>Ovarian Neoplasms - mortality</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Positron-Emission Tomography</topic><topic>Prognosis</topic><topic>Radiopharmaceuticals</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Survival Rate</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chung, Hyun Hoon</creatorcontrib><creatorcontrib>Kwon, Hyun Woo</creatorcontrib><creatorcontrib>Kang, Keon Wook</creatorcontrib><creatorcontrib>Park, Noh-Hyun</creatorcontrib><creatorcontrib>Song, Yong-Sang</creatorcontrib><creatorcontrib>Chung, June-Key</creatorcontrib><creatorcontrib>Kang, Soon-Beom</creatorcontrib><creatorcontrib>Kim, Jae Weon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health &amp; 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The purpose of this study was to investigate the relationship between functional tumor parameters (MTV and TLG) and clinical outcomes in patients with epithelial ovarian cancer (EOC). Methods Fifty-five patients with EOC who had undergone [ 18 F]FDG PET/CT before surgical staging were included in this retrospectively study. For each patient, we determined the highest (SUV max and SUV avg ), the cumulative TLG, and the sum of all MTV, and compared their predictive value of recurrence and the effects of pretreatment functional tumor activity on progression-free interval (PFI). Results The median duration of PFI was 11 (range 3–43) months, and 20 patients (36.4%) experienced recurrence. Poor outcome was associated with higher values for both the MTV ( P  = 0.022, hazard ratio 5.571, 95% confidence interval 1.279–24.272) and the TLG ( P  = 0.037, hazard ratio 2.967, 95% confidence interval 1.065–8.265). The Kaplan–Meier survival graphs showed a significant difference in PFI between the groups categorized by MTV and TLG, respectively ( P   =  0.01 for MTV, P   =  0.0287 for TLG, log rank test). Conclusions Pretreatment metabolic parameters such as MTV and TLG showed statistically significant association with recurrence in patients with EOC. These values can be useful quantitative criteria for disease prognostication in patients with EOC before treatment.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>22124757</pmid><doi>10.1245/s10434-011-2153-x</doi><tpages>7</tpages></addata></record>
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subjects Adenocarcinoma, Clear Cell - diagnosis
Adenocarcinoma, Clear Cell - mortality
Adenocarcinoma, Clear Cell - surgery
Adenocarcinoma, Mucinous - diagnosis
Adenocarcinoma, Mucinous - mortality
Adenocarcinoma, Mucinous - surgery
Adult
Aged
Aged, 80 and over
Cystadenocarcinoma, Serous - diagnosis
Cystadenocarcinoma, Serous - mortality
Cystadenocarcinoma, Serous - surgery
Endometrial Neoplasms - diagnosis
Endometrial Neoplasms - mortality
Endometrial Neoplasms - surgery
Female
Fluorodeoxyglucose F18
Follow-Up Studies
Glycolysis
Gynecologic Oncology
Humans
Medicine
Medicine & Public Health
Middle Aged
Multimodal Imaging
Neoplasm Grading
Neoplasm Recurrence, Local - diagnosis
Neoplasm Recurrence, Local - mortality
Neoplasm Recurrence, Local - surgery
Neoplasm Staging
Oncology
Ovarian cancer
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - mortality
Ovarian Neoplasms - surgery
Positron-Emission Tomography
Prognosis
Radiopharmaceuticals
Retrospective Studies
Surgery
Surgical Oncology
Survival Rate
Tomography, X-Ray Computed
title Prognostic Value of Preoperative Metabolic Tumor Volume and Total Lesion Glycolysis in Patients with Epithelial Ovarian Cancer
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