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Predictive value of 18F-FDG PET and somatostatin receptor scintigraphy in patients with metastatic endocrine tumors.

Identifieur interne : 001D02 ( Main/Exploration ); précédent : 001D01; suivant : 001D03

Predictive value of 18F-FDG PET and somatostatin receptor scintigraphy in patients with metastatic endocrine tumors.

Auteurs : RBID : pubmed:19443590

English descriptors

Abstract

The treatment of metastatic neuroendocrine tumors depends on the aggressiveness of the disease. We wanted to know whether (18)F-FDG PET and somatostatin receptor scintigraphy (SRS) can predict early disease progression and patient survival.

DOI: 10.2967/jnumed.108.057505
PubMed: 19443590

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Le document en format XML

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<title xml:lang="en">Predictive value of 18F-FDG PET and somatostatin receptor scintigraphy in patients with metastatic endocrine tumors.</title>
<author>
<name sortKey="Garin, Etienne" uniqKey="Garin E">Etienne Garin</name>
<affiliation wicri:level="1">
<nlm:affiliation>UPRESS EA 3890 and Department of Medical Imaging, Centre E. Marquis, Rennes, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>UPRESS EA 3890 and Department of Medical Imaging, Centre E. Marquis, Rennes</wicri:regionArea>
<placeName>
<region type="région">Région Bretagne</region>
<settlement type="city">Rennes</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Le Jeune, Florence" uniqKey="Le Jeune F">Florence Le Jeune</name>
</author>
<author>
<name sortKey="Devillers, Anne" uniqKey="Devillers A">Anne Devillers</name>
</author>
<author>
<name sortKey="Cuggia, Marc" uniqKey="Cuggia M">Marc Cuggia</name>
</author>
<author>
<name sortKey="De Lajarte Thirouard, Anne Sophie" uniqKey="De Lajarte Thirouard A">Anne-Sophie de Lajarte-Thirouard</name>
</author>
<author>
<name sortKey="Bouriel, Catherine" uniqKey="Bouriel C">Catherine Bouriel</name>
</author>
<author>
<name sortKey="Boucher, Eveline" uniqKey="Boucher E">Eveline Boucher</name>
</author>
<author>
<name sortKey="Raoul, Jean Luc" uniqKey="Raoul J">Jean-Luc Raoul</name>
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<term>Adult</term>
<term>Aged</term>
<term>Disease Progression</term>
<term>Endocrine Gland Neoplasms (mortality)</term>
<term>Endocrine Gland Neoplasms (pathology)</term>
<term>Endocrine Gland Neoplasms (radionuclide imaging)</term>
<term>Female</term>
<term>Fluorodeoxyglucose F18 (diagnostic use)</term>
<term>Humans</term>
<term>Indium Radioisotopes (diagnostic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Metastasis</term>
<term>Positron-Emission Tomography (methods)</term>
<term>Prospective Studies</term>
<term>Radiopharmaceuticals (diagnostic use)</term>
<term>Receptors, Somatostatin (analysis)</term>
<term>Somatostatin (analogs & derivatives)</term>
<term>Somatostatin (metabolism)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analogs & derivatives" xml:lang="en">
<term>Somatostatin</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en">
<term>Receptors, Somatostatin</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="diagnostic use" xml:lang="en">
<term>Fluorodeoxyglucose F18</term>
<term>Indium Radioisotopes</term>
<term>Radiopharmaceuticals</term>
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<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en">
<term>Somatostatin</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Positron-Emission Tomography</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>Endocrine Gland Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Endocrine Gland Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en">
<term>Endocrine Gland Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasm Metastasis</term>
<term>Prospective Studies</term>
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<front>
<div type="abstract" xml:lang="en">The treatment of metastatic neuroendocrine tumors depends on the aggressiveness of the disease. We wanted to know whether (18)F-FDG PET and somatostatin receptor scintigraphy (SRS) can predict early disease progression and patient survival.</div>
</front>
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<pubmed>
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<PMID Version="1">19443590</PMID>
<DateCreated>
<Year>2009</Year>
<Month>05</Month>
<Day>27</Day>
</DateCreated>
<DateCompleted>
<Year>2009</Year>
<Month>07</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Print">0161-5505</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>50</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2009</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Journal of nuclear medicine : official publication, Society of Nuclear Medicine</Title>
<ISOAbbreviation>J. Nucl. Med.</ISOAbbreviation>
</Journal>
<ArticleTitle>Predictive value of 18F-FDG PET and somatostatin receptor scintigraphy in patients with metastatic endocrine tumors.</ArticleTitle>
<Pagination>
<MedlinePgn>858-64</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.2967/jnumed.108.057505</ELocationID>
<Abstract>
<AbstractText Label="UNLABELLED">The treatment of metastatic neuroendocrine tumors depends on the aggressiveness of the disease. We wanted to know whether (18)F-FDG PET and somatostatin receptor scintigraphy (SRS) can predict early disease progression and patient survival.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We undertook a prospective study of patients with metastatic neuroendocrine tumor diagnosed between September 2003 and January 2006. After obtaining signed informed consent from the patients, we performed CT, SRS, and (18)F-FDG PET and reviewed histologic data. CT was repeated every 3 mo to assess the risk of early progressive disease (first 6 mo), progression-free survival, and overall survival.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-eight patients (mean age, 60 +/- 15 y) were included. Histologically, 4 patients had a high-grade and 34 a low-grade tumor. The results of (18)F-FDG PET and SRS were positive in 15 and 27 patients. The 2-y overall survival and progression-free survival were 73% and 45%; 16 patients had early progressive disease. Most (18)F-FDG PET-positive patients had early progressive disease (14/15, vs. 2/23 (18)F-FDG PET-negative patients), and most SRS-negative patients had early progressive disease (9/11, vs. 7/27 SRS-positive patients); (18)F-FDG PET gave excellent negative and positive predictive values of 91% and 93%; (18)F-FDG PET results correlated with progression-free survival (P < 0.001) and overall survival (P < 0.001) even when only low-grade tumors were considered. SRS was associated with progression-free survival (P < 0.001) and overall survival (P < 0.03). At multivariate analysis, only (18)F-FDG PET was predictive of progression-free survival.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">(18)F-FDG PET exhibits excellent predictive values for early tumor progression. (18)F-FDG PET and SRS results correlate with progression-free survival and overall survival even for histologically low-grade tumors. These explorations could be included in the initial work-up for metastatic neuroendocrine tumor.</AbstractText>
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<LastName>Garin</LastName>
<ForeName>Etienne</ForeName>
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<Affiliation>UPRESS EA 3890 and Department of Medical Imaging, Centre E. Marquis, Rennes, France.</Affiliation>
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<LastName>Le Jeune</LastName>
<ForeName>Florence</ForeName>
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<DescriptorName MajorTopicYN="N">Endocrine Gland Neoplasms</DescriptorName>
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<QualifierName MajorTopicYN="Y">diagnostic use</QualifierName>
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<DescriptorName MajorTopicYN="N">Neoplasm Metastasis</DescriptorName>
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<DescriptorName MajorTopicYN="N">Positron-Emission Tomography</DescriptorName>
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<DescriptorName MajorTopicYN="N">Prospective Studies</DescriptorName>
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<DescriptorName MajorTopicYN="N">Radiopharmaceuticals</DescriptorName>
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<QualifierName MajorTopicYN="Y">analysis</QualifierName>
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<DescriptorName MajorTopicYN="N">Somatostatin</DescriptorName>
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<QualifierName MajorTopicYN="N">metabolism</QualifierName>
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