The effect of pet/ct-derived parameters on the prediction of survival in lung cancer patients

dc.authorid0000-0002-6952-3470
dc.contributor.authorŞimşek Veske, Nurdan
dc.contributor.authorCeran, İbrahim Fatih
dc.contributor.authorGünlüoğlu, Gülşah
dc.contributor.authorGünlüoğlu, Mehmet Zeki
dc.contributor.authorSeyhan, Ekrem Cengiz
dc.contributor.authorBolat, Erkut
dc.contributor.authorSökücü, Sinem Nedime
dc.contributor.authorAltın, Sedat
dc.date.accessioned2024-11-07T08:45:18Z
dc.date.available2024-11-07T08:45:18Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göğüs Cerrahisi Ana Bilim Dalı
dc.description.abstractBackground: The ability to predict the survival of patients with non-small cell lung cancer (NSCLC) can provide a basis for individualized treatment and follow-up. Determination of positron emission tomography/computed tomography (PET/CT) parameters, i.e., maximum standardized uptake value (SUVmax), mean standardized uptake value (SUVmean), metabolic tumor volume (MTV), and total lesion glycolysis (TLG), may improve predictions of survival for NSCLC patients. Objectives: To determine the relationship between the PET/CT-derived parameters SUVmax, SUVmean, MTV, and TLG and survival in NSCLC patients. Patients and Methods: Patients with NSCLC diagnosed at our clinic between January 2019 and October 2020 were evaluated retrospectively using data obtained from the electronic database. The study population consisted of 132 patients over 18 years of age who had a PET/CT scan before receiving any treatment for NSCLC. During their initial PET/CT evaluation, SUVmax, SUVmean, MTV, and TLG were calculated. Correlations between the variables were analyzed using Spearman’s correlation test, and the associations of the variables with patient survival were determined using the Cox proportional hazards regression model. Results: The overall 2-year survival rate of the patients was 36.6%. In the univariate analysis, MTV and TLG, but not SUVmax or SUVmean, were significantly associated with survival (P = 0.8, P = 0.003, and P = 0.045, respectively). In the multivariate analysis, MTV was related to a higher risk of death in patients with adenocarcinoma, lymph node involvement, or distant metastasis. By contrast, TLG was associated with a lower risk of death in patients with adenocarcinoma (ACA) or distant metastasis. Conclusion: Among the parameters obtained in PET/CT studies, SUVmax and SUVmean were not related to the survival of patients with NSCLC. However, MTV was associated with a higher risk of death, while TLG was associated with a lower risk of death in patients with adenocarcinoma or distant metastasis. Further studies with larger samples are needed to validate these results.
dc.identifier.citationŞimşek Veske, N., Ceran, İ. F., Günlüoğlu, G., Günlüoğlu, M. Z., Seyhan, E. C., Bolat, E. ... Altın, S. (2024). The effect of pet/ct-derived parameters on the prediction of survival in lung cancer patients. Iranian Journal of Radiology, 21(1). http://dx.doi.org/10.5812/ijradiol-139822
dc.identifier.doi10.5812/ijradiol-139822
dc.identifier.issn1735-1065
dc.identifier.issn2008-2711
dc.identifier.issue1
dc.identifier.scopus2-s2.0-85201552013
dc.identifier.scopusqualityQ4
dc.identifier.urihttp://dx.doi.org/10.5812/ijradiol-139822
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12871
dc.identifier.volume21
dc.identifier.wos001304631400002en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorGünlüoğlu, Mehmet Zeki
dc.language.isoen
dc.relation.ispartofIranian Journal of Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectLung Cancer
dc.subjectMetabolic Tumor Volume
dc.subjectPET
dc.subjectPrognosis
dc.subjectSUVmax
dc.subjectTotal Lesion Glycolysis
dc.titleThe effect of pet/ct-derived parameters on the prediction of survival in lung cancer patients
dc.typeArticle

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