Table 2.
Patient | SUVmax lesion-FDG | SUVmax lesion-FLT | SUV mediastinal blood pool-FLT | Ratio of SUVmax lesion-FLT and SUVmax mediastinal blood pool-FLT | Focality of lesion on FLT | Recurrence prediction based on radiologist interpretation of FLT** | Recurrence confirmation by biopsy or serial imaging |
---|---|---|---|---|---|---|---|
1 | 3.4 | 3.9 | 1.0 | 3.9 | No | Recurrence | Recurrence* |
2 | 10 | 3.7 | 0.8 | 4.6 | Yes | Recurrence | Recurrence* |
3 | 6 | 2.0 | 1.6 | 1.3 | No | No Recurrence | Recurrence* |
4 | 6.8 | 5.9 | 0.7 | 8.4 | Yes | Recurrence | Recurrence† |
5 | 4.2 | 1.7 | 1.0 | 1.7 | No | No Recurrence | N/A |
6 | 2.4 | 1.3 | 0.9 | 1.4 | No | No Recurrence | No Recurrence† |
7 | 4.1 | 1.6 | 1.2 | 1.3 | No | No Recurrence | N/Aa |
8 | 3.6 | 2.1 | 1.1 | 1.9 | No | No Recurrence | No Recurrence* |
9 | 6.0 | 2.8 | 0.7 | 4.0 | Yes | Recurrence | Recurrence* |
10 | 4.2 | 1.5 | 0.6 | 2.5 | No | No Recurrence | No Recurrence† |
FLT-PET correctly predicted recurrence status in 7 of 8 assessable cases. Combination of both lesion FLT SUVmax > 2.0 plus ratio of lesion FLT SUVmax and mediastinal blood pool FLT SUVmax > 2.0 is indicative of disease recurrence.
Biopsy;
serial imaging;
radiologist interpreting FLT-PET scans was blinded to biopsy results and subsequent imaging. N/A: Patient died of unrelated causes before final determination of disease status could be achieved by biopsy or serial imaging.
Although final determination of disease status could not be achieved, lesion remained stable in size and FDG avidity on follow-up FDG-PET scan, 4 months after FLT-PET-CT.