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Kuroshima T, Kitagawa Y, Sato J, Watanabe S, Asaka T, Abe T, Harada H, Hirata K, Kuge Y. Maximum standardized uptake value in 11C-methionine positron emission tomography may predict the prognosis of patients with oral squamous cell carcinoma. Odontology 2024:10.1007/s10266-024-00946-w. [PMID: 38703257 DOI: 10.1007/s10266-024-00946-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Accepted: 04/24/2024] [Indexed: 05/06/2024]
Abstract
The present study aimed to elucidate the correlation between the uptake of 11C-methionine (MET) by a primary tumor and the survival of patients with oral squamous cell carcinoma (OSCC). This study enrolled 31 patients who underwent radical surgery for OSCC. The patients underwent pretreatment MET-positron emission tomography (PET) scanning. We analyzed correlations between the maximum standardized uptake value (SUVmax) of MET-PET in a primary tumor and the clinicopathological features. Further, we compared overall survival (OS), disease-specific survival (DSS), and loco-regional recurrence (LRR) rates between the two groups according to SUVmax of MET-PET. SUVmax of MET-PET in a primary tumor was higher in patients with advanced T-classification and advanced clinical stage, with significant differences (P = 0.001 and P = 0.016, respectively). The patients with SUVmax of MET-PET ≥ 4.4 showed significantly lower DSS rates and higher LRR rates than those with SUVmax of < 4.4 (P = 0.015 and P = 0.016, respectively). SUVmax of MET-PET and OS rates showed no significant correlation (P = 0.073). The present study revealed that SUVmax of MET-PET may predict clinical outcomes and prognosis in patients with OSCC who underwent radical surgery.
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Affiliation(s)
- Takeshi Kuroshima
- Division of Oral Diagnosis and Medicine, Hokkaido University Faculty of Dental Medicine and Graduate School of Dental Medicine, Hokkaido University, North 13 West 7, Kita-ku, Sapporo, Hokkaido, Japan.
- Department of Oral and Maxillofacial Surgical Oncology, Division of Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.
| | - Yoshimasa Kitagawa
- Division of Oral Diagnosis and Medicine, Hokkaido University Faculty of Dental Medicine and Graduate School of Dental Medicine, Hokkaido University, North 13 West 7, Kita-ku, Sapporo, Hokkaido, Japan
| | - Jun Sato
- Division of Oral Diagnosis and Medicine, Hokkaido University Faculty of Dental Medicine and Graduate School of Dental Medicine, Hokkaido University, North 13 West 7, Kita-ku, Sapporo, Hokkaido, Japan
| | - Shiro Watanabe
- Department of Diagnostic Imaging, Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan
| | - Takuya Asaka
- Division of Oral Diagnosis and Medicine, Hokkaido University Faculty of Dental Medicine and Graduate School of Dental Medicine, Hokkaido University, North 13 West 7, Kita-ku, Sapporo, Hokkaido, Japan
| | - Takahiro Abe
- Department of Oral Surgery, Kitami Red Cross Hospital, Kitami, Hokkaido, Japan
| | - Hiroyuki Harada
- Department of Oral and Maxillofacial Surgical Oncology, Division of Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
| | - Kenji Hirata
- Department of Diagnostic Imaging, Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan
| | - Yuji Kuge
- Central Institute of Isotope Science, Hokkaido University, Sapporo, Hokkaido, Japan
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☆Symposium: Imaging modalities for drug-related osteonecrosis of the jaw (5), utility of bone scintigraphy and 18F-FDG PET/CT in early detection and risk assessment of medication-related osteonecrosis of the jaw (secondary publication). JAPANESE DENTAL SCIENCE REVIEW 2019; 55:76-79. [PMID: 30956739 PMCID: PMC6431786 DOI: 10.1016/j.jdsr.2018.12.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Accepted: 12/07/2018] [Indexed: 01/12/2023] Open
Abstract
Medication-related osteonecrosis of the jaw (MRONJ) is a significant side effect of antiresorptive and antiangiogenic drugs. Since MRONJ is intractable, early detection is the best way to limit progression. Bone scintigraphy and 18F- fluorodeoxyglucose positron-emission tomography can detect minimal and subclinical changes in bones earlier than conventional radiological modalities. A differential diagnosis including MRONJ is recommended when abnormally high uptakes are incidentally detected in the jaws of patients who have bone metastases. Quantitative analysis of uptakes, such as bone scan index of the jaw using neural network analysis and maximum standardized uptake value, could differentiate MRONJ from common dental diseases and be useful for the early detection and risk assessment of MRONJ.
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Kito S, Koga H, Oda M, Tanaka T, Miyamoto I, Kodama M, Habu M, Kokuryo S, Osawa K, Yamamoto N, Matsumoto-Takeda S, Wakasugi-Sato N, Kawanabe N, Yoshiga D, Nishimura S, Joujima T, Kito-Shingaki A, Uehara M, Sasaguri M, Morimoto Y. Changes in the distributions of fluorine-18-labelled fluoro-2-deoxy-d-glucose accumulation into tongue-related muscles after dissection in patients with tongue cancer. Dentomaxillofac Radiol 2017; 46:20160396. [PMID: 28467114 DOI: 10.1259/dmfr.20160396] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES To elucidate the changes in the distributions of fluorine-18-labelled fluoro-2-deoxy-d-glucose (18F-FDG) accumulation in the tongue muscles of patients following four kinds of surgical operations for tongue cancers. METHODS The changes in the distributions of 18F-FDG accumulations in the tongue muscles on positron emission tomography (PET)-CT, in association with imaging findings on CT and MRI, were retrospectively analyzed before and after four kinds of surgical operations for 50 patients with tongue cancers. RESULTS 18F-FDG-PET-positive areas appeared at the back of the intrinsic muscles of the tongue after invasive surgery for tongue cancers despite the absence of abnormal findings on CT and MRI. A correlation between the standardized uptake value maximum of 18F-FDG in the intrinsic muscles and the degree of invasiveness of the surgical procedures for tongue cancers (r = 0.539, p < 0.01) was found. CONCLUSIONS It is important to pay attention to the changes in 18F-FDG distributions in the intrinsic muscles of the tongue before and after invasive surgery despite the absence of abnormal findings on CT and MRI when evaluating the tongue on 18F-FDG-PET.
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Affiliation(s)
- Shinji Kito
- 1 Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Hirofumi Koga
- 2 Kitakyushu PET Center, Nishinippon Sangyoeiseikai, Kitakyushu, Japan
| | - Masafumi Oda
- 1 Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Tatsurou Tanaka
- 1 Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Ikuya Miyamoto
- 3 Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Masaaki Kodama
- 4 Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Manabu Habu
- 4 Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Shinya Kokuryo
- 3 Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Kenji Osawa
- 3 Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Noriaki Yamamoto
- 5 Department of Oral and Maxillofacial Surgery, Oita University, Oita, Japan
| | | | - Nao Wakasugi-Sato
- 1 Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Noriaki Kawanabe
- 6 Department of Orthodontics, Okayama University, Okayama, Japan
| | - Daigo Yoshiga
- 4 Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Shun Nishimura
- 1 Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Takaaki Joujima
- 1 Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Ayae Kito-Shingaki
- 7 Division of Comprehensive Dentistry, Kyushu Dental University, Kitakyushu, Japan
| | - Masataka Uehara
- 4 Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Masaaki Sasaguri
- 4 Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Yasuhiro Morimoto
- 1 Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan.,8 Center for Oral Biological Research, Kyushu Dental University, Kitakyushu, Japan
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Basic and important points regarding the diagnosis of oral cancers using fluorine-18-labeled fluoro-2-deoxy-d-glucose positron emission tomography–computed tomography: a review. Oral Radiol 2017. [DOI: 10.1007/s11282-017-0273-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kito S, Koga H, Kodama M, Habu M, Kokuryo S, Oda M, Matsuo K, Nishino T, Matsumoto-Takeda S, Uehara M, Yoshiga D, Tanaka T, Nishimura S, Miyamoto I, Sasaguri M, Tominaga K, Yoshioka I, Morimoto Y. Alterations in 18F-FDG accumulation into neck-related muscles after neck dissection for patients with oral cancers. Med Oral Patol Oral Cir Bucal 2016; 21:e341-8. [PMID: 27031062 PMCID: PMC4867208 DOI: 10.4317/medoral.21018] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 01/24/2016] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND 18F-fluoro-2-deoxy-D-glucose (18F-FDG) accumulations are commonly seen in the neck-related muscles of the surgical and non-surgical sides after surgery with neck dissection (ND) for oral cancers, which leads to radiologists having difficulty in diagnosing the lesions. To examine the alterations in 18F-FDG accumulation in neck-related muscles of patients after ND for oral cancer. MATERIAL AND METHODS 18F-FDG accumulations on positron emission tomography (PET)-computed tomography (CT) in neck-related muscles were retrospectively analyzed after surgical dissection of cervical lymph nodes in oral cancers. RESULTS According to the extent of ND of cervical lymph nodes, the rate of patients with 18F-FDG-PET-positive areas increased in the trapezius, sternocleidomastoid, and posterior neck muscles of the surgical and/or non-surgical sides. In addition, SUVmax of 18F-FDG-PET-positive areas in the trapezius and sternocleidomastoid muscles were increased according to the extent of the ND. CONCLUSIONS In evaluating 18F-FDG accumulations after ND for oral cancers, we should pay attention to the 18F-FDG distributions in neck-related muscles including the non-surgical side as false-positive findings.
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Affiliation(s)
- S Kito
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, 2-6-1 Manazuru, Kokurakita-ku, Kitakyushu 803-8580, Japan,
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Hirshoren N, Olayos E, Callahan J, Lau E. PET/CT findings within the contralateral tonsil following unilateral tonsillectomy. Laryngoscope 2016; 126:2480-2483. [DOI: 10.1002/lary.26023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Revised: 02/20/2016] [Accepted: 03/15/2016] [Indexed: 11/11/2022]
Affiliation(s)
- Nir Hirshoren
- Division of Surgical Oncology; Melbourne University; Melbourne Australia
- Department of Otolaryngology/Head & Neck Surgery; Hebrew University School of Medicine-Hadassah Medical Center; Jerusalem Israel
| | - Elizabeth Olayos
- Division of Surgical Oncology; Melbourne University; Melbourne Australia
| | - Jason Callahan
- Division of Radiation Oncology and Cancer Imaging; Melbourne University; Melbourne Australia
| | - Eddie Lau
- Division of Radiation Oncology and Cancer Imaging; Melbourne University; Melbourne Australia
- Peter MacCallum Cancer Center; the Department of Radiology, Melbourne University; Melbourne Australia
- Department of Radiology; Austin Health; Melbourne Australia
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