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005     20260108124520.0
024 7 _ |a 10.1007/s12672-025-04079-6
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024 7 _ |a 1868-8497
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024 7 _ |a 1868-8500
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024 7 _ |a 2730-6011
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037 _ _ |a DKFZ-2025-02561
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Kunte, Sophie Carina
|b 0
245 _ _ |a Feasibility of different meningioma delineation approaches on [18F]SiTATE PET/CT imaging.
260 _ _ |a [New York]
|c 2025
|b Springer
336 7 _ |a article
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336 7 _ |a Journal Article
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500 _ _ |a Volume 16, article number 2189, (2025)
520 _ _ |a Background:Somatostatin receptor (SSTR)-targeted PET is valuable for meningioma imaging due to high SSTR expression. [18F]SiTATE, a novel tracer, is not only promising for imaging neuroendocrine tumors but also for meningiomas. Standardized delineation methods on [18F]SiTATE PET are lacking. This study correlates CT-based volumes with PET-based delineation approaches to identify a threshold for standardized [18F]SiTATE PET volume assessment.Methods:Patients with well-delineated, extraosseous meningioma on CT (≥ 1mL) who underwent [18F]SiTATE PET/CT were included. Volumes were assessed on contrast-enhanced CT and correlated with PET-based delineation approaches: (I) fixed SUV threshold, (II) isocontour thresholding relative to SUVmax (SUV%), and thresholds relative to (III) bone marrow (SUVBM), (IV) parotid gland (SUVparotis) and (V) pituitary gland (SUVsella).Results:19 meningiomas in 17 PET/CT scans (16 patients) were included. A fixed SUV of 4.0 (r = 0.783, p < 0.001) showed good correlation with CT volumes without skewed distribution on Bland-Altman-Plot analysis. Using isocontour-based thresholds, 45% SUVmax (r = 0.496, p = 0.031) showed the highest concordance. Best reference-based approaches were achieved by 150% SUVBM (r = 0.859, p < 0.001), 250% SUVparotis (r = 0.460, p = 0.047) and 70% SUVsella (r = 0.819, p < 0.001). However, background-based approaches showed a trend towards overestimation of PET-volumes in larger meningiomas as assessed on Bland-Altman-Plot analyses. Uptake intensities of reference tissues (SUVBM, SUVparotis and SUVsella) were not inter-correlated (p > 0.05 each).Conclusion:A fixed SUV threshold of 4.0 showed strong agreement with CT-based volumes in well-delineated, extraosseous meningiomas which offers a simple, clinically applicable method without technical requirements. Reference tissue-based methods showed similar correlations but tended to overestimate volumes in larger lesions.
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650 _ 7 |a Delineation
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650 _ 7 |a Isocontour
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650 _ 7 |a Meningioma
|2 Other
650 _ 7 |a SSTR
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650 _ 7 |a SUV
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650 _ 7 |a [18F]SiTATE
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700 1 _ |a Unterrainer, Lena M
|b 1
700 1 _ |a Lindner, Simon
|b 2
700 1 _ |a Holzgreve, Adrien
|b 3
700 1 _ |a Kunz, Wolfgang G
|b 4
700 1 _ |a Winkelmann, Michael
|b 5
700 1 _ |a Nitschmann, Alexander
|b 6
700 1 _ |a Jurkschat, Klaus
|b 7
700 1 _ |a Wängler, Carmen
|b 8
700 1 _ |a Wängler, Björn
|b 9
700 1 _ |a Schirrmacher, Ralf
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700 1 _ |a Belka, Claus
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700 1 _ |a Thon, Niklas
|b 12
700 1 _ |a Schichor, Christian
|b 13
700 1 _ |a Bartenstein, Peter
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700 1 _ |a Unterrainer, Marcus
|b 15
773 _ _ |a 10.1007/s12672-025-04079-6
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