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024 | 7 | _ | |a 1522-8517 |2 ISSN |
024 | 7 | _ | |a 1523-5866 |2 ISSN |
037 | _ | _ | |a FZJ-2022-02459 |
082 | _ | _ | |a 610 |
100 | 1 | _ | |a Ceccon, Garry |0 P:(DE-HGF)0 |b 0 |e Corresponding author |
245 | _ | _ | |a NIMG-79. EARLY TREATMENT RESPONSE ASSESSMENT USING O-(2-18F-FLUOROETHYL)-L-TYROSINE (FET) PET COMPARED TO MRI IN MALIGNANT GLIOMAS TREATED WITH ADJUVANT TEMOZOLOMIDE CHEMOTHERAPY |
260 | _ | _ | |c 2018 |
336 | 7 | _ | |a Text |2 DataCite |
336 | 7 | _ | |a Communication |b comm |m comm |0 PUB:(DE-HGF)4 |s 1655805436_1548 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a MISC |2 BibTeX |
336 | 7 | _ | |a OTHER |2 ORCID |
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336 | 7 | _ | |a Personal Communication |0 4 |2 EndNote |
520 | _ | _ | |a AbstractBACKGROUNDThe goal of this prospective study was to compare the value of conventional MRI and O-(2-18F-fluoroethyl)-L-tyrosine (FET) PET for response assessment in patients with malignant glioma treated with first-line adjuvant temozolomide chemotherapy (TMZ).METHODSAfter biopsy/resection and completion of radiotherapy with concomitant temozolomide, 34 malignant glioma patients (glioblastoma, n=31; IDH-wildtype anaplastic astrocytoma, n=2; H3K27-mutated midline glioma, n=1) (age range, 20–66 years) were subsequently treated with adjuvant TMZ (5/28). FET-PET scans were performed at baseline and after 10–12 weeks. The first follow-up MRI after radiotherapy (9 ± 3 weeks) was compared with the early postoperative MRI. We obtained FET metabolic tumor volumes (MTV) and tumor/brain ratios (TBR). Threshold values of FET-PET parameters for treatment response were established by ROC analyses using the progression-free survival (PFS) ≤/>9 months as reference. MRI response assessment was based on RANO criteria. The predictive ability of FET-PET thresholds and MRI changes on early response assessment was evaluated subsequently concerning PFS using univariate survival estimates.RESULTSRelative TBR changes were not predictive for a PFS>9 months (P>0.05), whereas the absolute MTV at follow-up significantly predicted a PFS>9 months (P=0.016; threshold, 14.5 ml). The relative MTV change enabled the most significant PFS prediction. Responders defined by relative MTV changes (threshold, ≤0%) had a significantly 2-fold longer PFS than non-responders (16 vs. 8 months, P=0.003). RANO criteria at the first follow-up MRI after radiotherapy were not predictive for a PFS>9 months (P=0.260). CONCLUSIONS: FET-PET appears to be useful for identifying responders to adjuvant TMZ early after treatment initiation. |
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588 | _ | _ | |a Dataset connected to CrossRef, Journals: juser.fz-juelich.de |
700 | 1 | _ | |a Lohmann, Philipp |0 P:(DE-Juel1)145110 |b 1 |u fzj |
700 | 1 | _ | |a Tscherpel, Caroline |b 2 |
700 | 1 | _ | |a Dunkl, Veronika |0 P:(DE-Juel1)156211 |b 3 |
700 | 1 | _ | |a Rapp, Marion |0 P:(DE-HGF)0 |b 4 |
700 | 1 | _ | |a Stoffels, Gabriele |0 P:(DE-Juel1)131627 |b 5 |u fzj |
700 | 1 | _ | |a Herrlinger, Ulrich |0 P:(DE-HGF)0 |b 6 |
700 | 1 | _ | |a Rosen, Jurij |0 P:(DE-HGF)0 |b 7 |
700 | 1 | _ | |a Wollring, Michael |0 P:(DE-Juel1)190394 |b 8 |u fzj |
700 | 1 | _ | |a Shah, Nadim J |0 P:(DE-Juel1)131794 |b 9 |u fzj |
700 | 1 | _ | |a Fink, Gereon R |0 P:(DE-Juel1)131720 |b 10 |u fzj |
700 | 1 | _ | |a Langen, Karl-Josef |0 P:(DE-Juel1)131777 |b 11 |u fzj |
700 | 1 | _ | |a Galldiks, Norbert |0 P:(DE-Juel1)143792 |b 12 |u fzj |
773 | _ | _ | |a 10.1093/neuonc/noy148.801 |0 PERI:(DE-600)2094060-9 |y 2018 |g Vol. 20, no. suppl_6, p. vi193 - vi193 |x 1523-5866 |
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