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Published in: Annals of Nuclear Medicine 7/2021

01-07-2021 | Magnetic Resonance Imaging | Review Article

The role of FDG PET/CT or PET/MRI in assessing response to neoadjuvant therapy for patients with borderline or resectable pancreatic cancer: a systematic literature review

Authors: Laura Evangelista, Pietro Zucchetta, Lucia Moletta, Simone Serafini, Gianluca Cassarino, Nicola Pegoraro, Francesca Bergamo, Cosimo Sperti, Diego Cecchin

Published in: Annals of Nuclear Medicine | Issue 7/2021

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Abstract

The aim of the present systematic review is to examine the role of fluorodeoxyglucose (FDG) positron emission tomography (PET) associated with computed tomography (CT) or magnetic resonance imaging (MRI) in assessing response to preoperative chemotherapy or chemoradiotherapy (CRT) for patients with borderline and resectable pancreatic ductal adenocarcinoma (PDAC). Three researchers ran a database query in PubMed, Web of Science and EMBASE. The total number of patients considered was 488. The most often used parameters of response to therapy were the reductions in the maximum standardized uptake value (SUVmax) or the peak standardized uptake lean mass (SULpeak). Patients whose SUVs were higher at the baseline (before CRT) were associated with a better response to therapy and a better overall survival. SUVs remaining high after neoadjuvant therapy correlated with a poor prognosis. Available data indicate that FDG PET/CT or PET/MRI can be useful for predicting and assessing response to CRT in patients with resectable or borderline PDAC.
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Metadata
Title
The role of FDG PET/CT or PET/MRI in assessing response to neoadjuvant therapy for patients with borderline or resectable pancreatic cancer: a systematic literature review
Authors
Laura Evangelista
Pietro Zucchetta
Lucia Moletta
Simone Serafini
Gianluca Cassarino
Nicola Pegoraro
Francesca Bergamo
Cosimo Sperti
Diego Cecchin
Publication date
01-07-2021
Publisher
Springer Singapore
Published in
Annals of Nuclear Medicine / Issue 7/2021
Print ISSN: 0914-7187
Electronic ISSN: 1864-6433
DOI
https://doi.org/10.1007/s12149-021-01629-0

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