1. [18F]FDG and [18F]FLT PET for the evaluation of response to neo-adjuvant chemotherapy in a model of triple negative breast cancer.
- Author
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Raccagni I, Belloli S, Valtorta S, Stefano A, Presotto L, Pascali C, Bogni A, Tortoreto M, Zaffaroni N, Daidone MG, Russo G, Bombardieri E, and Moresco RM
- Subjects
- Animals, Antineoplastic Agents, Phytogenic therapeutic use, Area Under Curve, Cell Line, Tumor, Female, Humans, Ki-67 Antigen metabolism, Mice, Mice, Nude, Mice, SCID, Neoadjuvant Therapy, Paclitaxel therapeutic use, ROC Curve, Transplantation, Heterologous, Triple Negative Breast Neoplasms drug therapy, Triple Negative Breast Neoplasms pathology, Fluorodeoxyglucose F18 chemistry, Positron-Emission Tomography, Radiopharmaceuticals chemistry, Thymidine analogs & derivatives, Triple Negative Breast Neoplasms diagnostic imaging
- Abstract
Rationale: Pathological response to neo-adjuvant chemotherapy (NAC) represents a commonly used predictor of survival in triple negative breast cancer (TNBC) and the need to identify markers that predict response to NAC is constantly increasing. Aim of this study was to evaluate the potential usefulness of PET imaging with [18F]FDG and [18F]FLT for the discrimination of TNBC responders to Paclitaxel (PTX) therapy compared to the response assessed by an adapted Response Evaluation Criteria In Solid Tumors (RECIST) criteria based on tumor volume (Tumor Volume Response)., Methods: Nu/nu mice bearing TNBC lesions of different size were evaluated with [18F]FDG and [18F]FLT PET before and after PTX treatment. SUVmax, Metabolic Tumor Volume (MTV) and Total Lesion Glycolysis (TLG) and Proliferation (TLP) were assessed using a graph-based random walk algorithm., Results: We found that in our TNBC model the variation of [18F]FDG and [18F]FLT SUVmax similarly defined tumor response to therapy and that SUVmax variation represented the most accurate parameter. Response evaluation using Tumor Volume Response (TVR) showed that the effectiveness of NAC with PTX was completely independent from lesions size at baseline., Conclusions: Our study provided interesting results in terms of sensitivity and specificity of PET in TNBC, revealing the similar performances of [18F]FDG and [18F]FLT in the identification of responders to Paclitaxel., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2018
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