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Prognostic value of 18F-FDG PET in patients with head and neck squamous cell cancer
Ist Teil von
American journal of roentgenology (1976), 2009-04, Vol.192 (4), p.W156
Ort / Verlag
United States
Erscheinungsjahr
2009
Quelle
MEDLINE
Beschreibungen/Notizen
This study was designed to assess whether tumor uptake of (18)F-FDG (FDG) expressed as the standardized uptake value (SUV) can be used to predict survival in patients with head and neck cancer. Furthermore, a prognostic maximum SUV was determined with univariate and bivariate analyses.
Low SUVs (</= 7.0) predicted significantly higher rates of 2-year local control (p = 0.0067) and disease-free survival (p = 0.0051) as compared with high SUVs (> 7.0). In the Cox proportional hazards model, tumor SUV was a significant and independent predictor of local control (p = 0.022) and disease-free survival (p = 0.019). In addition, in the group of high SUV, high T stage was more associated with poorer outcome than low T stage (p = 0.0502). Therefore, patients with higher tumor FDG uptake should be considered for a more aggressive treatment approach.