Prognostic Value of 18F-Fluorodeoxyglucose Positron Emission Tomography in Patients with Resectable Pancreatic Cancer.
10.3349/ymj.2013.54.6.1377
- Author:
Hye Jin CHOI
1
;
Chang Moo KANG
;
Woo Jung LEE
;
Si Young SONG
;
Arthur CHO
;
Mijin YUN
;
Jong Doo LEE
;
Joo Hang KIM
;
Jae Hoon LEE
Author Information
1. Yonsei Pancreatico-Biliary Cancer Clinic, Severance Hospital, Seoul, Korea.
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
FDG PET;
pancreatic cancer;
prognosis;
curative resection
- MeSH:
Aged;
Aged, 80 and over;
Disease-Free Survival;
Female;
Fluorodeoxyglucose F18/*diagnostic use;
Humans;
Male;
Middle Aged;
Pancreatic Neoplasms/*diagnosis/mortality;
Positron-Emission Tomography/*methods;
Retrospective Studies
- From:Yonsei Medical Journal
2013;54(6):1377-1383
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We evaluated the prognostic value of 18F-2-fluoro-2-deoxyglucose positron emission tomography (FDG PET) in patients with resectable pancreatic cancer. MATERIALS AND METHODS: We retrospectively reviewed the medical records of pancreatic cancer patients who underwent curative resection, which included 64 consecutive patients who had preoperative FDG PET scans. For statistical analysis, the maximal standardized uptake value (SUVmax) of primary pancreatic cancer was measured. Survival time was estimated by the Kaplan-Meier method, and Cox's proportional hazard model was used to determine whether SUVmax added new predictive information concerning survival together with known prognostic factors. p<0.05 indicated statistical significance. RESULTS: Overall survival (OS) and disease-free survival (DFS) were respectively 42.9 months (27.6-58.2; 95% CI) and 14.9 months (10.1-19.7; 95% CI). When subjects were divided into two groups according to SUVmax with a cutoff value of 3.5, the high SUVmax group (n=32; SUVmax >3.5) showed significantly shorter OS and DFS than the low SUVmax group. Multivariate analysis of OS and DFS showed that both high SUVmax and poor tumor differentiation were independent poor prognostic factors. CONCLUSION: Our study showed that degree of FDG uptake was an independent prognostic factor in pancreatic cancer patients who underwent curative resection.
