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Value of intratumoral metabolic heterogeneity and quantitative 18F-FDG PET/CT parameters in predicting prognosis for patients with cervical cancer

American Journal of Roentgenology Feb 23, 2020

Pinho DF, et al. - A retrospective study was conducted to explore the prognostic value of quantitative metabolic parameters from pretreatment PET/CT scans of patients with squamous cell cervical cancer. The study population consisted of 120 individuals with biopsy-proven squamous cell carcinoma of the cervix who underwent FDG PET/CT for initial tumor staging. They obtained primary tumor maximum standardized uptake value (SUVmax) and mean standardized uptake value (SUVmean), tumor glycolytic activity, metabolic tumor volume (MTV), and metabolic intratumoral heterogeneity index (calculated as the AUC for the cumulative standardized uptake value [SUV]–volume histogram [CSH] index). In individuals with cervical cancer, tumor heterogeneity on pretreatment PET/CT is correlated with OS and PFS. There was a significant association between MTV and OS.
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