TY - JOUR
AU - Anwar, Hoda
AU - Sachpekidis, Christos
AU - Winkler, Julia
AU - Kopp-Schneider, Annette
AU - Haberkorn, Uwe
AU - Hassel, Jessica C
AU - Dimitrakopoulou-Strauss, Antonia
TI - Absolute number of new lesions on18F-FDG PET/CT is more predictive of clinical response than SUV changes in metastatic melanoma patients receiving ipilimumab.
JO - European journal of nuclear medicine and molecular imaging
VL - 45
IS - 3
SN - 1619-7089
CY - Heidelberg [u.a.]
PB - Springer-Verl.
M1 - DKFZ-2018-00120
SP - 376 - 383
PY - 2018
AB - Evaluation of response to immunotherapy is a matter of debate. The aim of the present study was to evaluate the response of metastatic melanoma to treatment with ipilimumab by means of18F-FDG PET/CT, using the patients' clinical response as reference.The final cohort included in the analyses consisted of 41 patients with metastatic melanoma who underwent18F-FDG PET/CT before and after administration of ipilimumab. After determination of the best clinical response, the PET/CT scans were reviewed and a separate independent analysis was performed, based on the number and functional size of newly emerged18F-FDG-avid lesions, as well as on the SUV changes after therapy.The median observation time of the patients after therapy was 21.4 months (range 6.3-41.9 months). Based on their clinical response, patients were dichotomized into those with clinical benefit (CB) and those without CB (No-CB). The CB group (31 patients) included those with stable disease, partial remission and complete remission, and the No-CB group (10 patients) included those with progressive disease. The application of a threshold of four newly emerged18F-FDG-avid lesions on the posttherapy PET/CT scan led to a sensitivity (correctly predicting CB) of 84
LB - PUB:(DE-HGF)16
C6 - pmid:29124281
DO - DOI:10.1007/s00259-017-3870-6
UR - https://inrepo02.dkfz.de/record/132432
ER -