1. Early Prediction of Radiotherapeutic Efficacy in a Mouse Model of Non-Small Cell Lung Carcinoma Using 18F-FLT and 18F-FDG PET/CT.
- Author
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Tamaki Otani, Hitoshi Ikushima, Yoshimi Bando, Michiko Yamashita, Kenmei Kuwahara, Hideki Otsuka, Kazuya Kondo, and Hirokazu Miyoshi
- Subjects
FLUORODEOXYGLUCOSE F18 ,NON-small-cell lung carcinoma ,LUNG cancer diagnosis ,POSITRON emission tomography computed tomography ,LUNG cancer treatment - Abstract
This study investigated the usefulness of [
18 F]-3'-deoxy-3'-fluorothymidine (18 F-FLT) and [18 F]-fluoro-2-deoxy-D-glucose (18 F-FDG) positron emission tomography (PET)/computed tomography (CT) imaging for predicting the therapeutic efficacy of non-small cell lung cancer (NSCLC) irradiation at an early stage after radiation treatment. Mice were xenografted with the human lung adenocarcinoma line A549 or large cell lung cancer line FT821. Tumour uptake of18 F-FLT and18 F-FDG was imaged using PET/CT before and 1 week after irradiation. In A549 tumours,18 F-FLT uptake was significantly decreased, and18 F-FDG uptake was unchanged post-irradiation compared with pre-irradiation. In FT821 tumours, uptake of both18 F-FLT and18 F-FDG uptake was substantially decreased post-irradiation compared with pre-irradiation. In both xenografts, tumour volumes in the irradiated groups were significantly decreased compared with those in the control group.18 F-FLT is expected to contribute to individual NSCLC therapy because it accurately evaluates the decrease in tumour activity that cannot be captured by18 F-FDG.18 F-FDG may be useful for evaluating surviving cells without being affected by the inflammatory reaction at an extremely early stage, approximately 1 week after irradiation. Combined use of18 F-FLT and18 F-FDG PET/CT imaging may increase the accurate prediction of radiotherapy efficacy, which may lead to improved patient outcomes and minimally invasive personalised therapy. [ABSTRACT FROM AUTHOR]- Published
- 2023
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