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Relationship Between Dual-Time Point FDG PET and Immunohistochemical Parameters in Preoperative Colorectal Cancer: Preliminary Study
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  • Relationship Between Dual-Time Point FDG PET and Immunohistochemical Parameters in Preoperative Colorectal Cancer: Preliminary Study
  • Relationship Between Dual-Time Point FDG PET and Immunohistochemical Parameters in Preoperative Colorectal Cancer: Preliminary Study
저자명
Lee. Jai-Hyuen,Lee. Won-Ae,Park. Seok-Gun,Park. Dong-Kook,NamGung. Hwan
간행물명
Nuclear medicine and molecular imaging : NMMI
권/호정보
2012년|46권 1호|pp.48-56 (9 pages)
발행정보
대한핵의학회
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정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose : The clinical availability of 2-deoxy-2-[18F] fluoro-D-glucose (FDG) dual-time point positron emission tomography/computerized tomography (DTPP) has been investigated in diverse oncologic fields. The aim of this preliminary study was to evaluate the relationship between various immunohistopathologic markers reflecting disease progression of colorectal cancer and parameters extracted from FDG DTPP in colorectal cancer patients. Materials and Methods : Forty-seven patients with histologically confirmed colorectal cancer were analyzed in this preliminary study. FDG DTPP consisted of an early scan 1 h after FDG injection and a delayed scan 1.5 h after the early scan. Based on an analysis of FDG DTPP, we estimated the maximum standardized uptake value (SUV) of tumors on the early and delayed scans ($SUV_{early}$ and $SUV_{delayed}$, respectively). The retention index (RI) was calculated as follows: $(SUV_{delayed}-SUV_{early}){ imes}100/SUV_{early}$. The clinicopathological findings (size and T and N stages) and immunohistochemical factors [glucose transporter 1 (GLUT-1), hexokinase 2 (HK-2), p53, P504S, and ${eta}$-catenin] were analyzed by visual analysis. Results : The RIs calculated from the SUVs ranged from -1.8 to 73.4 ($31.8{pm}15.5$). The RIs were significantly higher in patients with high T stages (T3 and T4) than with low T stages (T1 and T2; p<0.05). Among the immunohistochemical analytic markers, GLUT-1 had the highest positive staining rate (93.6%) compared to other markers. Based on univariable analysis, it was shown that the RI of high-level GLUT-1 expression was significantly higher than low-level GLUT-1 expression (p=0.01), and the RI of high-level p53 expression was slightly higher than low-level p53 expression (p=0.08). Multi-variate analysis to investigate a link between RI and clinicopathologic parameters of colorectal carcinoma showed that GLUT-1, p53, and T staging were independently connected with increased RIs (p<0.05, total) using backward selection methods. There was no significant statistical relationship between $SUV_{early}$ and $SUV{delayed}$ and clinicopathologic parameters in this study. Conclusion : The RIs obtained from preoperative colorectal cancers had a significant relationship to tumor size, T staging, GLUT-1, and p53, in contrast to $SUV_{early}$ or $SUV_{delayed}$ Compared with previous reports, our results showed that RI can better predict GLUT-1 expression than HK-2 and other immunohistochemical markers. This study demonstrated that the RI might have the potential to be applied as a prognostic marker in preoperative colorectal cancer.