Thallium-201 Scintigraphy to Assess Effect of Chemotherapy in Osteosarcoma

Imaging results in patients with high-grade osteosarcoma of the extremities were reviewed to determine whether scintigraphic appearance correlated with histologic response to preoperative chemotherapy. Histologically, the percent tumor necrosis in specimens from 30 patients were classified into thre...

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Veröffentlicht in:The Journal of nuclear medicine (1978) 1996-09, Vol.37 (9), p.1444-1448
Hauptverfasser: Ohtomo, Katsuyuki, Terui, Shoji, Yokoyama, Ryohei, Abe, Hiroyuki, Terauchi, Takashi, Maeda, Go, Beppu, Yasuo, Fukuma, Hisatoshi
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container_end_page 1448
container_issue 9
container_start_page 1444
container_title The Journal of nuclear medicine (1978)
container_volume 37
creator Ohtomo, Katsuyuki
Terui, Shoji
Yokoyama, Ryohei
Abe, Hiroyuki
Terauchi, Takashi
Maeda, Go
Beppu, Yasuo
Fukuma, Hisatoshi
description Imaging results in patients with high-grade osteosarcoma of the extremities were reviewed to determine whether scintigraphic appearance correlated with histologic response to preoperative chemotherapy. Histologically, the percent tumor necrosis in specimens from 30 patients were classified into three grades: grade 1 = necrosis less than 60%, grade 2 = 60%-89% necrosis and grade 3 = diffuse necrosis greater than 90% based upon whole transverse sections. Scintigraphically, we analyzed 201TI uptake before and after preoperative chemotherapy. The changes in the tumor-to-background ratio were defined by an alteration ratio. Of the 11 patients with a grade 1 response, the ratio showed -67.1% +/- 45.4% (mean +/- s.d.). Of the 9 patients with a grade 2 response, the ratio showed 37.9% +/- 29.9% of the 10 patients with a grade 3 response the ratio showed 105.5% +/- 12.4%. The ratios correlated well with the histologic grades (p < 0.0001; analysis of variance). Thallium-201 scintigraphy accurately assesses the effect of chemotherapy on osteosarcoma.
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subjects Adolescent
Adult
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - drug therapy
Bone Neoplasms - mortality
Chemotherapy, Adjuvant
Child
Female
Femoral Neoplasms - diagnostic imaging
Femoral Neoplasms - drug therapy
Femoral Neoplasms - mortality
Humans
Male
Osteosarcoma - diagnostic imaging
Osteosarcoma - drug therapy
Osteosarcoma - mortality
Radionuclide Imaging
Thallium
Thallium Radioisotopes
title Thallium-201 Scintigraphy to Assess Effect of Chemotherapy in Osteosarcoma
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