9:00—9:15

Mullani NA , Herbst RS , Abbruzzese JL , Charnsangavej C , Kim E , Tran HT , Barron B , Lamki L , Gould KL
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引用次数: 16

摘要

内皮抑素是一种新型抗血管生成药物,目前正处于I期临床试验阶段。在本试验的背景下,我们正在评估使用PET非侵入性成像来确定治疗患者肿瘤成像中肿瘤血流和葡萄糖代谢之间的关系。10例患者接受每日递增的静脉内皮抑素治疗,剂量为30至180mg /m2。在治疗开始前和治疗28天后再次获得PET图像。每个患者用氧-15标记的水扫描以估计肿瘤血流量,用氟-18标记的FDG扫描以估计肿瘤代谢活性。在大多数病例中,每个患者分析了两个不同的肿瘤承载部位。因此,总共有19个肿瘤被成像。在基线和治疗后28天计算区域血流量和标准摄取值(SUV),并绘制血流和SUV的百分比变化作为内皮抑素剂量的函数。观察到,在≥60 mg/m2/d的患者中,成像肿瘤的血流量和糖代谢增加,但在180 mg/m2/d的患者中,成像肿瘤的血流量和糖代谢不耦合。因此,在接受内皮抑素180mg /m2/d剂量的患者中,血流量减少,但葡萄糖代谢增加。这种关系如图1所示下载:下载高分辨率图像(53KB)下载:下载全尺寸图像图1。在下面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
9:00—9:15

Endostatin is a novel antiangiogenic agent currently in phase I trials. In the context of this trial, we are evaluating the use of non-invasive imaging with PET to determine the relationship between tumor blood flow and glucose metabolism in imaged tumors from treated patients.

Ten patients have been treated with escalating daily iv Endostatin doses of 30 to 180 mg/m2. PET images were obtained before the start of therapy and again after 28 days of treatment. Each patient was scanned with Oxygen-15 labeled water for estimation of tumor blood flow and Flourine-18 labeled FDG to estimate tumor metabolic activity. In most cases, two distinct tumor-bearing sites were analyzed in each patient. Thus, a total of 19 tumors were imaged. Regional blood flow and standard uptake values (SUV) were computed at baseline and 28 days post treatment and the percentage change in blood flow and SUV plotted as a function of Endostatin dose.

Both blood flow and glucose metabolism in the imaged tumors were observed to increase in patients treated with ⩽60 mg/m2/d, but became uncoupled in the tumors imaged from patients treated at the 180 mg/m2/d dose level. Thus, in patients receiving Endostatin at a dose of 180 mg/m2/d, blood flow decreased but glucose metabolism increased. This relationship is displayed in Figure 1

  1. Download : Download high-res image (53KB)
  2. Download : Download full-size image

Figure 1.

below.

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