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. 2023 Sep 30;31(1):433–451. doi: 10.1245/s10434-023-14352-z

Table 5.

Effect of immune and metabolic markers on pathologic response (in the presence of 18F-FDG-PET/CT)

Author Total sample size n pGR (TRG1–2)a n pPR (TRG3–5)a Correlation clinical biomarkers with pathologic tumor response p-Value
ΔSUVmax
Fang et al., 201732 b 20 14 6 ΔSUVmax was not correlated with pCR on interim and post-CRT scan

0.508;

1.00

Kukar et al., 201534 c 77 22 55 ΔSUVmax was higher in pGR 0.03
Arnett et al., 201635 d 193 NM NM ΔSUVmax was not correlated with pCR 0.25
Lee et al., 202138 e 158 44 114 ΔSUVmax did not differ between pCR and pPR 0.201
Van Rossum et al., 201740 d 70 27 43 Higher ΔSUVmax was significantly related to a good response 0.01
Li et al., 202121 d 127 57 (TRG1) 70 (TRG2–5) ΔSUVmax was an independent predictor for pCR 0.002
% reduction in SUVmax
Kukar et al., 201534 c 77 22 55 % reduction SUVmax was higher in pGR 0.03
Lee et al., 202138 e 158 44 114 % reduction SUVmax did not differ between pCR and pPR 0.071
Piessen et al., 201339 b 60 21 25 No significant difference in % reduction SUVmax between pGR and pPR 0.310
Dewan et al., 201737 d 70 24 (TRG1) 46 (TRG2–5) % reduction SUVmax of 72.32% predicts pCR (sensitivity 70.8%, specificity 67.4%) 0.011
TLG
Choi et al., 202136 d 275 75 (TRG1) 200 (TRG2–5) Higher pre-CRT TLG (> 205.67) was associated with a lower probability of pCR 0.0318
Van Rossum et al., 201740 d 70 27 43 Higher post-TLG was associated with a higher chance of pPR 0.01
MTV
Fang et al., 201732 b 20 14 6 MTV was not correlated with pCR on interim and post-CRT scan 0.198; 0.6
Gillham et al., 200633 c 32 9 23 No correlation between MTV and TRG 0.472
Choi et al., 202136 d 275 75 (TRG1) 200 (TRG2–5) Higher post-MTV (> 4.99) was associated with a low probability of pCR 0.0005
Van Rossum et al., 201740 d 70 27 43 Higher post-MTV was associated with a higher chance of pPR 0.01
ΔSUVmean
Fang et al., 201732 b 20 14 6 No correlation between ΔSUVmean and TRG on interim and post-CRT scan 0.424; 0.704
Gillham et al., 200633 c 32 9 23 No correlation between ΔSUVmean and TRG 0.645
Kukar et al., 201534 c 77 22 55 ΔSUVmean was higher in pGR 0.03
ΔSUVratio
Li et al., 202121 d 127 57 (TRG1) 70 (TRG2–5) ΔSUVratio was an independent predictor for pCR 0.007
Obesity
Wang et al., 201022 d 405 85 (TRG1) 121 (TRG2–5) BMI is not a significant predictor for pCR 0.9879

Bold values indicate the significant values (p < 0.05)

a In case studies that made different divisions in pathologic responders, the numbers and specific tumor regression grade were indicated in the table

b Mann–Whitney test

c Wilcoxon rank-sum test and Kruskal–Wallis

d Logistic regression

e Student’s t-test

18F-FDG-PET/CT F-18 fluorodeoxyglucose positron emission tomography/computed tomography, pGR pathologic good responders, pPR pathologic poor responders, TRG tumor regression grade according to Mandard, SUVmax maximum standardized uptake value, SUVmean mean standardized uptake value, TLG total lesion glycolysis, MTV metabolic tumor volume, SUVratio standardized uptake value ratio, NM not mentioned, pCR pathologic complete response, BMI body mass index