A study published in the December issue of The Journal of Nuclear Medicine identified positron emission tomography/computed tomography (PET/CT) scans as a potentially useful tool for predicting local recurrence in lung cancer patients treated with radiofrequency ablation (RFA).
RFA, which uses localized thermal energy to kill cancer cells, is increasingly used as an alternative treatment for patients unable to undergo surgery or other therapies to treat lung cancer.
“This study reinforces the utility of 18F-FDG-PET imaging in cancer detection and follow-up while also providing new insight into factors that can be used for earlier prediction of recurrence after radiofrequency ablation of lung tumors,” said Amit Singnurkar, M.D., FRCPC, assistant professor of radiology and medicine at McMaster University and lead author of the study “18F-FDG PET/CT for the Prediction and Detection of Local Recurrence After Radiofrequency Ablation of Malignant Lung Lesions.” Dr. Singnurkar was previously a nuclear oncology fellow at Memorial Sloan-Kettering Cancer Center, where the majority of the study was conducted.
The five-year study followed 68 patients with 94 pulmonary lesions, including metastases and primary lung cancers. By reviewing 18F-FDG PET/CT scans performed before and after RFA, researchers were able to determine several indicators that could help predict local recurrence.
Among pre-RFA scans, lesion size and type of tumor (primary or metastases) were factors in determining potential for local recurrence. Standardized uptake value (glucose metabolic activity) was also a factor in pre-RFA scans, although not independent of lesion size. PET/CT scans conducted after RFA indicated that 18F-FDG uptake patterns, size of ablation margins and standardized uptake value were parameters that could predict the likelihood of recurrence.
Information gleaned from the pre- and post-PET/CT scans can increase the accuracy of recurrence detection and allow earlier diagnosis. This ultimately can facilitate better management, leading to improved patient outcomes.
“Used correctly, molecular imaging can provide more accurate and earlier results than anatomic imaging alone,” noted Singnurkar. “Molecular imaging has the potential to detect and characterize disease earlier, at a point where it can be more amenable to therapy.”
Lung cancer is the leading cause of cancer death in the United States. According to the National Cancer Institute, more than 200,000 patients will be diagnosed with lung cancer and nearly 160,000 will die from the disease this year. The lungs are also a frequent site for metastases from breast, colorectal, prostate, head and neck, and renal cancers.
Authors of the scientific article, “18F-FDG PET/CT for the Prediction and Detection of Local Recurrence After Radiofrequency Ablation of Malignant Lung Lesions,” include: Amit Singnurkar, Steven M. Larson and Heiko Schröder, Department of Radiology/Nuclear Medicine Service, Memorial Sloan-Kettering Cancer Center, New York, New York; Stephen B. Solomon, Department of Radiology/Interventional Radiology Service, Memorial Sloan-Kettering Cancer Center, New York, New York; and Mithat Gönen; Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, New York.
Please visit the SNM Newsroom to view the PDF of the study. To schedule an interview with the researchers, please contact Susan Martonik at (703) 652-6773 or email@example.com. Current and past issues of The Journal of Nuclear Medicine can be found online at http://jnm.snmjournals.org.About SNM—Advancing Molecular Imaging and Therapy
SNM’s more than 17,000 members set the standard for molecular imaging and nuclear medicine practice by creating guidelines, sharing information through journals and meetings and leading advocacy on key issues that affect molecular imaging and therapy research and practice.
Susan Martonik | EurekAlert!
Smart Data Transformation – Surfing the Big Wave
02.12.2016 | Fraunhofer-Institut für Angewandte Informationstechnik FIT
Climate change could outpace EPA Lake Champlain protections
18.11.2016 | University of Vermont
In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.
Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...
Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.
The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...
16.11.2016 | Event News
01.11.2016 | Event News
14.10.2016 | Event News
08.12.2016 | Life Sciences
08.12.2016 | Physics and Astronomy
08.12.2016 | Materials Sciences