Combined CT, FDG-PET improves head/neck cancer treatments

Source: www.drbicuspid.com Author: staff Combining CT with fluorodeoxyglucose positron emission tomography (FDG-PET) imaging results in significantly more defined tumor outlines and potentially different treatment options in head and neck cancer patients compared with using CT alone, according to research presented April 29 at the Cancer Imaging and Radiation Therapy Symposium in Atlanta. In this trial, conducted at Utrecht University Medical Center, 327 patients were treated with intensity-modulated radiation therapy for head and neck cancer. Based on the combined approach of the CT scan and FDG-PET, the researchers noticed a change in the delineation of the tumor in one out of three patients, resulting in 10% of patients' treatment being changed and 33% of patients having their treatment adjusted. In 17% of the patients, the primary tumor was not visible on the CT scan alone, mostly due to dental inlays. "We expected there to be an improved delineation of the tumor," said Homan Dehnad, MD, study author and radiation oncologist at Utrecht University Medical Center. "However, we never expected it to have such an influence on the treatment options for patients. Each dedicated institute dealing with head and neck cancer should be equipped with multi-imaged facilities."

Maximal standard uptake value predicted survival outcomes

Source: www.hemonctoday.com Author: Christen Haigh Maximal standardized uptake value measured from FDG PET readings from the primary tumor of patients with squamous cell carcinoma of the head and neck predicted disease-specific survival, overall survival (OS) and disease free survival (DFS). Additionally, pretreatment maximal standardized uptake value, or SUVmax, for lymphadenopathy was associated with distant metastasis, according to the findings of a study presented at the Multidisciplinary Head and Neck Cancer Symposium in Chandler, Ariz. “FDG PET scan before treatment for head and neck cancer may help to guide future treatment of patients with high SUV in the tumor and node,” Min Yao, MD, PhD, radiation oncologist at University Hospitals Case Medical Center, Cleveland, said during a news briefing. Researchers conducted a retrospective study of 295 patients treated with intensity-modulated radiation therapy. There were 177 patients who had FDG PET pretreatment and had SUVmax for primary tumor and/or lymphadenopathy (SUV-LN). The three-year local recurrence-free survival rate was 95%; the regional recurrence-free survival rate was 95% and the local-regional recurrence-free survival rate was 92.6%. The three-year distant metastasis-free survival and disease-specific survival rates were both 78.8%. DFS was 63.95% and OS was 67.4%. Primary tumor SUVmax was significantly associated with DFS and OS. A strong association was noted for DFS as well, according to researchers. The three-year distant metastasis-free survival rate was 82.1% when SUV-LN was less than 11.3% and 63.4% when SUV-LN was greater than 11.3. “The findings of this study show that we may use SUV before treatment to personalize [...]

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