Repeatability of FDG PET/CT metrics assessed in free breathing and deep inspiration breath hold in lung cancer patients
We measured the repeatability of FDG PET/CT uptake metrics when acquiring scans in free breathing (FB) conditions compared with deep inspiration breath hold (DIBH) for locally advanced lung cancer. Twenty patients were enrolled in this prospective study. Two FDG PET/CT scans per patient were conduct...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
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e-Century Publishing
2018
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| _version_ | 1797102721647509504 |
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| author | Nygård, L Aznar, M Fischer, B Persson, G Christensen, C Andersen, F Josipovic, M Langer, S Kjær, A Vogelius, I Bentzen, S |
| author_facet | Nygård, L Aznar, M Fischer, B Persson, G Christensen, C Andersen, F Josipovic, M Langer, S Kjær, A Vogelius, I Bentzen, S |
| author_sort | Nygård, L |
| collection | OXFORD |
| description | We measured the repeatability of FDG PET/CT uptake metrics when acquiring scans in free breathing (FB) conditions compared with deep inspiration breath hold (DIBH) for locally advanced lung cancer. Twenty patients were enrolled in this prospective study. Two FDG PET/CT scans per patient were conducted few days apart and in two breathing conditions (FB and DIBH). This resulted in four scans per patient. Up to four FDG PET avid lesions per patient were contoured. The following FDG metrics were measured in all lesions and in all four scans: Standardized uptake value (SUV)peak, SUVmax, SUVmean, metabolic tumor volume (MTV) and total lesion glycolysis (TLG), based on an isocontur of 50% of SUVmax. FDG PET avid volumes were delineated by a nuclear medicine physician. The gross tumor volumes (GTV) were contoured on the corresponding CT scans. Nineteen patients were available for analysis. Test-retest standard deviations of FDG uptake metrics in FB and DIBH were: SUVpeak FB/DIBH: 16.2%/16.5%; SUVmax: 18.2%/22.1%; SUVmean: 18.3%/22.1%; TLG: 32.4%/40.5%. DIBH compared to FB resulted in higher values with mean differences in SUVmax of 12.6%, SUVpeak 4.4% and SUVmean 11.9%. MTV, TLG and GTV were all significantly smaller on day 1 in DIBH compared to FB. However, the differences between metrics under FB and DIBH were in all cases smaller than 1 SD of the day to day repeatability. FDG acquisition in DIBH does not have a clinically relevant impact on the uptake metrics and does not improve the test-retest repeatability of FDG uptake metrics in lung cancer patients. |
| first_indexed | 2024-03-07T06:09:50Z |
| format | Journal article |
| id | oxford-uuid:ef170da6-317c-4d59-bc13-6913a26d4f55 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:09:50Z |
| publishDate | 2018 |
| publisher | e-Century Publishing |
| record_format | dspace |
| spelling | oxford-uuid:ef170da6-317c-4d59-bc13-6913a26d4f552022-03-27T11:37:50ZRepeatability of FDG PET/CT metrics assessed in free breathing and deep inspiration breath hold in lung cancer patientsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ef170da6-317c-4d59-bc13-6913a26d4f55EnglishSymplectic Elements at Oxforde-Century Publishing2018Nygård, LAznar, MFischer, BPersson, GChristensen, CAndersen, FJosipovic, MLanger, SKjær, AVogelius, IBentzen, SWe measured the repeatability of FDG PET/CT uptake metrics when acquiring scans in free breathing (FB) conditions compared with deep inspiration breath hold (DIBH) for locally advanced lung cancer. Twenty patients were enrolled in this prospective study. Two FDG PET/CT scans per patient were conducted few days apart and in two breathing conditions (FB and DIBH). This resulted in four scans per patient. Up to four FDG PET avid lesions per patient were contoured. The following FDG metrics were measured in all lesions and in all four scans: Standardized uptake value (SUV)peak, SUVmax, SUVmean, metabolic tumor volume (MTV) and total lesion glycolysis (TLG), based on an isocontur of 50% of SUVmax. FDG PET avid volumes were delineated by a nuclear medicine physician. The gross tumor volumes (GTV) were contoured on the corresponding CT scans. Nineteen patients were available for analysis. Test-retest standard deviations of FDG uptake metrics in FB and DIBH were: SUVpeak FB/DIBH: 16.2%/16.5%; SUVmax: 18.2%/22.1%; SUVmean: 18.3%/22.1%; TLG: 32.4%/40.5%. DIBH compared to FB resulted in higher values with mean differences in SUVmax of 12.6%, SUVpeak 4.4% and SUVmean 11.9%. MTV, TLG and GTV were all significantly smaller on day 1 in DIBH compared to FB. However, the differences between metrics under FB and DIBH were in all cases smaller than 1 SD of the day to day repeatability. FDG acquisition in DIBH does not have a clinically relevant impact on the uptake metrics and does not improve the test-retest repeatability of FDG uptake metrics in lung cancer patients. |
| spellingShingle | Nygård, L Aznar, M Fischer, B Persson, G Christensen, C Andersen, F Josipovic, M Langer, S Kjær, A Vogelius, I Bentzen, S Repeatability of FDG PET/CT metrics assessed in free breathing and deep inspiration breath hold in lung cancer patients |
| title | Repeatability of FDG PET/CT metrics assessed in free breathing and deep inspiration breath hold in lung cancer patients |
| title_full | Repeatability of FDG PET/CT metrics assessed in free breathing and deep inspiration breath hold in lung cancer patients |
| title_fullStr | Repeatability of FDG PET/CT metrics assessed in free breathing and deep inspiration breath hold in lung cancer patients |
| title_full_unstemmed | Repeatability of FDG PET/CT metrics assessed in free breathing and deep inspiration breath hold in lung cancer patients |
| title_short | Repeatability of FDG PET/CT metrics assessed in free breathing and deep inspiration breath hold in lung cancer patients |
| title_sort | repeatability of fdg pet ct metrics assessed in free breathing and deep inspiration breath hold in lung cancer patients |
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