Table 1.
Patient # | Age/Sex | Initial Diagnosis | Pembrolizumab Duration (Wks) | SUVmean | SUVmax | SUVR | HV (mL) | Enhancing Volume (mL) | HF (%) | Clinical Outcome at the Time of FMISO PET | Progression-Free Survival (Days) |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 39/M | IDH wildtype, MGMT unmethylated | 58 | 1.34 | 1.54 | 0.96 | 0 | 0.7 | 0 | PSP at day 450 based on mRANO | 574 days based on biopsy at the time of subsequent progression |
2 | 52/W | IDH mutated, MGMT methylated | 148 | 1.74 | 2.31 | 0.99 | 0.21 | 4.0 | 5 | PSP at day 973 based on mRANO | 1095 based on mRANO with subsequent progression |
3 | 73/M | IDH wildtype, MGMT methylated | 51 | 2.41 | 3.94 | 1.12 | 1.44 | 14.2 | 10 | PSP at day 393 based on biopsy | 429 days as a result of perioperative death |
4 | 59/M | IDH wildtype, MGMT unmethylated | 11 | 1.80 | 3.70 | 1.14 | 1.47 | 6.07 | 24 | PSP at day 92 based on biopsy | 231 days based on mRANO with subsequent progression |
5 | 73/M | IDH wildtype, MGMT methylated | 41 | 2.14 | 4.38 | 1.46 | 12.80 | 7.2 | 178 | Recurrent tumor at day 278 based on biopsy | 292 days based on biopsy |
6 | 43/M | IDH wildtype, MGMT methylated | 40 | 1.72 | 2.84 | 1.15 | 1.38 | 1.62 | 85 | Recurrent tumor at day 346 based on mRANO | 399 based on mRANO |
Wks, weeks; IDH, isocitrate dehydrogenase; MGMT, O-6-Methylguanine-DNA methyltransferase; SUVmean/max, mean or maximum standard uptake value within the region of interest; SUVR, standard uptake value ratio; HV, hypoxic volume is defined by values >1.2× the normal cerebellum; enhancing volume, the volume of gadolinium-induced T1 shortening; HF, hypoxic fraction—the ratio of hypoxic volume to T1-weighted gadolinium-enhancing volume. Clinical outcome at the time of presumed progression FMISO PET examination defined by surgical tissue sampling or modified RANO (mRANO) criteria. PSP, pseudoprogression. Progression-free survival, time from surgical resection date to date of clinical outcome; recurrent tumor.