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@ARTICLE{Galldiks:1046027,
author = {Galldiks, Norbert and Ceccon, Garry and Wollring, Michael
Matthias and Stetter, Isabelle and Werner, Jan-Michael and
Peplinski, Jana-Marie and Rosen, Jurij and Rosen, Elena K.
and Fink, Gereon Rudolf and Langen, Karl-Josef and Lohmann,
Philipp},
title = {{A}ssessment of 18{F}-{FET} {PET}-based response in
patients with gliomas using the {PET} {RANO} 1.0 criteria},
journal = {Neuro-oncology advances},
volume = {7},
number = {1},
issn = {2632-2498},
address = {Oxford},
publisher = {Oxford University Press},
reportid = {FZJ-2025-03667},
pages = {vdaf198},
year = {2025},
abstract = {BackgroundWe evaluated the amino acid PET-based response
assessment criteria (PET RANO 1.0) for their proficiency in
predicting longer survival in patients with gliomas
undergoing adjuvant temozolomide chemotherapy.MethodsIn a
previous study, 38 patients with newly diagnosed grade 4
gliomas according to the World Health Organisation
classification underwent O-(2-[18F]fluoroethyl)-L-tyrosine
(18F-FET) PET at baseline and after the second cycle of
adjuvant temozolomide chemotherapy. The ability of PET
parameter changes to predict favorable progression-free and
overall survival (PFS, OS) of ≥ 9 and ≥15 months was
evaluated. Here, we performed a post-hoc analysis of these
PET data to evaluate the PET RANO 1.0 criteria. In addition,
the value of the RANO 2.0 criteria for MRI to predict
response was evaluated and compared with the PET RANO 1.0
criteria.ResultsAccording to the PET RANO 1.0 criteria,
patients with Stable Disease (n = 16), Partial Response
(n = 9), or Complete Response (n = 0) had a
significantly longer OS than patients with Progressive
Disease (n = 13) (16.8 vs. 12.0 months; P = 0.016).
This difference remained significant in the multivariate
survival analysis (HR, 4.185; $95\%$ CI, 1.715-10.530,
P = 0.002). In contrast, PFS was not significantly
different between the two groups (9.7 vs. 8.1 months;
P = 0.147). PET RANO 1.0 criteria could not identify
patients with a PFS ≥ 9 months (P = 0.503) or
OS ≥ 15 months (P = 0.722). RANO 2.0 criteria for
MRI was unable to predict a longer PFS (8.8 vs. 9.8 months;
P = 0.565) or OS (16.4 vs. 16.8 months;
P = 0.625).ConclusionsOur data suggest that PET RANO 1.0
criteria identify survival differences between predefined
groups.},
cin = {INM-3 / INM-4},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)INM-4-20090406},
pnm = {5252 - Brain Dysfunction and Plasticity (POF4-525)},
pid = {G:(DE-HGF)POF4-5252},
typ = {PUB:(DE-HGF)16},
doi = {10.1093/noajnl/vdaf198},
url = {https://juser.fz-juelich.de/record/1046027},
}