化疗和放疗患者口咽鳞癌治疗前后[18F]FDG PET/CT的预后作用

Francesco Dondi, Maria Gazzilli, Domenico Albano, Alessio Rizzo, Giorgio Treglia, Antonio Rosario Pisani, Carmen Palumbo, Dino Rubini, Manuela Racca, Giuseppe Rubini, Francesco Bertagna
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引用次数: 0

摘要

背景:[18F]氟脱氧葡萄糖([18F]FDG)正电子发射断层扫描/计算机断层扫描(PET/CT)成像对口咽癌(OPC)的预后作用在过去已得到证实。本研究旨在评估化疗和/或放疗对口咽癌患者基线和治疗后 PET/CT 的预后影响:方法:收集并分析治疗前后扫描的 PET/CT 参数,以寻找无进展生存期(PFS)和总生存期(OS)的重要预后指标。同时还考虑了人乳头瘤病毒(HPV)感染对预后的影响:研究共纳入 66 例患者。PET/CT的分期容积参数是OS的重要预后指标,而在重新分期评估时,这些参数也是PFS的有效预测指标。HPV感染与PET/CT参数之间无明显相关性:结论:报告显示了容积[18F]FDG PET/CT参数在OPC患者中的预后作用。
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Prognostic Role of Pre- and Post-Treatment [18F]FDG PET/CT in Squamous Cell Carcinoma of the Oropharynx in Patients Treated with Chemotherapy and Radiotherapy.

Background: The prognostic role of imaging with [18F]fluorodeoxyglucose ([18F]FDG) positron emission tomography/computed tomography (PET/CT) in oropharynx cancer (OPC) has been demonstrated in the past. The aim of this study was to assess the prognostic impact of both baseline and post-treatment PET/CT in patients with OPC and treated with chemo- and/or radiotherapy.

Methods: The PET/CT parameters of scans performed before and after therapy were collected and analyzed to find significant prognosticators for progression-free survival (PFS) and overall survival (OS). Human papillomavirus (HPV) infection's influence on the prognosis was also taken into account.

Results: A total of 66 patients were included in the study. The staging volumetric parameters of PET/CT were significant prognosticators for OS, while the same parameters were affordable predictors for PFS at the restaging evaluation. No significant correlations between HPV infection and PET/CT parameters were reported.

Conclusion: The prognostic role of volumetric [18F]FDG PET/CT parameters in patients with OPC was reported.

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