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Lung tumor growth correlates with glucose metabolism measured by fluoride-18 fluorodeoxyglucose positron emission tomography.

Publication ,  Journal Article
Duhaylongsod, FG; Lowe, VJ; Patz, EF; Vaughn, AL; Coleman, RE; Wolfe, WG
Published in: The Annals of thoracic surgery
November 1995

The growth rate, or doubling time, of radiographically indeterminate pulmonary abnormalities is an important determinant of malignancy. Prospective calculation of doubling time, however, delays diagnosis and treatment. Positron emission tomography (PET) using the glucose analogue fluoride-18 fluorodeoxyglucose (FDG) measures the enhanced glucose uptake characteristic of neoplastic cells. We postulated that if FDG activity correlates with doubling time, then PET may allow prompt diagnosis of lung cancer.From March 1992 to July 1993, all patients with indeterminate focal pulmonary abnormalities were eligible for FDG PET imaging. In 53 patients, serial chest radiographs or computed tomograms were available and doubling time was computed. The FDG activity within the lesion was expressed as a standardized uptake ratio.The mean standardized uptake ratio (+/- SD) was 5.9 +/- 2.7 in 34 patients with cancer, versus 2.0 +/- 1.7 in 19 with benign disease (p < 0.001). Using a criterion of standardized uptake ratio 2.5 or greater for malignancy, the accuracy of PET was 92% (49 of 53). The standardized uptake ratio was significantly correlated with doubling time (r = -0.89; p = 0.002).These data suggest a direct relation between tumor growth and FDG uptake in lung cancer. The technique of FDG PET demonstrates exceptional accuracy and may permit prompt diagnosis of lung cancer.

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Published In

The Annals of thoracic surgery

DOI

EISSN

1552-6259

ISSN

0003-4975

Publication Date

November 1995

Volume

60

Issue

5

Start / End Page

1348 / 1352

Related Subject Headings

  • Tomography, Emission-Computed
  • Time Factors
  • Sensitivity and Specificity
  • Respiratory System
  • Middle Aged
  • Male
  • Lung Neoplasms
  • Humans
  • Glucose
  • Fluorodeoxyglucose F18
 

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Duhaylongsod, F. G., Lowe, V. J., Patz, E. F., Vaughn, A. L., Coleman, R. E., & Wolfe, W. G. (1995). Lung tumor growth correlates with glucose metabolism measured by fluoride-18 fluorodeoxyglucose positron emission tomography. The Annals of Thoracic Surgery, 60(5), 1348–1352. https://doi.org/10.1016/0003-4975(95)00754-9
Duhaylongsod, F. G., V. J. Lowe, E. F. Patz, A. L. Vaughn, R. E. Coleman, and W. G. Wolfe. “Lung tumor growth correlates with glucose metabolism measured by fluoride-18 fluorodeoxyglucose positron emission tomography.The Annals of Thoracic Surgery 60, no. 5 (November 1995): 1348–52. https://doi.org/10.1016/0003-4975(95)00754-9.
Duhaylongsod FG, Lowe VJ, Patz EF, Vaughn AL, Coleman RE, Wolfe WG. Lung tumor growth correlates with glucose metabolism measured by fluoride-18 fluorodeoxyglucose positron emission tomography. The Annals of thoracic surgery. 1995 Nov;60(5):1348–52.
Duhaylongsod, F. G., et al. “Lung tumor growth correlates with glucose metabolism measured by fluoride-18 fluorodeoxyglucose positron emission tomography.The Annals of Thoracic Surgery, vol. 60, no. 5, Nov. 1995, pp. 1348–52. Epmc, doi:10.1016/0003-4975(95)00754-9.
Duhaylongsod FG, Lowe VJ, Patz EF, Vaughn AL, Coleman RE, Wolfe WG. Lung tumor growth correlates with glucose metabolism measured by fluoride-18 fluorodeoxyglucose positron emission tomography. The Annals of thoracic surgery. 1995 Nov;60(5):1348–1352.
Journal cover image

Published In

The Annals of thoracic surgery

DOI

EISSN

1552-6259

ISSN

0003-4975

Publication Date

November 1995

Volume

60

Issue

5

Start / End Page

1348 / 1352

Related Subject Headings

  • Tomography, Emission-Computed
  • Time Factors
  • Sensitivity and Specificity
  • Respiratory System
  • Middle Aged
  • Male
  • Lung Neoplasms
  • Humans
  • Glucose
  • Fluorodeoxyglucose F18