18F-fluorodeoxyglucose positron emission tomography and computed tomography in anaplastic thyroid cancer

  • Thomas Poisson
  • Désirée Deandreis
  • Sophie Leboulleux
  • François Bidault
  • Guillaume Bonniaud
  • Sylvain Baillot
  • Anne Aupérin
  • Abir Al Ghuzlan
  • Jean-Paul Travagli
  • Jean Lumbroso
  • Eric Baudin
  • Martin Schlumberger
Original Article

Abstract

Purpose

Our aim was to evaluate in anaplastic thyroid carcinoma (ATC) patients the value of 18F-FDG PET/CT compared with total body computed tomography (CT) using intravenous contrast material for initial staging, prognostic assessment, therapeutic monitoring and follow-up.

Methods

Twenty consecutive ATC patients underwent PET/CT for initial staging. PET/CT was performed again during follow-up. The gold standard was progression on imaging follow-up (CT or PET/CT) or confirmation with another imaging modality.

Results

A total of 265 lesions in 63 organs were depicted in 18 patients. Thirty-five per cent of involved organs were demonstrated only with PET/CT and one involved organ only with CT. In three patients, the extent of disease was significantly changed with PET/CT that demonstrated unknown metastases. Initial treatment modalities were modified by PET/CT findings in 25% of cases. The volume of FDG uptake (≥300 ml) and the intensity of FDG uptake (SUVmax ≥18) were significant prognostic factors for survival. PET/CT permitted an earlier assessment of tumour response to treatment than CT in 4 of the 11 patients in whom both examinations were performed. After treatment with combined radiotherapy and chemotherapy, only the two patients with a negative control PET/CT had a confirmed complete remission at 14 and 38 months; all eight patients who had persistent FDG uptake during treatment had a clinical recurrence and died.

Conclusion

FDG PET/CT appears to be the reference imaging modality for ATC at initial staging and seems promising in the early evaluation of treatment response and follow-up.

Keywords

Anaplastic thyroid carcinoma 18F-FDG PET/CT 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Thomas Poisson
    • 1
    • 8
  • Désirée Deandreis
    • 1
  • Sophie Leboulleux
    • 1
  • François Bidault
    • 2
  • Guillaume Bonniaud
    • 3
  • Sylvain Baillot
    • 4
  • Anne Aupérin
    • 4
  • Abir Al Ghuzlan
    • 5
  • Jean-Paul Travagli
    • 6
  • Jean Lumbroso
    • 1
  • Eric Baudin
    • 1
  • Martin Schlumberger
    • 1
    • 7
  1. 1.Department of Nuclear Medicine and Endocrine OncologyInstitut Gustave Roussy and University Paris-Sud XIVillejuif CedexFrance
  2. 2.Department of RadiologyInstitut Gustave Roussy and University Paris-Sud XIVillejuif CedexFrance
  3. 3.Department of Medical PhysicsInstitut Gustave Roussy and University Paris-Sud XIVillejuif CedexFrance
  4. 4.Department of EpidemiologyInstitut Gustave Roussy and University Paris-Sud XIVillejuif CedexFrance
  5. 5.Department of PathologyInstitut Gustave Roussy and University Paris-Sud XIVillejuif CedexFrance
  6. 6.Department of Endocrine SurgeryInstitut Gustave Roussy and University Paris-Sud XIVillejuif CedexFrance
  7. 7.Service de Médecine Nucléaire et de Cancérologie EndocrinienneInstitut Gustave RoussyVillejuifFrance
  8. 8.Service de Médecine Nucléaire, Hôpital BichatParisFrance

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