软组织肉瘤患者18F-FDG-PET/ ct衍生肿瘤糖代谢活性、营养风险和生存的关系

IF 1.6 4区 医学 Q4 ONCOLOGY Anticancer research Pub Date : 2025-01-01 DOI:10.21873/anticanres.17423
Hiromichi Oshiro, Kohei Mizuta, Yuta Miyashi, Yoshiro Yoshikawa, Yasunori Tome, Kotaro Nishida
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引用次数: 0

摘要

背景/目的:本研究旨在评估软组织肉瘤(STSs)患者18f -氟氧葡萄糖正电子发射断层扫描计算机断层扫描(18F-FDG-PET/CT)的最大标准化摄取值(SUVmax)与老年营养风险指数(GNRI)的关系。患者和方法:本单中心回顾性观察性研究包括接受18F-FDG-PET/CT检查的患者,在治疗干预前测量血清白蛋白水平、身高和体重。结果:共纳入81例患者。平均SUVmax为11.1±9.9。高SUVmax组(≥11.1)的5年总生存率(OS)和无病生存率(DFS)分别为79.7%和52.4%,低SUVmax组(91.0%和73.0%)的5年总生存率(OS)和无病生存率(DFS)分别为91.0%和73.0%(结论:STS患者的高SUVmax和低GNRI可能导致预后不良。肿瘤糖代谢活性的失调升高可能影响STS患者的血清白蛋白水平和体重减轻,导致GNRI下降。
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Relationship Between 18F-FDG-PET/CT-derived Tumor Glucose Metabolic Activity, Nutritional Risk, and Survival in Patients With Soft-tissue Sarcoma.

Background/aim: The present study aimed to assess the relationship between the maximum standardized uptake value (SUVmax) on 18F-fluorodeoxyglucose positron emission tomography computed tomography (18F-FDG-PET/CT) and the geriatric nutritional risk index (GNRI) in patients with soft-tissue sarcomas (STSs).

Patients and methods: The present single-center retrospective observational study included patients who underwent 18F-FDG-PET/CT and for whom serum albumin levels, height, and body weight were measured prior to therapeutic intervention.

Results: A total of 81 patients were included in the study. The mean SUVmax was 11.1±9.9. The 5-year overall survival (OS) and disease-free survival (DFS) rates were 79.7% and 52.4%, respectively, for the higher SUVmax group (≥11.1) and 91.0% and 73.0%, respectively, for the lower SUVmax group (<11.1). For the GNRI, the 5-year OS and DFS rates were 89.6% and 64.3%, respectively, for the negative-risk group, and 73.3% and 77.1% for the positive-risk group, respectively, with no significant differences. The mean SUVmax was 9.7±8.1 and 19.1±14.9 for the negative- and positive-risk groups, respectively. The positive-risk group had a significantly higher SUVmax than the negative-risk group (p=0.03). Furthermore, there was a negative correlation between the SUVmax and GNRI (r=-0.48, p<0.05).

Conclusion: A higher SUVmax and lower GNRI in patients with STS may contribute to a poor prognosis. The deregulatory elevation of tumor glucose metabolic activity may affect serum albumin levels and weight loss in patients with STS, resulting in a decrease in the GNRI.

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来源期刊
Anticancer research
Anticancer research 医学-肿瘤学
CiteScore
3.70
自引率
10.00%
发文量
566
审稿时长
2 months
期刊介绍: ANTICANCER RESEARCH is an independent international peer-reviewed journal devoted to the rapid publication of high quality original articles and reviews on all aspects of experimental and clinical oncology. Prompt evaluation of all submitted articles in confidence and rapid publication within 1-2 months of acceptance are guaranteed. ANTICANCER RESEARCH was established in 1981 and is published monthly (bimonthly until the end of 2008). Each annual volume contains twelve issues and index. Each issue may be divided into three parts (A: Reviews, B: Experimental studies, and C: Clinical and Epidemiological studies). Special issues, presenting the proceedings of meetings or groups of papers on topics of significant progress, will also be included in each volume. There is no limitation to the number of pages per issue.
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