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PET Offers Prediction of Early Response to Head and Neck Cancer Treatment

By MedImaging International staff writers
Posted on 15 Oct 2012

Determining the optimal treatment course and predicting outcomes may soon become simpler for head and neck sqaumous cell carcinomas (HNSCCs) patients with the use of a new investigational imaging agent. A new study found that positron emission tomography (PET) imaging with 3'-deoxy-3'F-18-fluorothymidine (18-F-FLT) during treatment and early follow-up has the potential to predict therapeutic responses and identify patients needing close follow-up to identify recurring or persistent.

Tumor response to therapy is typically tracked by the assessment of tumor size change by anatomic imaging modalities. Whereas several studies have demonstrated that F-18-fluorodeoxyglucose (FDG) PET may be used to gauge response, the agent may generate false-positive findings. The study’s investigators set out to determine if F-18-FLT, a recently developed imaging compound, would also be valuable in predicting response to HNSCC therapy.

“In experimental models, reduced FLT uptake preceded reduced FDG uptake, suggesting that decreased cell proliferation precedes changes in glucose metabolism,” noted Hiroshi Hoshikawa, MD, from the department of otolaryngology, faculty of medicine, Kagawa University (Kagawa, Japan), and lead author of the study. “However, there are few clinical studies comparing FLT-PET and FDG-PET findings for radiotherapy.” The study’s findings were published in the October 2012 issue of the Journal of Nuclear Medicine.

In the study, 28 patients with HNSCCs underwent F-18-FLT and F-18-FDG PET imaging before radiotherapy treatment, four weeks after the start of therapy and five weeks after the conclusion of therapy. Uptake of both of the agents was calculated in primary and metastatic lesions.

F-18-FLT uptake during the radiation therapy dissipated in 34 of 54 lesions (63%); the negative predictive value was 97%. F-18-FDG uptake also had a high negative predictive value (100%) during radiation therapy, but only nine lesions (16%) demonstrated absence of FDG. Moreover, the specificity and overall accuracy of F-18-FLT were considerably higher than F-18-FDG PET both during and after radiation therapy. These results indicate that F-18-FLT PET is more beneficial for evaluating early loco-regional clinical outcomes and helping to avoiding unnecessary radical surgery.

“With the development of new molecular imaging agents, it’s now up to clinical researchers to utilize them to assess the characteristics of malignant tumors and their therapeutic response to chemotherapy, radiotherapy and molecular targeting therapy,” concluded Dr. Hoshikawa. “We hope that our findings will be helpful in understanding the significance of F-18-FLT-PET.”

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68 (66.995620727539): SELECT fid FROM jos_deeppockets WHERE id=294742941 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294742941 AND published='1' LIMIT 1

69 (48.87580871582): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

70 (383.13865661621): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742941 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (332.83233642578): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742941 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (52.928924560547): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (50.783157348633): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742941 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (45.061111450195): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742941 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (48.87580871582): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

105 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

106 (102.99682617188): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294742941 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (52.928924560547): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294742941 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (555.03845214844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

109 (227.92816162109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

110 (!!!!! 1111.0305786133): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294742941 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (498.05641174316): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294742941 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (537.15705871582): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (338.07754516602): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

115 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

116 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

117 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

118 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

119 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

120 (241.04118347168): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 22872.924804688): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

123 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

124 (369.78721618652): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742941 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742941 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 512161.97013855): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (106.8115234375): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (44.107437133789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (64.13459777832): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (38.14697265625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (34.093856811523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (652.07481384277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (534.0576171875): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (279.90341186523): SELECT name FROM jos_deeppockets WHERE id=213

136 (42.200088500977): SELECT name FROM jos_deeppockets WHERE id=213

137 (576.01928710938): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (499.01008605957): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

140 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

141 (!!!!! 10039.091110229): TRUNCATE TABLE jos_trademed_module

142 (123.97766113281): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294742941 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (77.009201049805): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294742941 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (542.87910461426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

147 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

148 (!!!!! 1466.9895172119): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

150 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

151 (52.928924560547): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742941 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742941 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (46.014785766602): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

153 (39.100646972656): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)

154 (39.815902709961): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

156 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742941 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742941 AND published='1' LIMIT 1

157 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

158 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

159 (55.789947509766): select jos_google_plus.link from jos_google_plus where cat=10

160 (39.815902709961): select jos_linkedin.link from jos_linkedin where cat=10

161 (294.92378234863): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1375.9136199951): insert into jos_banners_delta values (14615,'2025-06-20 12:35:51','216.73.216.120','view'),(14202,'2025-06-20 12:35:51','216.73.216.120','view'),(14203,'2025-06-20 12:35:51','216.73.216.120','view')

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