Detection and grading of soft tissue sarcomas of the extremities with (18)F-3'-fluoro-3'-deoxy-L-thymidine

David C P Cobben, Philip H Elsinga, Albert J H Suurmeijer, Wim Vaalburg, Bram Maas, Piet L Jager, Harald J Hoekstra

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE: The aim of the study was to investigate the feasibility of (18)F-3'-fluoro-3'-deoxy-L-thymidine positron emission tomography (FLT-PET) for the detection and grading of soft tissue sarcoma (STS).

EXPERIMENTAL DESIGN: Nineteen patients with 20 STSs of the extremities were scanned, using attenuation corrected whole-body FLT-PET. Standardized uptake values (SUVs) and tumor:nontumor ratios (TNTs) were compared with histopathological parameters using French and Japanese grading systems.

RESULTS: Mean SUV, maximal SUV, and TNT could differentiate between low-grade (grade 1; n = 6) STS and high-grade (grade 2 and 3; n = 14) STS according to the French grading system (P = 0.001). Mean SUV, max SUV, and TNT correlated with mitotic score, MIB-1 score, the French and Japanese grading system (* = 0.550-0.747).

CONCLUSIONS: FLT-PET is able to visualize STS and differentiate between low-grade and high-grade STS. The uptake of FLT correlates with the proliferation of STS.

Original languageEnglish
Pages (from-to)1685-1690
Number of pages6
JournalClinical Cancer Research
Volume10
Issue number5
Publication statusPublished - 1 Mar 2004

Keywords

  • Aged
  • Dideoxynucleosides
  • Female
  • Fluorine Radioisotopes
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Sarcoma
  • Soft Tissue Neoplasms
  • Tissue Distribution
  • Tomography, Emission-Computed
  • Journal Article

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