Comparison of FDG-PET findings of brain metastasis from non-small-cell lung cancer and small-cell lung cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-05

AUTHORS

Ho-Young Lee, June-Key Chung, Jae Min Jeong, Dong Soo Lee, Dong Gyu Kim, Hee Won Jung, Myung Chul Lee

ABSTRACT

ObjectiveWe compared the F-18 fluorodeoxyglucose positron emission tomography (FDG-PET) findings of brain metastasis between patients with non-small-cell lung cancer (NSCLC) and small cell lung cancer (SCLC).MethodsA whole-body FDG and a brain PET were performed in 48 patients (31 men, 17 women; 57 ± 9 years, 42 NSCLC, 6 SCLC), who had brain metastasis on magnetic resonance (MR). All primary lung lesions were detected by FDG-PET and confirmed pathologically. We analyzed the PET findings, lesion sizes, and the pathological result of primary lung cancer.ResultsOf the 48 patients, 31 (64.6%) showed hypermetabolic lesions on FDG-PET of the brain image, and 14 (29.2%) showed hypometabolic lesions. Three patients (6.3%) had both hypermetabolic and hypometabolic lesions. On the lesion-based analysis, 74 lesions (67.3%) showed hypermetabolism on FDG-PET, and 36 lesions (32.7%) showed hypometabolism. All primary lung lesions were hypermetabolic on FDG-PET. When the FDG findings of metastatic brain lesions were analyzed with the pathological types of primary lung cancer, NSCLC was more frequently associated with hypermetabolic metastatic brain lesions than SCLC (80% and 26.7%, respectively, P < 0.01). On comparing the sizes of metastatic lesions between SCLC (1.3 ± 1.2 cm) and NSCLC (1.8 ± 1.2 cm), lesions of <1 cm were more frequent in SCLC than in NSCLC (P = 0.012). But no significant relationship was found between the size and PET finding of metastatic lesion (P = 0.412).ConclusionsEven when the primary lesion of lung cancer showed hypermetabolism in FDG-PET, FDG accumulation in metastatic brain lesions was variable. One-third of brain metastases from lung cancer showed hypometabolism. NSCLC was more frequently associated with hypermetabolic metastatic brain lesions than SCLC. The PET findings of brain lesions were affected not only by the size of lesion but also by its biological characteristics. More... »

PAGES

281

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Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12149-007-0104-1

DOI

http://dx.doi.org/10.1007/s12149-007-0104-1

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https://app.dimensions.ai/details/publication/pub.1034373795

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/18535878


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