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Is response assessment of breast cancer bone metastases better with measurement of 18F-fluoride metabolic flux than with measurement of 18F-fluoride PET/CT SUV?

The Journal of Nuclear Medicine Mar 08, 2019

Azad GK, et al. - Compared to SUVmax and SUVmean, researchers ascertained if noninvasive measurement of changes in 18F-fluoride metabolic flux to bone mineral (Ki) by PET/CT could deliver incremental value in response assessment of bone metastases in breast cancer. For this analysis, they included 12 breast cancer patients beginning endocrine treatment for de novo or progressive bone metastases. According to findings, Ki differentiated progressive disease (PD) from non-PD more reliably than did SUVmax and SUVmean after 8 weeks of endocrine treatment for bone-predominant metastatic breast cancer. This may have been because measuring SUV underestimates fluoride clearance by not considering changes in input function.

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