中华放射肿瘤学杂志
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Chinese Journal of Radiation Oncology  2016, Vol. 25 Issue (3): 207-211    DOI: 10.3760/cma.j.issn.1004-4221.2016.03.003
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Prognostic values of 18F-FDG PET/CT parameters in patients with nasopharyngeal carcinoma
Wang Chengtao,Ouyang Bin,Zhang Tian,Dong Jun,Kenneth S.HU,Wen Bixiu
Department of Radiation Oncology,First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China (Wang CT,Ouyang B,Zhang T,Dong J,Wen BX);Departments of Radiation Oncology,Mount Sinai Beth Israel Medical Center,New York,NY 10003,U.S.A.(Wang CT,Kenneth S.HU)
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Abstract   Objective At present,nasopharyngeal carcinoma (NPC) is a head and neck cancer with special geographical distribution and biological behavior. Studies have shown that 18F-FDG PET/CT parameters have certain prognostic values in patients with NPC in high-incidence areas. The aim of this study is to investigate the prognostic values of 18F-FDG PET/CT parameters in patients with NPC in low-incidence areas. Methods The clinical data of 83 NPC patients who were diagnosed and treated in Beth Israel Medical Center,Albert Einstein Medical College from January 2003 to December 2013 were analyzed retrospectively. Based on 18F-FDG PET/CT images,gross tumor volume (GTV) was delineated using the gradient method to obtain 18F-FDG PET/CT parameters:maximum standardized uptake value (SUVmax),metabolic tumor volume (MTV),and total lesion glycolysis (TLG). Results The number of patients followed was 37 at 3-years time. For all patients,the 3-year failure-free survival,locoregional relapse-free survival,and metastasis-free survival rates were 74%,88%,and 85%,respectively. The univariate analysis showed that SUVmax of the primary tumor (P=0.004) and TLG (P=0.014) were prognostic factors for 3-year locoregional relapse-free survival rate,and SUVmax of the primary tumor (P=0.024) and TLG (P=0.033) were prognostic factors for 3-year failure-free survival rate. The multivariate analysis showed that SUVmax of the primary tumor was the independent prognostic factor for 3-year failure-free survival rate. Conclusion SUVmax of the primary tumor before treatment is the independent prognostic factor for failure-free survival in patients with NPC.
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Articles by authors
Wang Chengtao
Ouyang Bin
Zhang Tian
Dong Jun
Kenneth S.HU
Wen Bixiu
Key wordsTomography,positron emission      Maximum standardized uptake value      Total lesion glycolysis      Nasopharyngeal neoplasms/radiotherapy      Nasopharyngeal neoplasms/chemotherapy      Prognosis     
Received: 06 January 2015     
Corresponding Authors: Wen Bixiu,Email:wenbix@mail.sysu.edu.cn   
Cite this article:   
Wang Chengtao,Ouyang Bin,Zhang Tian et al. Prognostic values of 18F-FDG PET/CT parameters in patients with nasopharyngeal carcinoma[J]. Chinese Journal of Radiation Oncology, 2016, 25(3): 207-211.
Wang Chengtao,Ouyang Bin,Zhang Tian et al. Prognostic values of 18F-FDG PET/CT parameters in patients with nasopharyngeal carcinoma[J]. Chinese Journal of Radiation Oncology, 2016, 25(3): 207-211.
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