Restricted water diffusibility as measured by diffusion-weighted MR imaging and choline uptake in (11)C-choline PET/CT are correlated in pelvic lymph nodes in patients with prostate cancer
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Restricted water diffusibility as measured by diffusion-weighted MR imaging and choline uptake in (11)C-choline PET/CT are correlated in pelvic lymph nodes in patients with prostate cancer. / Beer, Ambros J; Eiber, Matthias; Souvatzoglou, Michael; Holzapfel, Konstantin; Ganter, Carl; Weirich, Gregor; Maurer, Tobias; Kübler, Hubert; Wester, Hans-Juergen; Gaa, Jochen; Krause, Bernd J.
in: Molecular imaging and biology : MIB : the official publication of the Academy of Molecular Imaging, Jahrgang 13, Nr. 2, 04.2011, S. 352-61.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung
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T1 - Restricted water diffusibility as measured by diffusion-weighted MR imaging and choline uptake in (11)C-choline PET/CT are correlated in pelvic lymph nodes in patients with prostate cancer
AU - Beer, Ambros J
AU - Eiber, Matthias
AU - Souvatzoglou, Michael
AU - Holzapfel, Konstantin
AU - Ganter, Carl
AU - Weirich, Gregor
AU - Maurer, Tobias
AU - Kübler, Hubert
AU - Wester, Hans-Juergen
AU - Gaa, Jochen
AU - Krause, Bernd J
PY - 2011/4
Y1 - 2011/4
N2 - PURPOSE: (11)C-Choline-positron emission tomography (PET)/computed tomography (CT) is increasingly used in patients with prostate cancer. Another promising technique for assessment of tumor biology is diffusion-weighted MR imaging (DWI). The aim of the study was to compare the functional parameters standardized uptake value (SUV) in PET and apparent diffusion coefficient (ADC) value in DWI of lymph nodes in prostate cancer patients.PROCEDURES: Fourteen patients with prostate cancer underwent DWI at 1.5T and (11)C-Choline-PET/CT. ADC values and SUVs of all lymph nodes larger than 5 mm (n = 55) were compared by using linear regression analysis. Performance of DWI and (11)C-Choline PET was assessed by receiver operator characteristic curve analysis using histopathology or clinical follow-up as standard of reference.RESULTS: ADC values and SUV showed a moderate but highly significant inverse correlation (r = -0.5144, p < 0.0001). In lymph nodes with low ADC values, the dispersion of SUV was more pronounced. Moreover, a highly significant difference was observed for mean ADC values and SUV in lymph nodes considered as benign or malignant by follow-up/histopathology (ADC 1.60 ± 0.24 vs. 1.09 ± 0.23 × 10(-3) mm(2)/s; SUV 1.82 ± 0.57 vs. 4.68 ± 03.12; p < 0.0001, respectively).CONCLUSION: These pilot data propose the ADC value in DWI as a new potential imaging biomarker which might provide additional information on tumor pathophysiology compared to the SUV in (11)C-Choline PET/CT.
AB - PURPOSE: (11)C-Choline-positron emission tomography (PET)/computed tomography (CT) is increasingly used in patients with prostate cancer. Another promising technique for assessment of tumor biology is diffusion-weighted MR imaging (DWI). The aim of the study was to compare the functional parameters standardized uptake value (SUV) in PET and apparent diffusion coefficient (ADC) value in DWI of lymph nodes in prostate cancer patients.PROCEDURES: Fourteen patients with prostate cancer underwent DWI at 1.5T and (11)C-Choline-PET/CT. ADC values and SUVs of all lymph nodes larger than 5 mm (n = 55) were compared by using linear regression analysis. Performance of DWI and (11)C-Choline PET was assessed by receiver operator characteristic curve analysis using histopathology or clinical follow-up as standard of reference.RESULTS: ADC values and SUV showed a moderate but highly significant inverse correlation (r = -0.5144, p < 0.0001). In lymph nodes with low ADC values, the dispersion of SUV was more pronounced. Moreover, a highly significant difference was observed for mean ADC values and SUV in lymph nodes considered as benign or malignant by follow-up/histopathology (ADC 1.60 ± 0.24 vs. 1.09 ± 0.23 × 10(-3) mm(2)/s; SUV 1.82 ± 0.57 vs. 4.68 ± 03.12; p < 0.0001, respectively).CONCLUSION: These pilot data propose the ADC value in DWI as a new potential imaging biomarker which might provide additional information on tumor pathophysiology compared to the SUV in (11)C-Choline PET/CT.
KW - Aged
KW - Carbon Radioisotopes
KW - Choline
KW - Diffusion Magnetic Resonance Imaging
KW - Follow-Up Studies
KW - Humans
KW - Lymph Nodes
KW - Lymphatic Metastasis
KW - Male
KW - Middle Aged
KW - Pelvis
KW - Positron-Emission Tomography
KW - Prostate-Specific Antigen
KW - Prostatic Neoplasms
KW - ROC Curve
KW - Tomography, X-Ray Computed
KW - Water
KW - Journal Article
U2 - 10.1007/s11307-010-0337-6
DO - 10.1007/s11307-010-0337-6
M3 - SCORING: Journal article
C2 - 20490932
VL - 13
SP - 352
EP - 361
JO - MOL IMAGING BIOL
JF - MOL IMAGING BIOL
SN - 1536-1632
IS - 2
ER -