Early Monitoring Response to Therapy in Patients with Brain Lesions Using the Cumulative SUV Histogram

Autor: Alessandro Stefano 1, Pietro Pisciotta 1, 2, Marco Pometti 3, 4, Albert Comelli 1, 5, Sebastiano Cosentino 4, Francesco Marletta 4, Salvatore Cicero 4, Maria G. Sabini 2, Massimo Ippolito 4, Giorgio Russo 1
Jazyk: angličtina
Rok vydání: 2021
Předmět:
gamma knife
medicine.medical_treatment
Standardized uptake value
Gamma knife
imaging quantification
[11C]-methionine positron emission tomography
cancer
lcsh:Technology
030218 nuclear medicine & medical imaging
lcsh:Chemistry
03 medical and health sciences
0302 clinical medicine
Histogram
medicine
General Materials Science
In patient
lcsh:QH301-705.5
Instrumentation
Fluid Flow and Transfer Processes
medicine.diagnostic_test
lcsh:T
business.industry
Process Chemistry and Technology
General Engineering
Area under the curve
lcsh:QC1-999
Computer Science Applications
Radiation therapy
Functional imaging
lcsh:Biology (General)
lcsh:QD1-999
lcsh:TA1-2040
Positron emission tomography
030220 oncology & carcinogenesis
lcsh:Engineering (General). Civil engineering (General)
business
Nuclear medicine
lcsh:Physics
Zdroj: Applied Sciences
Volume 11
Issue 7
Applied sciences 11 (2021): 2999. doi:10.3390/app11072999
info:cnr-pdr/source/autori:Alessandro Stefano 1, Pietro Pisciotta 1,2, Marco Pometti 3,4, Albert Comelli 1,5, Sebastiano Cosentino 4, Francesco Marletta 4, Salvatore Cicero 4, Maria G. Sabini 2,4, Massimo Ippolito 4 and Giorgio Russo 1,2,4/titolo:Early Monitoring Response to Therapy in Patients with Brain Lesions Using the Cumulative SUV Histogram/doi:10.3390%2Fapp11072999/rivista:Applied sciences/anno:2021/pagina_da:2999/pagina_a:/intervallo_pagine:2999/volume:11
Applied Sciences, 11(7):2999, 1-12. MDPI AG
Applied Sciences, Vol 11, Iss 2999, p 2999 (2021)
ISSN: 2076-3417
DOI: 10.3390/app11072999
Popis: Featured ApplicationThe study proposes a methodology to evaluate the response of patients with brain lesions to Gamma Knife treatments through the use of Positron Emission Tomography imaging.Gamma Knife treatment is an alternative to traditional brain surgery and whole-brain radiation therapy for treating cancers that are inaccessible via conventional treatments. To assess the effectiveness of Gamma Knife treatments, functional imaging can play a crucial role. The aim of this study is to evaluate new prognostic indices to perform an early assessment of treatment response to therapy using positron emission tomography imaging. The parameters currently used in nuclear medicine assessments can be affected by statistical fluctuation errors and/or cannot provide information on tumor extension and heterogeneity. To overcome these limitations, the Cumulative standardized uptake value (SUV) Histogram (CSH) and Area Under the Curve (AUC) indices were evaluated to obtain additional information on treatment response. For this purpose, the absolute level of [11C]-Methionine (MET) uptake was measured and its heterogeneity distribution within lesions was evaluated by calculating the CSH and AUC indices. CSH and AUC parameters show good agreement with patient outcomes after Gamma Knife treatments. Furthermore, no relevant correlations were found between CSH and AUC indices and those usually used in the nuclear medicine environment. CSH and AUC indices could be a useful tool for assessing patient responses to therapy.
Databáze: OpenAIRE