11C-acetate for positron emission tomography imaging of clinical stage IA lung adenocarcinoma: comparison with 18F-fluorodeoxyglucose for imaging and evaluation of tumor aggressiveness

Background To determine the usefulness of positron emission tomography (PET) with 11 C-acetate (AC) for imaging lung adenocarcinoma and evaluating its tumor aggressiveness, AC- and 18 F-fluorodeoxyglucose (FDG)-PET were compared. Methods One hundred and sixty-nine adenocarcinomas with clinical stage...

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Veröffentlicht in:Annals of nuclear medicine 2009-09, Vol.23 (7), p.609-616
Hauptverfasser: Shibata, Hidekatsu, Nomori, Hiroaki, Uno, Kimiichi, Iyama, Ken-ichi, Tomiyoshi, Katsumi, Nakashima, Rumi, Sakaguchi, Kazuya, Goya, Tomoyuki, Takanami, Iwao, Koizumi, Kiyoshi, Suzuki, Takashi, Kaji, Masahiro, Horio, Hirotoshi
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container_end_page 616
container_issue 7
container_start_page 609
container_title Annals of nuclear medicine
container_volume 23
creator Shibata, Hidekatsu
Nomori, Hiroaki
Uno, Kimiichi
Iyama, Ken-ichi
Tomiyoshi, Katsumi
Nakashima, Rumi
Sakaguchi, Kazuya
Goya, Tomoyuki
Takanami, Iwao
Koizumi, Kiyoshi
Suzuki, Takashi
Kaji, Masahiro
Horio, Hirotoshi
description Background To determine the usefulness of positron emission tomography (PET) with 11 C-acetate (AC) for imaging lung adenocarcinoma and evaluating its tumor aggressiveness, AC- and 18 F-fluorodeoxyglucose (FDG)-PET were compared. Methods One hundred and sixty-nine adenocarcinomas with clinical stage IA and 53 benign nodules were examined by both AC- and FDG-PET before surgery. The sensitivity and specificity for discriminating benign/adenocarcinoma were compared between AC- and FDG-PET. The AC and FDG uptakes were examined to determine the relationship with tumor aggressiveness, i.e., pathological tumor stage, lymphatic, vascular, or pleural involvement, and proliferative activity determined by Ki-67 staining score. Results While the sensitivity of AC-PET was significantly higher than FDG-PET for bronchioloalveolar carcinoma (BAC) and well-differentiated (W/D) adenocarcinoma ( p  
doi_str_mv 10.1007/s12149-009-0278-9
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Methods One hundred and sixty-nine adenocarcinomas with clinical stage IA and 53 benign nodules were examined by both AC- and FDG-PET before surgery. The sensitivity and specificity for discriminating benign/adenocarcinoma were compared between AC- and FDG-PET. The AC and FDG uptakes were examined to determine the relationship with tumor aggressiveness, i.e., pathological tumor stage, lymphatic, vascular, or pleural involvement, and proliferative activity determined by Ki-67 staining score. Results While the sensitivity of AC-PET was significantly higher than FDG-PET for bronchioloalveolar carcinoma (BAC) and well-differentiated (W/D) adenocarcinoma ( p  &lt; 0.001 and 0.006, respectively), there was no significant difference for moderately or poorly differentiated adenocarcinoma. The specificity was not different between them. While FDG uptakes were significantly higher in tumors with pathological advanced stages or those with lymphatic, vascular and/or pleural involvements than in tumors with pathological stage IA or those without these tumor involvements ( p  = 0.04 to p  &lt; 0.001), AC uptake did not show significant differences between the respective sub-groups except according to the tumor stage. While both AC and FDG uptakes showed a significant correlation with Ki-67 staining scores ( p  = 0.03 and p  &lt; 0.001, respectively), the correlation coefficient of former was lower than that of latter ( p  = 0.07). Conclusions While AC-PET can image BAC and W/D adenocarcinoma with a higher sensitivity than FDG-PET, it cannot evaluate tumor aggressiveness of clinical stage IA lung adenocarcinoma as well as FDG-PET.</description><identifier>ISSN: 0914-7187</identifier><identifier>EISSN: 1864-6433</identifier><identifier>DOI: 10.1007/s12149-009-0278-9</identifier><identifier>PMID: 19562438</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Acetates - metabolism ; Adenocarcinoma - diagnostic imaging ; Adenocarcinoma - metabolism ; Adenocarcinoma - pathology ; Carbon - metabolism ; Fluorodeoxyglucose F18 - metabolism ; Humans ; Imaging ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - metabolism ; Lung Neoplasms - pathology ; Medicine ; Medicine &amp; Public Health ; Neoplasm Staging ; Nuclear Medicine ; Original Article ; Positron-Emission Tomography ; Radiology ; ROC Curve ; Tomography, X-Ray Computed ; Tumor Burden</subject><ispartof>Annals of nuclear medicine, 2009-09, Vol.23 (7), p.609-616</ispartof><rights>The Japanese Society of Nuclear Medicine 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2399-1a143f043c73bd8d4a574d1fb7df400aba5441181614b8d532fd2feed5fe11bd3</citedby><cites>FETCH-LOGICAL-c2399-1a143f043c73bd8d4a574d1fb7df400aba5441181614b8d532fd2feed5fe11bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12149-009-0278-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12149-009-0278-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19562438$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shibata, Hidekatsu</creatorcontrib><creatorcontrib>Nomori, Hiroaki</creatorcontrib><creatorcontrib>Uno, Kimiichi</creatorcontrib><creatorcontrib>Iyama, Ken-ichi</creatorcontrib><creatorcontrib>Tomiyoshi, Katsumi</creatorcontrib><creatorcontrib>Nakashima, Rumi</creatorcontrib><creatorcontrib>Sakaguchi, Kazuya</creatorcontrib><creatorcontrib>Goya, Tomoyuki</creatorcontrib><creatorcontrib>Takanami, Iwao</creatorcontrib><creatorcontrib>Koizumi, Kiyoshi</creatorcontrib><creatorcontrib>Suzuki, Takashi</creatorcontrib><creatorcontrib>Kaji, Masahiro</creatorcontrib><creatorcontrib>Horio, Hirotoshi</creatorcontrib><title>11C-acetate for positron emission tomography imaging of clinical stage IA lung adenocarcinoma: comparison with 18F-fluorodeoxyglucose for imaging and evaluation of tumor aggressiveness</title><title>Annals of nuclear medicine</title><addtitle>Ann Nucl Med</addtitle><addtitle>Ann Nucl Med</addtitle><description>Background To determine the usefulness of positron emission tomography (PET) with 11 C-acetate (AC) for imaging lung adenocarcinoma and evaluating its tumor aggressiveness, AC- and 18 F-fluorodeoxyglucose (FDG)-PET were compared. Methods One hundred and sixty-nine adenocarcinomas with clinical stage IA and 53 benign nodules were examined by both AC- and FDG-PET before surgery. The sensitivity and specificity for discriminating benign/adenocarcinoma were compared between AC- and FDG-PET. The AC and FDG uptakes were examined to determine the relationship with tumor aggressiveness, i.e., pathological tumor stage, lymphatic, vascular, or pleural involvement, and proliferative activity determined by Ki-67 staining score. Results While the sensitivity of AC-PET was significantly higher than FDG-PET for bronchioloalveolar carcinoma (BAC) and well-differentiated (W/D) adenocarcinoma ( p  &lt; 0.001 and 0.006, respectively), there was no significant difference for moderately or poorly differentiated adenocarcinoma. The specificity was not different between them. While FDG uptakes were significantly higher in tumors with pathological advanced stages or those with lymphatic, vascular and/or pleural involvements than in tumors with pathological stage IA or those without these tumor involvements ( p  = 0.04 to p  &lt; 0.001), AC uptake did not show significant differences between the respective sub-groups except according to the tumor stage. While both AC and FDG uptakes showed a significant correlation with Ki-67 staining scores ( p  = 0.03 and p  &lt; 0.001, respectively), the correlation coefficient of former was lower than that of latter ( p  = 0.07). Conclusions While AC-PET can image BAC and W/D adenocarcinoma with a higher sensitivity than FDG-PET, it cannot evaluate tumor aggressiveness of clinical stage IA lung adenocarcinoma as well as FDG-PET.</description><subject>Acetates - metabolism</subject><subject>Adenocarcinoma - diagnostic imaging</subject><subject>Adenocarcinoma - metabolism</subject><subject>Adenocarcinoma - pathology</subject><subject>Carbon - metabolism</subject><subject>Fluorodeoxyglucose F18 - metabolism</subject><subject>Humans</subject><subject>Imaging</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Lung Neoplasms - metabolism</subject><subject>Lung Neoplasms - pathology</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neoplasm Staging</subject><subject>Nuclear Medicine</subject><subject>Original Article</subject><subject>Positron-Emission Tomography</subject><subject>Radiology</subject><subject>ROC Curve</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumor Burden</subject><issn>0914-7187</issn><issn>1864-6433</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kc9u1DAQxiMEokvhAbggiwungMd2EodbtaJQqRIXOFsT_0ldJfZiJ4V9Mx4Pr7KoEhIHayzNb75v7K-qXgN9D5R2HzIwEH1NaTmsk3X_pNqBbEXdCs6fVjvag6g7kN1F9SLne0qZbCR7Xl1A37RMcLmrfgPsa9R2wcUSFxM5xOyXFAOxs8_Zl8sS5zgmPNwdiZ9x9GEk0RE9-eA1TiQvOFpyc0WmtXTQ2BA1Ju1DnPEj0XE-YPK56Pz0yx0BeV27aY0pGht_Hcdp1TFvzn_FMRhiH3BacTnZF69lnUsfxzHZstKDDaW8rJ45nLJ9da6X1ffrT9_2X-rbr59v9le3tWa872tAENxRwXXHByONwKYTBtzQGScoxQEbIQAktCAGaRrOnGHOWtM4CzAYflm923QPKf5YbV5U-RdtpwmDjWtWHRe0KVaykG__Ie_jmkJZTjFoqOh42xQINkinmHOyTh1SeXg6KqDqFKraQlUlVHUKVfVl5s1ZeB1max4nzikWgG1ALq0w2vTo_H_VPxfRsPM</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Shibata, Hidekatsu</creator><creator>Nomori, Hiroaki</creator><creator>Uno, Kimiichi</creator><creator>Iyama, Ken-ichi</creator><creator>Tomiyoshi, Katsumi</creator><creator>Nakashima, Rumi</creator><creator>Sakaguchi, Kazuya</creator><creator>Goya, Tomoyuki</creator><creator>Takanami, Iwao</creator><creator>Koizumi, Kiyoshi</creator><creator>Suzuki, Takashi</creator><creator>Kaji, Masahiro</creator><creator>Horio, Hirotoshi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>200909</creationdate><title>11C-acetate for positron emission tomography imaging of clinical stage IA lung adenocarcinoma: comparison with 18F-fluorodeoxyglucose for imaging and evaluation of tumor aggressiveness</title><author>Shibata, Hidekatsu ; 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Methods One hundred and sixty-nine adenocarcinomas with clinical stage IA and 53 benign nodules were examined by both AC- and FDG-PET before surgery. The sensitivity and specificity for discriminating benign/adenocarcinoma were compared between AC- and FDG-PET. The AC and FDG uptakes were examined to determine the relationship with tumor aggressiveness, i.e., pathological tumor stage, lymphatic, vascular, or pleural involvement, and proliferative activity determined by Ki-67 staining score. Results While the sensitivity of AC-PET was significantly higher than FDG-PET for bronchioloalveolar carcinoma (BAC) and well-differentiated (W/D) adenocarcinoma ( p  &lt; 0.001 and 0.006, respectively), there was no significant difference for moderately or poorly differentiated adenocarcinoma. The specificity was not different between them. While FDG uptakes were significantly higher in tumors with pathological advanced stages or those with lymphatic, vascular and/or pleural involvements than in tumors with pathological stage IA or those without these tumor involvements ( p  = 0.04 to p  &lt; 0.001), AC uptake did not show significant differences between the respective sub-groups except according to the tumor stage. While both AC and FDG uptakes showed a significant correlation with Ki-67 staining scores ( p  = 0.03 and p  &lt; 0.001, respectively), the correlation coefficient of former was lower than that of latter ( p  = 0.07). Conclusions While AC-PET can image BAC and W/D adenocarcinoma with a higher sensitivity than FDG-PET, it cannot evaluate tumor aggressiveness of clinical stage IA lung adenocarcinoma as well as FDG-PET.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>19562438</pmid><doi>10.1007/s12149-009-0278-9</doi><tpages>8</tpages></addata></record>
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subjects Acetates - metabolism
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - metabolism
Adenocarcinoma - pathology
Carbon - metabolism
Fluorodeoxyglucose F18 - metabolism
Humans
Imaging
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - metabolism
Lung Neoplasms - pathology
Medicine
Medicine & Public Health
Neoplasm Staging
Nuclear Medicine
Original Article
Positron-Emission Tomography
Radiology
ROC Curve
Tomography, X-Ray Computed
Tumor Burden
title 11C-acetate for positron emission tomography imaging of clinical stage IA lung adenocarcinoma: comparison with 18F-fluorodeoxyglucose for imaging and evaluation of tumor aggressiveness
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