Lung tumors evaluated with FDG-PET and dynamic CT: The relationship between vascular density and glucose metabolism

The aim of the current study was to evaluate the relationship between FDG-PET and dynamic CT in lung tumors. Forty consecutive patients with pulmonary tumors underwent whole-body FDG-PET and contrast-enhanced dynamic CT. The size of tumors was 2.6 +/- 0.2 cm (mean +/- SD) at the largest diameter. Th...

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Veröffentlicht in:Journal of computer assisted tomography 2002-03, Vol.26 (2), p.185-190
Hauptverfasser: TATEISHI, Ukihide, NISHIHARA, Hiroshi, TSUKAMOTO, Eriko, MORIKAWA, Toshiaki, TAMAKI, Nagara, MIYASAKA, Kazuo
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container_issue 2
container_start_page 185
container_title Journal of computer assisted tomography
container_volume 26
creator TATEISHI, Ukihide
NISHIHARA, Hiroshi
TSUKAMOTO, Eriko
MORIKAWA, Toshiaki
TAMAKI, Nagara
MIYASAKA, Kazuo
description The aim of the current study was to evaluate the relationship between FDG-PET and dynamic CT in lung tumors. Forty consecutive patients with pulmonary tumors underwent whole-body FDG-PET and contrast-enhanced dynamic CT. The size of tumors was 2.6 +/- 0.2 cm (mean +/- SD) at the largest diameter. The standardized uptake value (SUV) of FDG-PET, peak attenuation (APA), and relative flow (RF) of dynamic CT were evaluated. All patients underwent surgery, and tissue samples were available to be studied. The intratumoral microvessel densities (MVDs) were counted and compared with the radiologic parameters. The duration between radiologic examinations and surgery was within 2 weeks in all patients. The mean SUV, APA, and RF of lung cancers were significantly higher than those of benign lesions (p < 0.05). The mean APA and RF of lung cancers correlated with mean SUV (APA : r = 0.665, p < 0.0001; RF: r = 0.848, p < 0.05) and mean MVD (APA: r = 0.801, p < 0.0001; RF: r = 0.723, p < 0.05). The mean SUV of lung cancers correlated with the mean MVD (r = 0.612, p < 0.001). No correlation was found between the mean APA, RF, SUV, and MVD in benign tumors. The APA and RF of dynamic CT correlated with the SUV of FDG-PET imaging in lung cancer. The APA and RF of dynamic CT as an index of blood pooling may be related to increased glucose metabolism in lung cancer.
doi_str_mv 10.1097/00004728-200203000-00004
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Forty consecutive patients with pulmonary tumors underwent whole-body FDG-PET and contrast-enhanced dynamic CT. The size of tumors was 2.6 +/- 0.2 cm (mean +/- SD) at the largest diameter. The standardized uptake value (SUV) of FDG-PET, peak attenuation (APA), and relative flow (RF) of dynamic CT were evaluated. All patients underwent surgery, and tissue samples were available to be studied. The intratumoral microvessel densities (MVDs) were counted and compared with the radiologic parameters. The duration between radiologic examinations and surgery was within 2 weeks in all patients. The mean SUV, APA, and RF of lung cancers were significantly higher than those of benign lesions (p < 0.05). The mean APA and RF of lung cancers correlated with mean SUV (APA : r = 0.665, p < 0.0001; RF: r = 0.848, p < 0.05) and mean MVD (APA: r = 0.801, p < 0.0001; RF: r = 0.723, p < 0.05). The mean SUV of lung cancers correlated with the mean MVD (r = 0.612, p < 0.001). No correlation was found between the mean APA, RF, SUV, and MVD in benign tumors. The APA and RF of dynamic CT correlated with the SUV of FDG-PET imaging in lung cancer. 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NISHIHARA, Hiroshi ; TSUKAMOTO, Eriko ; MORIKAWA, Toshiaki ; TAMAKI, Nagara ; MIYASAKA, Kazuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-12430a884da45784526a12a6fe1e48ae94ed6d0310bcd8714d875a226c02af483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Non-Small-Cell Lung - blood supply</topic><topic>Carcinoma, Non-Small-Cell Lung - diagnostic imaging</topic><topic>Carcinoma, Non-Small-Cell Lung - physiopathology</topic><topic>Female</topic><topic>Fluorodeoxyglucose F18</topic><topic>Glucose - metabolism</topic><topic>Humans</topic><topic>Lung Neoplasms - blood supply</topic><topic>Lung Neoplasms - diagnostic imaging</topic><topic>Lung Neoplasms - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumology</topic><topic>Radiopharmaceuticals</topic><topic>Tomography, Emission-Computed</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TATEISHI, Ukihide</creatorcontrib><creatorcontrib>NISHIHARA, Hiroshi</creatorcontrib><creatorcontrib>TSUKAMOTO, Eriko</creatorcontrib><creatorcontrib>MORIKAWA, Toshiaki</creatorcontrib><creatorcontrib>TAMAKI, Nagara</creatorcontrib><creatorcontrib>MIYASAKA, Kazuo</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>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of computer assisted tomography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TATEISHI, Ukihide</au><au>NISHIHARA, Hiroshi</au><au>TSUKAMOTO, Eriko</au><au>MORIKAWA, Toshiaki</au><au>TAMAKI, Nagara</au><au>MIYASAKA, Kazuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lung tumors evaluated with FDG-PET and dynamic CT: The relationship between vascular density and glucose metabolism</atitle><jtitle>Journal of computer assisted tomography</jtitle><addtitle>J Comput Assist Tomogr</addtitle><date>2002-03-01</date><risdate>2002</risdate><volume>26</volume><issue>2</issue><spage>185</spage><epage>190</epage><pages>185-190</pages><issn>0363-8715</issn><eissn>1532-3145</eissn><coden>JCATD5</coden><abstract><![CDATA[The aim of the current study was to evaluate the relationship between FDG-PET and dynamic CT in lung tumors. Forty consecutive patients with pulmonary tumors underwent whole-body FDG-PET and contrast-enhanced dynamic CT. The size of tumors was 2.6 +/- 0.2 cm (mean +/- SD) at the largest diameter. The standardized uptake value (SUV) of FDG-PET, peak attenuation (APA), and relative flow (RF) of dynamic CT were evaluated. All patients underwent surgery, and tissue samples were available to be studied. The intratumoral microvessel densities (MVDs) were counted and compared with the radiologic parameters. The duration between radiologic examinations and surgery was within 2 weeks in all patients. The mean SUV, APA, and RF of lung cancers were significantly higher than those of benign lesions (p < 0.05). The mean APA and RF of lung cancers correlated with mean SUV (APA : r = 0.665, p < 0.0001; RF: r = 0.848, p < 0.05) and mean MVD (APA: r = 0.801, p < 0.0001; RF: r = 0.723, p < 0.05). The mean SUV of lung cancers correlated with the mean MVD (r = 0.612, p < 0.001). No correlation was found between the mean APA, RF, SUV, and MVD in benign tumors. The APA and RF of dynamic CT correlated with the SUV of FDG-PET imaging in lung cancer. The APA and RF of dynamic CT as an index of blood pooling may be related to increased glucose metabolism in lung cancer.]]></abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>11884771</pmid><doi>10.1097/00004728-200203000-00004</doi><tpages>6</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Non-Small-Cell Lung - blood supply
Carcinoma, Non-Small-Cell Lung - diagnostic imaging
Carcinoma, Non-Small-Cell Lung - physiopathology
Female
Fluorodeoxyglucose F18
Glucose - metabolism
Humans
Lung Neoplasms - blood supply
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - physiopathology
Male
Medical sciences
Middle Aged
Pneumology
Radiopharmaceuticals
Tomography, Emission-Computed
Tomography, X-Ray Computed - methods
Tumors of the respiratory system and mediastinum
title Lung tumors evaluated with FDG-PET and dynamic CT: The relationship between vascular density and glucose metabolism
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