[1]李金鹏,石丛丛,宋金龙,等.18F?蛳 FDG PET/CT显像在索拉非尼治疗肝细胞癌预后评估中的应用[J].介入放射学杂志,2013,(03):193-197.
 LI Jin? peng,SHI Cong? cong,SONG Jin? long,et al.The application of 18F?蛳 FDG PET/CT imaging in evaluating the prognosis of hepatocellular carcinoma treated with sorafenib[J].journal interventional radiology,2013,(03):193-197.
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18F?蛳 FDG PET/CT显像在索拉非尼治疗肝细胞癌预后评估中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2013年03期
页码:
193-197
栏目:
肿瘤介入
出版日期:
2013-03-25

文章信息/Info

Title:
The application of 18F?蛳 FDG PET/CT imaging in evaluating the prognosis of hepatocellular carcinoma treated with sorafenib
作者:
李金鹏 石丛丛 宋金龙 陈 华 李 蕾
Author(s):
LI Jin?蛳 peng SHI Cong?蛳 cong SONG Jin?蛳 long CHEN Hua LI Lei.
Section Nine, Department of Surgery, Shandong Provincial Tumor Hospital, Academy of Medical Sciences of Shandong Province, Ji’nan, Shandong Province 250117, China
关键词:
【关键词】 原发性肝癌 索拉非尼 正电子发射断层扫描 预后
文献标志码:
A
摘要:
【摘要】 目的 探讨18F?蛳 FDG PET/CT显像评价索拉非尼治疗肝细胞癌预后的可行性。方法 分析2005年6月至2011年7月40例口服索拉非尼的中晚期HCC患者的临床资料,治疗前后行18F?蛳 FDG PET/CT检查,并记录每例患者肝内病灶区最大标准化摄取值(SUVmax),评价其疗效,Cox模型分析影响总生存期(OS)和无肿瘤进展生存期(PFS)的因素。结果 40例患者随访中位时间9(2 ~ 18)个月,3例患者达到部分缓解,22例患者疾病稳定,总有效率为62.5%。中位生存期和PFS分别为6.1个月(95%CI:0 ~ 12)和4.8个月(95%CI:1.4 ~ 7.2)。多因素分析显示,ECOG评分,甲胎蛋白(AFP)水平,门静脉主干癌栓和SUVmax是影响OS独立预后因素。AFP水平和SUVmax是影响PFS独立预后因素。根据SUVmax最佳临界值将患者分为低SUVmax值和高SUVmax值两组:低SUV组的OS和PFS明显大于高SUV组(P分别为0.009和0.003)。结论 索拉非尼治疗进展期HCC,18F?蛳 FDG PET/CT显像的SUVmax有价值的预后因素之一。

参考文献/References:

[1] Higashi T, Hatano E, Ikai I, et al. FDG PET as a prognostic predictor in the early post?蛳 therapeutic evaluation for unresectable hepatocellular carcinoma[J]. Eur J Nucl Med Mol Imaging, 2010, 37: 468 ?蛳 482.[2] Lencioni R, Llovet JR. Modified RECIST (mRECIST) assessment for hepatocellular carcinoma[J]. Semin Liver Dis, 2010, 30: 52 ?蛳 60.[3] Trotti A, Colevas AD, Setser A, et al. CTCAE v3.0: develop?蛳 ment of a comprehensive grading system for the adverse effects of Cancer treatment[J]. Semin Radiat Oncol, 2003, 13: 176 ?蛳 181.[4] Abou?蛳 Alfa GK, Letourneau R, Harker G, et al. Randomized phase Ⅲ study of exatecan and gemcitabine compared with gemcitabine alone in untreated advanced pancreatic Cancer[J]. J Clin Oncol, 2006, 24: 4441 ?蛳 4447.[5] Llovet JM, Shan M, Lathia C, et al. Biomarkers predicting outcome of patients with advanced hepatocellular carcinoma(HCC)randomized in the phase Ⅲ SHARP trial[C]. AASLD 59th Annual Meeting, 2008.[6] 张华琦, 于金明, 孟 雪, 等. 18F-氟脱氧葡萄糖PET?蛳 CT显像预测Ⅲ期非小细胞肺癌的预后[J]. 中华肿瘤杂志, 2010, 8: 603 ?蛳 606.[7] 徐晓庆, 孙新东, 于金明, 等. FDG PET?蛳 CT标准摄取值用于非小细胞肺癌复发的预测价值[J]. 中华放射肿瘤学杂志, 2008, 17: 97 ?蛳 100.[8] Lee SW, Nam SY, Im KC, et al. Prediction of prognosis using standardized uptake value of 2?蛳 [18F] fluoro?蛳 2?蛳 deoxy?蛳 d?蛳 glucose positron emission tomography for nasopharyngeal carcinomas[J]. Radiother Oncol, 2008, 87: 211 ?蛳 216.[9] Shin DY, Han SW, Oh DY, et al. Prognostic implication of (18)F FDG?蛳 PET in patients with extrahepatic metastatic hepatocellular carcinoma undergoing systemic treatment, a retrospective cohort study[J]. Cancer Chemother Pharmacol, 2011, 68: 165 ?蛳 175.

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备注/Memo

备注/Memo:
(收稿日期:2012-09-06)
更新日期/Last Update: