临床肿瘤学杂志

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18F-FDG PET/CT代谢参数与结直肠癌临床病理特征的关系

丁重阳,李天女,孙 晋   

  1. 210029 南京 南京医科大学第一附属医院核医学科
  • 收稿日期:2016-07-04 修回日期:2016-10-02 出版日期:2017-01-30 发布日期:2017-01-30
  • 通讯作者: 李天女

The relationship between 18F-FDG PET/CT metabolic parameters and clinicopathological factors of colorectal cancer

DING Chongyang, LI Tiannv, SUN Jin.
  

  1. Department of Nuclear Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2016-07-04 Revised:2016-10-02 Online:2017-01-30 Published:2017-01-30
  • Contact: LI Tiannv

摘要: 目的 探讨结直肠癌(CRC)原发灶的代谢参数与临床病理特征的相关性。方法 回顾性分析84例CRC患者术前行18F-FDG PET/CT检查的资料,检测原发灶的最大标准摄取值(SUVmax)、平均标准摄取值(SUVmean)、代谢体积(MTV),并计算病灶糖酵解总量(TLG),分析上述代谢参数与临床病理特征的相关性。结果 84例CRC原发灶的SUVmax、SUVmean、MTV、TLG分别为11.79(5.36,29.48)、7.11(3.10,19.51)、14.67(3.22,54.77)cm3、96.47(13.18,936.93)g。原发灶SUVmax、SUVmean、MTV、TLG与肿瘤部位、分化程度和最大直径有关(P<0.05)。原发灶SUVmax、SUVmean、MTV、TLG与T分期有关(r=0.318,r=0.281,r=0.390,r=0.416,P<0.05),与N、M分期均无关(P>0.05)。TLG仅与TNM分期呈正相关(r=0.355,P=0.001)。结论 CRC原发灶代谢参数与临床病理因素具有较好的相关性,在一定程度上可反映肿瘤的部分病理特征。

Abstract: Objective To investigate the correlation between metabolic parameters of 18F-FDG PET/CT and clinicopathological features of colorectal cancer(CRC). Methods The study comprised 84 patients with colorectal cancer. All patients were underwent 18F-FDG PET/CT before surgery. Maximum standardized uptake value(SUVmax), mean standardized uptake value(SUVmean)and metabolic tumor volume(MTV) of primary lesion were measured, and total lesion glycolysis(TLG) was calculated. Relationship between metabolic parameters and clinicapathological factors was analyzed. Results SUVmax, SUVmean, MTV and TLG of 84 primary lesions were 11.79(5.36,29.48), 7.11(3.10,19.51), 14.67(3.22,54.77)cm3 and 96.47(13.18,936.93)g, respectively. SUVmax, SUVmean, MTV and TLG were related to the tumor location, differentiation degree and the maximum diameter(P<0.05).T stage were both positively correlation with all metabolic parameters(r=0.318,r=0.281,r=0.390,r=0.416,P<0.05). Only the TLG was positively correlation with clinical stage(r=0.355,P=0.001). Conclusion Metabolic parameters of CRC primary lesion have good correlation with clinicopathological factors, and can reflect partial characteristics of the tumor pathology in a certain extent.

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