Document Detail


Standardized uptake values of fluorine-18 fluorodeoxyglucose: the value of different normalization procedures.
MedLine Citation:
PMID:  8698064     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
While the evident advantages of absolute metabolic rate determinations cannot be equalled by static image analysis of fluorine-18 fluorodeoxyglucose positron emission tomographic (FDG PET) studies, various algorithms for the normalization of static FDG uptake values have been proposed. This study was performed to compare different normalization procedures in terms of dependency on individual patient characteristics. Standardized FDG uptake values (SUVs) were calculated for liver and lung tissue in 126 patients studied with whole-body FDG PET. Uptake values were normalized for total body weight, lean body mass and body surface area. Ranges, means, medians, standard deviations and variation coefficients of these SUV parameters were calculated and their interdependency with total body weight, lean body mass, body surface area, patient height and blood sugar levels was calculated by means of regression analysis. Standardized FDG uptake values normalized for body surface area were clearly superior to SUV parameters normalized for total body weight or lean body mass. Variation and correlation coefficients of body surface area-normalized uptake values were minimal when compared with SUV parameters derived from the other normalization procedures. Normalization for total body weight resulted in uptake values still dependent on body weight and blood sugar levels, while normalization for lean body mass did not eliminate the positive correlation with lean body mass and patient height. It is concluded that normalization of FDG uptake values for body surface area is less dependent on the individual patient characteristics than are FDG uptake values normalized for other parameters, and therefore appears to be preferable for FDG PET studies in oncology.
Authors:
A Schomburg; H Bender; C Reichel; T Sommer; J Ruhlmann; B Kozak; H J Biersack
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of nuclear medicine     Volume:  23     ISSN:  0340-6997     ISO Abbreviation:  Eur J Nucl Med     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-09-05     Completed Date:  1996-09-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7606882     Medline TA:  Eur J Nucl Med     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  571-4     Citation Subset:  IM    
Affiliation:
Department of Nuclear Medicine, PET Center Bonn, University of Bonn, Germany.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Body Constitution
Cohort Studies
Deoxyglucose / analogs & derivatives*,  diagnostic use,  pharmacokinetics
Female
Fluorine Radioisotopes / diagnostic use*,  pharmacokinetics
Fluorodeoxyglucose F18
Humans
Liver / metabolism,  radionuclide imaging
Lung / metabolism,  radionuclide imaging
Male
Middle Aged
Neoplasms / radionuclide imaging
Prospective Studies
Reference Values
Tissue Distribution
Tomography, Emission-Computed*
Chemical
Reg. No./Substance:
0/Fluorine Radioisotopes; 154-17-6/Deoxyglucose; 63503-12-8/Fluorodeoxyglucose F18

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