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18F-fluorothymidine PET for predicting survival in patients with resectable pancreatic cancer.


ABSTRACT:

Purpose

The aim of this study was to correlate preoperative 3'-deoxy-3'-[18F] fluorothymidine (FLT) uptake with the clinical outcome and survival in these patients after surgery.

Materials and methods

We performed a prospective analysis in 27 patients with adenocarcinoma of the pancreas (15 males, 12 females, mean age: 62 ± 13 years, range: 34 - 86 years). FLT PET (45 min p.i., 300 MBq FLT; ECAT HR+) images were acquired according to standard protocols. FLT uptake was quantified using standardised uptake values (SUV). Mean follow-up was 35 months (range 24-49). FLT uptake was correlated with survival using Martingale residual analysis.

Results

Twenty-two patients died during follow-up. Mean overall survival was 18.8 months (SD: 12.7 months, 95% CI: 7.7, 26.5). FLT PET showed a mean SUV of 2.5 (range: 1.1 - 6.5). Martingale residual analysis revealed significant correlation between survival and FLT uptake (p = 0.045). The corresponding estimated hazard ratio per one-point increment of SUVmean was 1.298 (95% CI: 1.001, 1.685; p < 0.05).

Conclusions

FLT PET allows risk stratification for death in patients with resectable pancreatic cancer prior to surgery.

SUBMITTER: Wieder H 

PROVIDER: S-EPMC5839378 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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<sup>18</sup>F-fluorothymidine PET for predicting survival in patients with resectable pancreatic cancer.

Wieder Hinrich H   Beer Ambros J AJ   Siveke Jens J   Schuster Tibor T   Buck Andreas K AK   Herrmann Ken K   Stollfuss Jens C JC  

Oncotarget 20180112 11


<h4>Purpose</h4>The aim of this study was to correlate preoperative 3'-deoxy-3'-[<sup>18</sup>F] fluorothymidine (FLT) uptake with the clinical outcome and survival in these patients after surgery.<h4>Materials and methods</h4>We performed a prospective analysis in 27 patients with adenocarcinoma of the pancreas (15 males, 12 females, mean age: 62 ± 13 years, range: 34 - 86 years). FLT PET (45 min p.i., 300 MBq FLT; ECAT HR+) images were acquired according to standard protocols. FLT uptake was q  ...[more]

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