Correlation of GLUT-1 overexpression, tumor size, and depth of invasion with 18F-2-fluoro-2-deoxy-d-glucose uptake by positron emission tomography in colorectal cancer

We investigated the wide variability of 18F-2-fluoro-2-deoxy-D: -glucose (FDG) uptake, semiquantified as standardized uptake value (SUV), in positron emission tomography (PET) scanning, in 20 patients with colorectal cancer (CRC), including 1 with synchronous hepatic metastasis. The sensitivity of P...

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Veröffentlicht in:Digestive diseases and sciences 2006-12, Vol.51 (12), p.2198-2205
Hauptverfasser: JINYU GU, YAMAMOTO, Hirofumi, MONDEN, Morito, FUKUNAGA, Hiroki, DANNO, Katsuki, TAKEMASA, Ichiro, MASATAKA, Ikeda, TATSUMI, Mitsuaki, SEKIMOTO, Mitsugu, HATAZAWA, Jun, NISHIMURA, Tsunehiko
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container_end_page 2205
container_issue 12
container_start_page 2198
container_title Digestive diseases and sciences
container_volume 51
creator JINYU GU
YAMAMOTO, Hirofumi
MONDEN, Morito
FUKUNAGA, Hiroki
DANNO, Katsuki
TAKEMASA, Ichiro
MASATAKA, Ikeda
TATSUMI, Mitsuaki
SEKIMOTO, Mitsugu
HATAZAWA, Jun
NISHIMURA, Tsunehiko
description We investigated the wide variability of 18F-2-fluoro-2-deoxy-D: -glucose (FDG) uptake, semiquantified as standardized uptake value (SUV), in positron emission tomography (PET) scanning, in 20 patients with colorectal cancer (CRC), including 1 with synchronous hepatic metastasis. The sensitivity of PET in CRC diagnosis was 100%, with a mean SUV of 8.0 (3.1-11.9). Tumor size and depth of invasion were associated with higher SUVs (P=.0004, .042, respectively). Strong glucose transporter-1 (GLUT-1) expression had significantly positive correlation with the SUV (r=.619, P=.003). GLUT-1 expression revealed positive staining in 17 (85%) of the 20 primary lesions. The central part of the tumor, thought to be relatively hypoxic, had stronger GLUT-1 expression and a higher SUV than the periphery, in both the primary tumor and hepatic metastatic foci. Our data suggest that the SUVs of FDG uptake in PET may be a noninvasive biomarker for advanced CRC, indicative of a large hypoxic tumor with deep invasion.
doi_str_mv 10.1007/s10620-006-9428-2
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The sensitivity of PET in CRC diagnosis was 100%, with a mean SUV of 8.0 (3.1-11.9). Tumor size and depth of invasion were associated with higher SUVs (P=.0004, .042, respectively). Strong glucose transporter-1 (GLUT-1) expression had significantly positive correlation with the SUV (r=.619, P=.003). GLUT-1 expression revealed positive staining in 17 (85%) of the 20 primary lesions. The central part of the tumor, thought to be relatively hypoxic, had stronger GLUT-1 expression and a higher SUV than the periphery, in both the primary tumor and hepatic metastatic foci. Our data suggest that the SUVs of FDG uptake in PET may be a noninvasive biomarker for advanced CRC, indicative of a large hypoxic tumor with deep invasion.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>17080242</pmid><doi>10.1007/s10620-006-9428-2</doi><tpages>8</tpages></addata></record>
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subjects Adenocarcinoma - diagnostic imaging
Adenocarcinoma - genetics
Adenocarcinoma - metabolism
Adenocarcinoma - secondary
Aged
Biological and medical sciences
Biomarkers, Tumor - metabolism
Colorectal cancer
Colorectal Neoplasms - diagnostic imaging
Colorectal Neoplasms - genetics
Colorectal Neoplasms - metabolism
Colorectal Neoplasms - pathology
Disease Progression
Female
Fluorodeoxyglucose F18 - pharmacokinetics
Gastroenterology. Liver. Pancreas. Abdomen
Gene Expression Regulation, Neoplastic
Glucose
Glucose Transporter Type 1 - genetics
Glucose Transporter Type 1 - metabolism
Humans
Hypoxia
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - metabolism
Liver Neoplasms - secondary
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Neoplasm Invasiveness
Positron-Emission Tomography
Prognosis
Radiopharmaceuticals - pharmacokinetics
Sensitivity and Specificity
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tomography
Tumors
title Correlation of GLUT-1 overexpression, tumor size, and depth of invasion with 18F-2-fluoro-2-deoxy-d-glucose uptake by positron emission tomography in colorectal cancer
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