Please use this identifier to cite or link to this item:
Title: Bone metastases in patients with metastatic breast cancer: morphologic and metabolic monitoring of response to systemic therapy with integrated PET/CT
Author: Tateishi, Ukihide
Gámez, Cristina
Dawood, Shaheenah
Yeung, Henry W. D.
Cristofanilli, Massimo
Macapinlac, Homer A.
Keywords: Càncer de mama
Càncer d'ossos
Monitoratge de pacients
Tomografia per emissió de positrons
Raigs X
Breast cancer
Bones cancer
Patient monitoring
Positron emission tomography
Issue Date: Apr-2008
Publisher: Radiological Society of North America.
Abstract: Purpose: to retrospectively compare morphologic and metabolic changes in bone metastases in response to systemic therapy in patients with metastatic breast cancer (MBC) with integrated positron emission tomography (PET)/computed tomography (CT). Materials and methods: the institutional review board waived the requirement for informed consent and approved this HIPAA-compliant study. A retrospective analysis was performed with 102 women (mean age, 55 years) with MBC who received systemic treatment. All patients underwent integrated PET/CT before and after treatment. Two reviewers analyzed the images in consensus. Morphologic changes, including morphologic patterns, and lesion attenuation were evaluated. Standardized uptake value (SUV) and total lesion glycolysis (TLG) were analyzed to evaluate metabolic changes. Uni- and multivariate analyses were performed to identify factors that enabled response duration (RD) to be predicted. Results: at baseline, the morphologic patterns of the target lesions were lytic (n = 33), sclerotic (n = 22), mixed (n = 42), and unclassified (n = 5). Progression of sclerotic change after treatment was identified in 49 patients (48%). After treatment, the mean attenuation of the lesion increased, whereas the mean SUV and TLG decreased. Increases in attenuation correlated significantly with decreases in SUV (r = -0.510, P < .001) and TLG (r = -0.491, P < . 001). Univariate analysis revealed that the increase in attenuation and the decrease in SUV were potential predictors of RD. Multivariate analysis revealed that an increase in the change in SUV was a significant predictor of RD (relative risk, 2.4; P = .003). Conclusion: a decrease in SUV after treatment was an independent predictor of RD in patients with MBC who had bone metastases.
Note: Reproducció del document publicat a:
It is part of: Radiology, 2008, vol. 247, num. 1, p. 189-196
Related resource:
ISSN: 0033-8419
Appears in Collections:Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Files in This Item:
File Description SizeFormat 
688386.pdf551.8 kBAdobe PDFView/Open

This item is licensed under a Creative Commons License Creative Commons