Skip to main content
Top
Published in: Annals of Nuclear Medicine 4/2014

01-05-2014 | Original Article

Prognostic value of 18F-fluorodeoxyglucose uptake before treatment for pharyngeal cancer

Authors: Hidenori Suzuki, Katsuhiko Kato, Yasushi Fujimoto, Yoshiyuki Itoh, Mariko Hiramatsu, Shinji Naganawa, Yasuhisa Hasegawa, Tsutomu Nakashima

Published in: Annals of Nuclear Medicine | Issue 4/2014

Login to get access

Abstract

Objectives

The purpose of this study was to evaluate an association found between overall survival of patients with pharyngeal squamous cell carcinoma (SCC) and pretreatment [18F]-2-fluorodeoxyglucose (18F-FDG) uptake, which are assessed by positron emission tomography combined with computed tomography (PET/CT). Next, we asked whether 18F-FDG uptake is correlated with overall survival in patients with pharyngeal SCC who underwent radical treatments such as surgery and radiotherapy in the multivariate analysis with adjustments for the clinical stage, primary site and treatment group.

Methods

Forty-nine patients who were newly diagnosed as resectable pharyngeal SCC underwent pretreatment 18F-FDG-PET/CT. We used the maximum standardized uptake value (SUVmax) as 18F-FDG uptake. Overall survival rate was calculated by the Kaplan–Meier method. Univariate survival analysis was analyzed by log-rank test, and multivariate survival analysis was performed by a Cox proportional hazards model.

Results

Patients with SUVmax of the primary site ≥8 significantly exhibited shorter overall survival in univariate analysis (p < 0.04). Moreover, SUVmax of the primary site ≥8 was a significant prognostic factor in the multivariate analysis (p < 0.03).

Conclusions

These results suggested that SUVmax of the primary site obtained by pretreatment 18F-FDG-PET/CT assessment is an important prognostic factor in patients with pharyngeal SCC.
Literature
1.
go back to reference Barnes L, Eveson JW, Reichart P, Sidransky D. World Health Organization classification of tumours. Pathology and genetics of head and neck tumours. Lyon: IARC Press; 2005. Barnes L, Eveson JW, Reichart P, Sidransky D. World Health Organization classification of tumours. Pathology and genetics of head and neck tumours. Lyon: IARC Press; 2005.
2.
go back to reference Schwartz DL, Rajendran J, Yueh B, Coltrera MD, Leblanc M, Eary J, et al. FDG-PET prediction of head and neck squamous cell cancer outcomes. Arch Otolaryngol Head Neck Surg. 2004;130(12):1361–7.PubMedCrossRef Schwartz DL, Rajendran J, Yueh B, Coltrera MD, Leblanc M, Eary J, et al. FDG-PET prediction of head and neck squamous cell cancer outcomes. Arch Otolaryngol Head Neck Surg. 2004;130(12):1361–7.PubMedCrossRef
3.
go back to reference van Baardwijk A, Dooms C, van Suylen RJ, Verbeken E, Hochstenbag M, Dehing-Oberije C, et al. The maximum uptake of 18F-deoxyglucose on positron emission tomography scan correlates with survival, hypoxia inducible factor-1α and GLUT-1 in non-small cell lung cancer. Eur J Cancer. 2007;43(9):1392–8.PubMedCrossRef van Baardwijk A, Dooms C, van Suylen RJ, Verbeken E, Hochstenbag M, Dehing-Oberije C, et al. The maximum uptake of 18F-deoxyglucose on positron emission tomography scan correlates with survival, hypoxia inducible factor-1α and GLUT-1 in non-small cell lung cancer. Eur J Cancer. 2007;43(9):1392–8.PubMedCrossRef
4.
go back to reference Suzuki H, Kato K, Fujimoto Y, Itoh Y, Hiramatsu M, Maruo T, et al. 18F-FDG-PET/CT predicts survival in hypopharyngeal squamous cell carcinoma. Ann Nucl Med. 2013;27:297–302.PubMedCrossRef Suzuki H, Kato K, Fujimoto Y, Itoh Y, Hiramatsu M, Maruo T, et al. 18F-FDG-PET/CT predicts survival in hypopharyngeal squamous cell carcinoma. Ann Nucl Med. 2013;27:297–302.PubMedCrossRef
5.
go back to reference Xie P, Li M, Zhao H, Sun X, Fu Z, Yu J. 18F-FDG PET or PET–CT to evaluate prognosis for head and neck cancer: a meta-analysis. J Cancer Res Clin Oncol. 2011;137:1085–93.PubMedCrossRef Xie P, Li M, Zhao H, Sun X, Fu Z, Yu J. 18F-FDG PET or PET–CT to evaluate prognosis for head and neck cancer: a meta-analysis. J Cancer Res Clin Oncol. 2011;137:1085–93.PubMedCrossRef
6.
go back to reference Zhang B, Li X, Lu X. Standardized uptake value is of prognostic value for outcome in head and neck squamous cell carcinoma. Acta Otolaryngol. 2010;130:756–62.PubMedCrossRef Zhang B, Li X, Lu X. Standardized uptake value is of prognostic value for outcome in head and neck squamous cell carcinoma. Acta Otolaryngol. 2010;130:756–62.PubMedCrossRef
7.
go back to reference Lin SC, Liao CY, Kao CH, Yen KY, Yang SN, Wang YC, et al. Pretreatment maximal standardized uptake value of primary tumor predicts outcome to radiotherapy in patients with pharyngeal cancer. J Radiat Res. 2012;53(3):462–8.PubMed Lin SC, Liao CY, Kao CH, Yen KY, Yang SN, Wang YC, et al. Pretreatment maximal standardized uptake value of primary tumor predicts outcome to radiotherapy in patients with pharyngeal cancer. J Radiat Res. 2012;53(3):462–8.PubMed
8.
go back to reference Kim SY, Roh JL, Kim MR, Kim JS, Choi SH, Nam SY, et al. Use of 18F-FDG PET for primary treatment strategy in patients with squamous cell carcinoma of the oropharynx. J Nucl Med. 2007;48:752–7.PubMedCrossRef Kim SY, Roh JL, Kim MR, Kim JS, Choi SH, Nam SY, et al. Use of 18F-FDG PET for primary treatment strategy in patients with squamous cell carcinoma of the oropharynx. J Nucl Med. 2007;48:752–7.PubMedCrossRef
9.
go back to reference Inokuchi H, Kodaira T, Tachibana H, Nakamura T, Tomita N, Nakahara R, et al. Clinical usefulness of [18F] fluoro-2-deoxy-d-glucose uptake in 178 head-and-neck cancer of patients with nodal metastasis treated with definitive chemoradiotherapy: consideration of its prognostic value and ability to provide guidance for optimal selection of patients for planned neck dissection. Int J Radiat Oncol Biol Phys. 2011;79(3):747–55.PubMedCrossRef Inokuchi H, Kodaira T, Tachibana H, Nakamura T, Tomita N, Nakahara R, et al. Clinical usefulness of [18F] fluoro-2-deoxy-d-glucose uptake in 178 head-and-neck cancer of patients with nodal metastasis treated with definitive chemoradiotherapy: consideration of its prognostic value and ability to provide guidance for optimal selection of patients for planned neck dissection. Int J Radiat Oncol Biol Phys. 2011;79(3):747–55.PubMedCrossRef
10.
go back to reference Howard JD, Lu B, Chung CH. Therapeutic targets in head and neck squamous cell carcinoma: identification, evaluation, and clinical translation. Oral Oncol. 2012;48(1):10–7.PubMedCrossRef Howard JD, Lu B, Chung CH. Therapeutic targets in head and neck squamous cell carcinoma: identification, evaluation, and clinical translation. Oral Oncol. 2012;48(1):10–7.PubMedCrossRef
11.
go back to reference Suzuki H, Hasegawa Y, Terada A, Hyodo I, Nakashima T, Nishio M, et al. FDG–PET predicts survival and distant metastasis in oral squamous cell carcinoma. Oral Oncol. 2009;45(7):569–73.PubMedCrossRef Suzuki H, Hasegawa Y, Terada A, Hyodo I, Nakashima T, Nishio M, et al. FDG–PET predicts survival and distant metastasis in oral squamous cell carcinoma. Oral Oncol. 2009;45(7):569–73.PubMedCrossRef
12.
go back to reference Suzuki H, Fukuyama R, Hasegawa Y, Tamaki T, Nishio M, Nakashima T, et al. Tumor thickness, depth of invasion, and Bcl-2 expression are correlated with FDG-uptake in oral squamous cell carcinomas. Oral Oncol. 2009;45:891–7.PubMedCrossRef Suzuki H, Fukuyama R, Hasegawa Y, Tamaki T, Nishio M, Nakashima T, et al. Tumor thickness, depth of invasion, and Bcl-2 expression are correlated with FDG-uptake in oral squamous cell carcinomas. Oral Oncol. 2009;45:891–7.PubMedCrossRef
13.
go back to reference Suzuki K, Nishioka T, Homma A, Tsuchiya K, Yasuda M, Aoyama H, et al. Value of fluorodeoxyglucose positron emission tomography before radiotherapy for head and neck cancer: does the standardized uptake value predict treatment outcome? Jpn J Radiol. 2009;27(6):237–42.PubMedCrossRef Suzuki K, Nishioka T, Homma A, Tsuchiya K, Yasuda M, Aoyama H, et al. Value of fluorodeoxyglucose positron emission tomography before radiotherapy for head and neck cancer: does the standardized uptake value predict treatment outcome? Jpn J Radiol. 2009;27(6):237–42.PubMedCrossRef
14.
go back to reference Palma P, Conde-Muino R, Rodriguez-Fernandez A, Segura-Jimenez I, Sanchez-Sanchez R, Martin-Cano J, et al. The value of metabolic imaging to predict tumour response after chemoradiation in locally advanced rectal cancer. Radiat Oncol. 2010;5:119.PubMedCentralPubMedCrossRef Palma P, Conde-Muino R, Rodriguez-Fernandez A, Segura-Jimenez I, Sanchez-Sanchez R, Martin-Cano J, et al. The value of metabolic imaging to predict tumour response after chemoradiation in locally advanced rectal cancer. Radiat Oncol. 2010;5:119.PubMedCentralPubMedCrossRef
15.
go back to reference Funk GF. A head and neck surgeon’s perspective on best practices for the use of PET/CT scans for the diagnosis and treatment of head and neck cancers. Arch Otolaryngol Head Neck Surg. 2012;138(8):748–52.PubMedCrossRef Funk GF. A head and neck surgeon’s perspective on best practices for the use of PET/CT scans for the diagnosis and treatment of head and neck cancers. Arch Otolaryngol Head Neck Surg. 2012;138(8):748–52.PubMedCrossRef
16.
go back to reference Ishizuka M, Fujimoto Y, Itoh Y, Kitagawa K, Sano M, Miyagawa Y, et al. Relationship between hematotoxicity and serum albumin level in the treatment of head and neck cancers with concurrent chemoradiotherapy using cisplatin. Jpn J Clin Oncol. 2011;41(8):973–9.PubMedCrossRef Ishizuka M, Fujimoto Y, Itoh Y, Kitagawa K, Sano M, Miyagawa Y, et al. Relationship between hematotoxicity and serum albumin level in the treatment of head and neck cancers with concurrent chemoradiotherapy using cisplatin. Jpn J Clin Oncol. 2011;41(8):973–9.PubMedCrossRef
Metadata
Title
Prognostic value of 18F-fluorodeoxyglucose uptake before treatment for pharyngeal cancer
Authors
Hidenori Suzuki
Katsuhiko Kato
Yasushi Fujimoto
Yoshiyuki Itoh
Mariko Hiramatsu
Shinji Naganawa
Yasuhisa Hasegawa
Tsutomu Nakashima
Publication date
01-05-2014
Publisher
Springer Japan
Published in
Annals of Nuclear Medicine / Issue 4/2014
Print ISSN: 0914-7187
Electronic ISSN: 1864-6433
DOI
https://doi.org/10.1007/s12149-014-0817-x

Other articles of this Issue 4/2014

Annals of Nuclear Medicine 4/2014 Go to the issue