Conclusions: PET/CT variables can be a valuable prognostic factor in patients with CRLM for the prediction of recurrence. Preoperative PET/CT may improve risk stratification and optimize outcomes of patients with CRLM.
eBook Title: Prognostic Significance of 18F-FDG PET/CT in Patients with Colorectal Cancer Liver Metastases After Hepatectomy
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Published on 2018 by

Abstract: Introduction: Colorectal cancer liver metastasis (CRLM) can be cured with surgery. To improve survival, optimal selection of CRLM patients should be done cautiously, which may be facilitated by preoperative [F-18] fluorodeoxyglucose positron emission tomography/computed tomography ( 18 F-FDG PET/CT). Methods: A total of 245 patients with CRLM between February 2007 and January 2015 were retrospectively studied. All clinical variables, pathological data, and various PET/CT parameters were correlated with disease-free survival (DFS) and overall survival (OS). Metastatic tumor maximum standardized uptake value (SUVmax ) and normal liver mean SUV (SUVmean ) ratio was selected for group classification. Results: The median DFS in months were 24.5 months and median OS were 41.7 months. Multivariate analysis found an increased risk of worse prognosis in DFS for primary colon cancer T3∼T4, N2 stage, neoadjuvant chemotherapy, synchronous metastasis, multiple metastatic tumor number and metastatic tumor SUVmax /normal liver SUVmean ratio \u003e4.3. The DFS rate of each group classified by SUV ratio was 58.1%, 39.0%, and 33.6% vs. 39.3%, 20.8%, and 15.8% at 1, 3, and 5 years (p=0.017). Patients with multiple tumors and SUV ratio of \u003e4.3 showed worst survival (OS rate: 74.2%, 41.5%, and 24.2%, p=0.001at 1, 3, and 5 years, respectively). Conclusions: PET/CT variables can be a valuable prognostic factor in patients with CRLM for the prediction of recurrence. Preoperative PET/CT may improve risk stratification and optimize outcomes of patients with CRLM.
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