Article ; Online: Amino acid PET vs. RANO MRI for prediction of overall survival in patients with recurrent high grade glioma under bevacizumab therapy.
European journal of nuclear medicine and molecular imaging
2024 Volume 51, Issue 6, Page(s) 1698–1702
Abstract: Purpose: To summarize evidence on the comparative value of amino acid (AA) PET and conventional MRI for prediction of overall survival (OS) in patients with recurrent high grade glioma (rHGG) under bevacizumab therapy.: Methods: Medical databases ... ...
Abstract | Purpose: To summarize evidence on the comparative value of amino acid (AA) PET and conventional MRI for prediction of overall survival (OS) in patients with recurrent high grade glioma (rHGG) under bevacizumab therapy. Methods: Medical databases were screened for studies with individual data on OS, follow-up MRI, and PET findings in the same patient. MRI images were assessed according to the RANO criteria. A receiver operating characteristic curve analysis was used to predict OS at 9 months. Results: Five studies with a total of 72 patients were included. Median OS was significantly lower in the PET-positive than in the PET-negative group. PET findings predicted OS with a pooled sensitivity and specificity of 76% and 71%, respectively. Corresponding values for MRI were 32% and 82%. Area under the curve and sensitivity were significantly higher for PET than for MRI. Conclusion: For monitoring of patients with rHGG under bevacizumab therapy, AA-PET should be preferred over RANO MRI. |
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MeSH term(s) | Humans ; Bevacizumab/therapeutic use ; Glioma/diagnostic imaging ; Glioma/drug therapy ; Glioma/pathology ; Magnetic Resonance Imaging ; Positron-Emission Tomography ; Brain Neoplasms/diagnostic imaging ; Brain Neoplasms/drug therapy ; Amino Acids/therapeutic use ; Recurrence ; Female ; Neoplasm Grading ; Male ; Survival Analysis ; Middle Aged |
Chemical Substances | Bevacizumab (2S9ZZM9Q9V) ; Amino Acids |
Language | English |
Publishing date | 2024-01-17 |
Publishing country | Germany |
Document type | Journal Article ; Comparative Study |
ZDB-ID | 8236-3 |
ISSN | 1619-7089 ; 0340-6997 ; 1619-7070 |
ISSN (online) | 1619-7089 |
ISSN | 0340-6997 ; 1619-7070 |
DOI | 10.1007/s00259-024-06601-4 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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