Mapping Bone Marrow Response in the Vertebral Column by Positron Emission Tomography Following Radiotherapy and Erlotinib Therapy of Lung Cancer

Purpose To map functional bone marrow (BM) by 2-deoxy-2-[ 18 F]fluoro- d -glucose ([ 18 F]FDG) positron emission tomography (PET) in the vertebral column of lung cancer patients prior to, during, and after treatment. Moreover, to identify radiation- and erlotinib-induced changes in the BM. Procedure...

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Veröffentlicht in:Molecular imaging and biology 2019-04, Vol.21 (2), p.391-398
Hauptverfasser: Abravan, Azadeh, Eide, Hanne Astrid, Løndalen, Ayca Muftuler, Helland, Åslaug, Malinen, Eirik
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creator Abravan, Azadeh
Eide, Hanne Astrid
Løndalen, Ayca Muftuler
Helland, Åslaug
Malinen, Eirik
description Purpose To map functional bone marrow (BM) by 2-deoxy-2-[ 18 F]fluoro- d -glucose ([ 18 F]FDG) positron emission tomography (PET) in the vertebral column of lung cancer patients prior to, during, and after treatment. Moreover, to identify radiation- and erlotinib-induced changes in the BM. Procedures Twenty-six patients with advanced non-small cell lung cancer, receiving radiotherapy (RT) alone or concomitantly with erlotinib, were examined by [ 18 F]FDG PET before, during, and after treatment. A total of 61 [ 18 F]FDG PET scans were analyzed. Vertebral column BM [ 18 F]FDG standardized uptake value normalized to the liver (SUV BMLR ) was used as uptake measure. Wilcoxon signed-rank test was used to assess changes in BM uptake of [ 18 F]FDG between sessions. Effects of erlotinib on the BM activity during and after treatment were assessed using Mann-Whitney U test. Results A homogeneous uptake of [ 18 F]FDG was observed within the vertebral column prior to treatment. Mean SUV BMLR (± S.E.M) in the body of thoracic vertebrae receiving a total RT dose of 10 Gy or higher was 0.64 ± 0.01, 0.56 ± 0.01, and 0.59 ± 0.01 at pre-, mid-, and post-therapy, respectively. A significant reduction in the mean SUV BMLR was observed from pre- to both mid- and post-therapy ( p  
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Moreover, to identify radiation- and erlotinib-induced changes in the BM. Procedures Twenty-six patients with advanced non-small cell lung cancer, receiving radiotherapy (RT) alone or concomitantly with erlotinib, were examined by [ 18 F]FDG PET before, during, and after treatment. A total of 61 [ 18 F]FDG PET scans were analyzed. Vertebral column BM [ 18 F]FDG standardized uptake value normalized to the liver (SUV BMLR ) was used as uptake measure. Wilcoxon signed-rank test was used to assess changes in BM uptake of [ 18 F]FDG between sessions. Effects of erlotinib on the BM activity during and after treatment were assessed using Mann-Whitney U test. Results A homogeneous uptake of [ 18 F]FDG was observed within the vertebral column prior to treatment. Mean SUV BMLR (± S.E.M) in the body of thoracic vertebrae receiving a total RT dose of 10 Gy or higher was 0.64 ± 0.01, 0.56 ± 0.01, and 0.59 ± 0.01 at pre-, mid-, and post-therapy, respectively. A significant reduction in the mean SUV BMLR was observed from pre- to both mid- and post-therapy ( p  &lt; 0.05). Mean SUV BMLR was significantly higher at post-therapy compared to mid-therapy for patients receiving erlotinib in addition to RT ( p  &lt; 0.05). Conclusions RT reduces BM [ 18 F]FDG uptake in the vertebral column, especially in the high-dose region. Concomitant erlotinib may stimulate a recovery in BM [ 18 F]FDG uptake from mid- to post-therapy. Trial registration: NCT02714530. Registered 10 September 2015.</description><identifier>ISSN: 1536-1632</identifier><identifier>EISSN: 1860-2002</identifier><identifier>DOI: 10.1007/s11307-018-1226-7</identifier><identifier>PMID: 29916117</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Aged, 80 and over ; Bone cancer ; Bone marrow ; Bone Marrow - diagnostic imaging ; Cancer ; Cancer therapies ; Dose-Response Relationship, Radiation ; Erlotinib Hydrochloride - therapeutic use ; Female ; Fluorine isotopes ; Fluorodeoxyglucose F18 - chemistry ; Glucose ; Humans ; Imaging ; Inhibitor drugs ; Liver ; Liver - diagnostic imaging ; Lung cancer ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - drug therapy ; Lung Neoplasms - radiotherapy ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Non-small cell lung carcinoma ; Patients ; Positron emission ; Positron emission tomography ; Radiation ; Radiation therapy ; Radiology ; Rank tests ; Research Article ; Spine - diagnostic imaging ; Targeted cancer therapy ; Thorax ; Tomography ; Tomography, X-Ray Computed ; Vertebrae</subject><ispartof>Molecular imaging and biology, 2019-04, Vol.21 (2), p.391-398</ispartof><rights>World Molecular Imaging Society 2018</rights><rights>Molecular Imaging and Biology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-10f88f0e1d73d45e4e4faa42b84889ede96a51143166eac66f662a45a70e079e3</citedby><cites>FETCH-LOGICAL-c438t-10f88f0e1d73d45e4e4faa42b84889ede96a51143166eac66f662a45a70e079e3</cites><orcidid>0000-0003-4839-6705</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11307-018-1226-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11307-018-1226-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27906,27907,41470,42539,51301</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29916117$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abravan, Azadeh</creatorcontrib><creatorcontrib>Eide, Hanne Astrid</creatorcontrib><creatorcontrib>Løndalen, Ayca Muftuler</creatorcontrib><creatorcontrib>Helland, Åslaug</creatorcontrib><creatorcontrib>Malinen, Eirik</creatorcontrib><title>Mapping Bone Marrow Response in the Vertebral Column by Positron Emission Tomography Following Radiotherapy and Erlotinib Therapy of Lung Cancer</title><title>Molecular imaging and biology</title><addtitle>Mol Imaging Biol</addtitle><addtitle>Mol Imaging Biol</addtitle><description>Purpose To map functional bone marrow (BM) by 2-deoxy-2-[ 18 F]fluoro- d -glucose ([ 18 F]FDG) positron emission tomography (PET) in the vertebral column of lung cancer patients prior to, during, and after treatment. Moreover, to identify radiation- and erlotinib-induced changes in the BM. Procedures Twenty-six patients with advanced non-small cell lung cancer, receiving radiotherapy (RT) alone or concomitantly with erlotinib, were examined by [ 18 F]FDG PET before, during, and after treatment. A total of 61 [ 18 F]FDG PET scans were analyzed. Vertebral column BM [ 18 F]FDG standardized uptake value normalized to the liver (SUV BMLR ) was used as uptake measure. Wilcoxon signed-rank test was used to assess changes in BM uptake of [ 18 F]FDG between sessions. Effects of erlotinib on the BM activity during and after treatment were assessed using Mann-Whitney U test. Results A homogeneous uptake of [ 18 F]FDG was observed within the vertebral column prior to treatment. Mean SUV BMLR (± S.E.M) in the body of thoracic vertebrae receiving a total RT dose of 10 Gy or higher was 0.64 ± 0.01, 0.56 ± 0.01, and 0.59 ± 0.01 at pre-, mid-, and post-therapy, respectively. A significant reduction in the mean SUV BMLR was observed from pre- to both mid- and post-therapy ( p  &lt; 0.05). Mean SUV BMLR was significantly higher at post-therapy compared to mid-therapy for patients receiving erlotinib in addition to RT ( p  &lt; 0.05). Conclusions RT reduces BM [ 18 F]FDG uptake in the vertebral column, especially in the high-dose region. Concomitant erlotinib may stimulate a recovery in BM [ 18 F]FDG uptake from mid- to post-therapy. Trial registration: NCT02714530. 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Moreover, to identify radiation- and erlotinib-induced changes in the BM. Procedures Twenty-six patients with advanced non-small cell lung cancer, receiving radiotherapy (RT) alone or concomitantly with erlotinib, were examined by [ 18 F]FDG PET before, during, and after treatment. A total of 61 [ 18 F]FDG PET scans were analyzed. Vertebral column BM [ 18 F]FDG standardized uptake value normalized to the liver (SUV BMLR ) was used as uptake measure. Wilcoxon signed-rank test was used to assess changes in BM uptake of [ 18 F]FDG between sessions. Effects of erlotinib on the BM activity during and after treatment were assessed using Mann-Whitney U test. Results A homogeneous uptake of [ 18 F]FDG was observed within the vertebral column prior to treatment. Mean SUV BMLR (± S.E.M) in the body of thoracic vertebrae receiving a total RT dose of 10 Gy or higher was 0.64 ± 0.01, 0.56 ± 0.01, and 0.59 ± 0.01 at pre-, mid-, and post-therapy, respectively. A significant reduction in the mean SUV BMLR was observed from pre- to both mid- and post-therapy ( p  &lt; 0.05). Mean SUV BMLR was significantly higher at post-therapy compared to mid-therapy for patients receiving erlotinib in addition to RT ( p  &lt; 0.05). Conclusions RT reduces BM [ 18 F]FDG uptake in the vertebral column, especially in the high-dose region. Concomitant erlotinib may stimulate a recovery in BM [ 18 F]FDG uptake from mid- to post-therapy. Trial registration: NCT02714530. Registered 10 September 2015.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>29916117</pmid><doi>10.1007/s11307-018-1226-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4839-6705</orcidid></addata></record>
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subjects Aged
Aged, 80 and over
Bone cancer
Bone marrow
Bone Marrow - diagnostic imaging
Cancer
Cancer therapies
Dose-Response Relationship, Radiation
Erlotinib Hydrochloride - therapeutic use
Female
Fluorine isotopes
Fluorodeoxyglucose F18 - chemistry
Glucose
Humans
Imaging
Inhibitor drugs
Liver
Liver - diagnostic imaging
Lung cancer
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - drug therapy
Lung Neoplasms - radiotherapy
Male
Medicine
Medicine & Public Health
Middle Aged
Non-small cell lung carcinoma
Patients
Positron emission
Positron emission tomography
Radiation
Radiation therapy
Radiology
Rank tests
Research Article
Spine - diagnostic imaging
Targeted cancer therapy
Thorax
Tomography
Tomography, X-Ray Computed
Vertebrae
title Mapping Bone Marrow Response in the Vertebral Column by Positron Emission Tomography Following Radiotherapy and Erlotinib Therapy of Lung Cancer
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