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11C-methionine PET as a prognostic marker in patients with glioma: comparison with 18F-FDG PET

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Abstract

Purpose

The purpose of this study was to compare the prognostic value of 11C-methionine (MET) and 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) in glioma patients.

Methods

The study population comprised 47 patients with gliomas (19 glioblastoma, 28 others). Pretreatment magnetic resonance imaging, MET PET and FDG PET were performed within a time interval of 2 weeks in all patients. The uptake ratio and standard uptake values were calculated. Univariate and multivariate analyses were done to determine significant prognostic factors. Ki-67 index was measured by immunohistochemical staining, and compared with FDG and MET uptake in glioma.

Results

Among the several clinicopathological prognostic factors, tumour pathology (glioblastoma or not), age (≥60 or <60 years), Karnofsky performance status (KPS) (≥70 or <70) and MET PET (higher uptake or not compared with normal cortex) were found to be significant predictors by univariate analysis. In multivariate analysis, tumour pathology, KPS and MET PET were identified as significant independent predictors. The Ki-67 proliferation index was significantly correlated with MET uptake (r=0.64), but not with FDG uptake.

Conclusion

Compared with FDG PET in glioma, MET PET was an independent significant prognostic factor and MET uptake was correlated with cellular proliferation. MET PET may be a useful biological prognostic marker in glioma patients.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul, 110-744, Korea

    Sungeun Kim, June-Key Chung, Jae Min Jeong, Dong Soo Lee & Myung Chul Lee

  2. Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea

    Sungeun Kim, June-Key Chung & Jae Min Jeong

  3. Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea

    So-Hyang Im, Dong Gyu Kim & Hee Won Jung

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  1. Sungeun Kim
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  2. June-Key Chung
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  3. So-Hyang Im
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  6. Dong Gyu Kim
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Correspondence to June-Key Chung.

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Kim, S., Chung, JK., Im, SH. et al. 11C-methionine PET as a prognostic marker in patients with glioma: comparison with 18F-FDG PET. Eur J Nucl Med Mol Imaging 32, 52–59 (2005). https://doi.org/10.1007/s00259-004-1598-6

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  • DOI: https://doi.org/10.1007/s00259-004-1598-6

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