The Relationship Between Total Lesion Activity on 18F Choline Positron Emission Tomography-Computed Tomography and Clinical Outcome in Patients with Castration-Resistant Prostate Cancer Bone Metastases Treated with 223Radium.
Luca Filippi, Pietro Basile, Orazio Schillaci, Oreste Bagni
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引用次数: 5
Abstract
The aim of the study was to assess the correlation between metabolic response measured through positron emission tomography-computed tomography (PET-CT) with 18F choline (18F FCH) and overall survival (OS) in patients affected by bone lesions from metastatic castration-resistant prostate cancer treated with 223Ra dichloride. Eleven subjects were subjected to PET-CT with 18F FCH before and 1 month after 223Ra treatment. Reduction in total lesion activity (ΔTLA) between pretreatment and post-treatment scan was determined and patients were divided into responders (ΔTLA >50%) and nonresponders (ΔTLA <50%). The OS of the entire cohort was 12.7 ± 3.8 months. Kaplan-Meier analysis showed that responders presented a significantly longer survival than nonresponders (16.5 ± 1.9 months vs. 10.5 ± 0.9 months, p < 0.05). Reduction in TLA after 223Ra treatment seems to be correlated with a trend toward a longer survival.
该研究的目的是评估通过正电子发射断层扫描-计算机断层扫描(PET-CT)测量的代谢反应与223Ra二氯化治疗的转移性去势抵抗性前列腺癌骨病变患者的总生存期(OS)之间的相关性。11名受试者在223Ra治疗前和治疗后1个月分别用18F FCH进行PET-CT检查。测定了治疗前和治疗后扫描的总病变活动性降低(ΔTLA),并将患者分为有反应者(ΔTLA >50%)和无反应者(ΔTLA p 223Ra治疗似乎与更长的生存趋势相关。