論文

査読有り
2019年3月

Usefulness of Preoperative 18F-FDG PET/CT for Patients with Thymic Epithelial Tumors.

Yonago acta medica
  • Mana Ishibashi
  • ,
  • Yoshio Tanabe
  • ,
  • Hiroto Yunaga
  • ,
  • Hidenao Miyoshi
  • ,
  • Ken Miwa
  • ,
  • Hiroshige Nakamura
  • ,
  • Shinya Fujii
  • ,
  • Toshihide Ogawa

62
1
開始ページ
146
終了ページ
152
記述言語
英語
掲載種別
研究論文(学術雑誌)

Background: The purpose of this study was to investigate the relationship between preoperative FDG-PET parameters and the World Health Organization (WHO) classification or Masaoka staging system of thymic epithelial tumors. Methods: We retrospectively reviewed 32 patients with histologically proven thymic epithelial tumors who underwent FDG-PET/CT before surgical resection. FDG-PET parameters, including the maximum standardized uptake value (SUVmax), metabolic tumor volume (MTV), and total lesion glycolytic activity (TLG), were measured. These PET parameters were compared in the Masaoka staging system and WHO classification. A receiver operating characteristics (ROC) analysis was performed to identify the cut-off values of PET parameters for the accurate differentiation of early and advanced stages in the Masaoka staging system. Results: There were 17 low-risk thymomas (1 type A, 9 type AB, and 7 type B1), 8 high-risk thymomas (4 type B2 and 4 type B3), and 7 thymic carcinomas (7 squamous cell carcinoma). Their Masaoka stages were as follows: 24 in the early stage (stages I and II) and 8 in the advanced stage (stage III). Regarding the WHO classification, only SUVmax showed a significant difference (P < 0.05). In the Masaoka stage, all PET parameters were significantly higher in the advanced stage than in the early stage (P < 0.05). In the ROC analysis to predict the early and advanced stages in thymic epithelial tumors, the area under the curve was the highest for TLG among the PET parameters examined and the cut-off value of TLG for discriminating the early from advanced stage with maximal sensitivity and specificity was 30.735. Conclusion: Although volumetric PET parameters, such as MTV and TLG, did not correlate with the WHO classification, a significant correlation was observed between SUVmax and the WHO classification. In the Masaoka staging system, volumetric PET parameters may achieve more precise staging than SUVmax.

リンク情報
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30962757
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437411
ID情報
  • ISSN : 0513-5710
  • PubMed ID : 30962757
  • PubMed Central 記事ID : PMC6437411

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