Value of 18F-fluorodeoxyglucose uptake in positron emission tomography/computed tomography in predicting survival in multiple myeloma
dc.contributor.author | Haznedar, Rauf | |
dc.contributor.author | Aki, Sahika Z. | |
dc.contributor.author | Akdemir, Ozgur U. | |
dc.contributor.author | Ozkurt, Zubeyde N. | |
dc.contributor.author | Ceneli, Ozcan | |
dc.contributor.author | Yagci, Munci | |
dc.contributor.author | Unlu, Mustafa | |
dc.date.accessioned | 2020-06-25T17:51:51Z | |
dc.date.available | 2020-06-25T17:51:51Z | |
dc.date.issued | 2011 | |
dc.department | Kırıkkale Üniversitesi | |
dc.description.abstract | We assessed the role of the maximum standardized uptake value (SUVmax) of bone marrow and the extramedullary lesion with the highest SUVmax in positron emission tomography/computed tomography (PET/CT) of newly diagnosed multiple myeloma (MM) patients in predicting overall survival (OS). A total of 61 newly diagnosed patients (55 MM and 6 plasmacytoma) were enrolled in the study [37 men and 24 women with a median age of 57 years (range 28-80 years)]. The SUVmax of bone marrow and the extramedullary lesion in PET/CT was correlated with the levels of beta(2)-microglobulin, C-reactive protein (CRP), albumin, creatinine, per cent of bone marrow plasma cells, serum free light chain (FLC) ratio, International Staging System (ISS) score and Durie-Salmon stage. The extramedullary lesion with the highest SUVmax showed significant correlation with bone marrow fluorodeoxyglucose (FDG) uptake (p = 0.027) and near significant correlation with ISS (p = 0.048). Bone marrow SUVmax correlated significantly with the per cent of bone marrow plasma cell count (p = 0.024), CRP (p = 0.012) and ISS (p = 0.013). In stage III MM the mean values of SUVmax in extramedullary lesions were significantly higher than stages I and II (6.23 +/- 6.32 vs 2.85 +/- 3.44, p = 0.023). The serum FLC ratio did not show any correlation with SUVmax of lesions and bone marrow (p > 0.05). Forty-four MM patients with FDG-positive lesions in PET/CT showed inferior 5-year estimated survival (61.73%) when compared to 11 patients without FDG-positive lesions, all of whom were alive (p = 0.01). In multivariate analysis an extramedullary lesion with the highest SUVmax was the only independent predictor of OS (p = 0.03). PET/CT allows identification of high-risk myeloma patients, and extramedullary lesions with the highest SUVmax independently predict inferior OS. | en_US |
dc.identifier.citation | closedAccess | en_US |
dc.identifier.doi | 10.1007/s00259-011-1738-8 | |
dc.identifier.endpage | 1053 | en_US |
dc.identifier.issn | 1619-7070 | |
dc.identifier.issn | 1619-7089 | |
dc.identifier.issue | 6 | en_US |
dc.identifier.pmid | 21287167 | |
dc.identifier.scopus | 2-s2.0-79958066921 | |
dc.identifier.scopusquality | Q1 | |
dc.identifier.startpage | 1046 | en_US |
dc.identifier.uri | https://doi.org/10.1007/s00259-011-1738-8 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12587/5007 | |
dc.identifier.volume | 38 | en_US |
dc.identifier.wos | WOS:000290574100008 | |
dc.identifier.wosquality | Q1 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.indekslendigikaynak | PubMed | |
dc.language.iso | en | |
dc.publisher | Springer | en_US |
dc.relation.ispartof | European Journal Of Nuclear Medicine And Molecular Imaging | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Multiple myeloma | en_US |
dc.subject | PET/CT | en_US |
dc.subject | Survival | en_US |
dc.title | Value of 18F-fluorodeoxyglucose uptake in positron emission tomography/computed tomography in predicting survival in multiple myeloma | en_US |
dc.type | Article |
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