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@ARTICLE{Bauer:873811,
author = {Bauer, Elena K. and Stoffels, Gabriele and Blau, Tobias and
Reifenberger, Guido and Felsberg, Jörg and Werner, Jan M.
and Lohmann, Philipp and Rosen, Jurij and Ceccon, Garry and
Tscherpel, Caroline and Rapp, Marion and Sabel, Michael and
Filss, Christian P. and Shah, Nadim J. and Neumaier, Bernd
and Fink, Gereon R. and Langen, Karl-Josef and Galldiks,
Norbert},
title = {{P}rediction of survival in patients with {IDH}-wildtype
astrocytic gliomas using dynamic
{O}-(2-[18{F}]-fluoroethyl)-l-tyrosine {PET}},
journal = {European journal of nuclear medicine and molecular imaging},
volume = {47},
issn = {1619-7089},
address = {Heidelberg [u.a.]},
publisher = {Springer-Verl.},
reportid = {FZJ-2020-01016},
pages = {1486–1495},
year = {2020},
abstract = {PurposeIntegrated histomolecular diagnostics of gliomas
according to the World Health Organization (WHO)
classification of 2016 has refined diagnostic accuracy and
prediction of prognosis. This study aimed at exploring the
prognostic value of dynamic
O-(2-[18F]-fluoroethyl)-l-tyrosine (FET) PET in newly
diagnosed, histomolecularly classified astrocytic gliomas of
WHO grades III or IV.MethodsBefore initiation of treatment,
dynamic FET PET imaging was performed in patients with newly
diagnosed glioblastoma (GBM) and anaplastic astrocytoma
(AA). Static FET PET parameters such as maximum and mean
tumour/brain ratios (TBRmax/mean), the metabolic tumour
volume (MTV) as well as the dynamic FET PET parameters
time-to-peak (TTP) and slope, were obtained. The predictive
ability of FET PET parameters was evaluated concerning the
progression-free and overall survival (PFS, OS). Using ROC
analyses, threshold values for FET PET parameters were
obtained. Subsequently, univariate Kaplan-Meier and
multivariate Cox regression survival analyses were performed
to assess the predictive power of these parameters for
survival.ResultsSixty patients (45 GBM and 15 AA patients)
of two university centres were retrospectively identified.
Patients with isocitrate dehydrogenase (IDH)-mutant or
O6-methylguanine-DNA-methyltransferase (MGMT)
promoter-methylated tumours had a significantly longer PFS
and OS (both P < 0.001). Furthermore, ROC analysis of
IDH-wildtype glioma patients (n = 45) revealed that a
TTP > 25 min (AUC, 0.90; sensitivity, $90\%;$
specificity, $87\%;$ P < 0.001) was highly prognostic
for longer PFS (13 vs. 7 months; P = 0.005) and OS (29
vs. 12 months; P < 0.001). In contrast, at a lower level
of significance, TBRmax, TBRmean, and MTV were only
prognostic for longer OS (P = 0.004, P = 0.038, and P
= 0.048, respectively). Besides complete resection and a
methylated MGMT promoter, TTP remained significant in
multivariate survival analysis (all P ≤ 0.02),
indicating an independent predictor for OS.ConclusionsOur
data suggest that dynamic FET PET allows the identification
of patients with longer OS among patients with newly
diagnosed IDH-wildtype GBM and AA.},
cin = {INM-3 / INM-4 / INM-5},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)INM-4-20090406 /
I:(DE-Juel1)INM-5-20090406},
pnm = {572 - (Dys-)function and Plasticity (POF3-572)},
pid = {G:(DE-HGF)POF3-572},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:32034446},
UT = {WOS:000515952800001},
doi = {10.1007/s00259-020-04695-0},
url = {https://juser.fz-juelich.de/record/873811},
}