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García Vicente A, Tello Galán M, Pena Pardo F, Amo-Salas M, Mondejar Marín B, Navarro Muñoz S, Rueda Medina I, Poblete García V, Marsal Alonso C, Soriano Castrejón Á. Aumento de la confianza en la interpretación del PET con 18F-Florbetaben: “machine learning” basado en la aproximación cuantitativa. Rev Esp Med Nucl Imagen Mol 2022. [DOI: 10.1016/j.remn.2021.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Alfaya Arias T, Feo Brito F, Somoza Álvarez ML, Amo-Salas M, Lucas JA, Gutiérrez Mañero J, Urra Ardanaz JM. Allergenicity of grass pollen from polluted and non-polluted areas measured by skin prick test and basophil activation test. J Investig Allergol Clin Immunol 2022; 32:393-395. [PMID: 35029154 DOI: 10.18176/jiaci.0775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- T Alfaya Arias
- Allergy Department. Hospital General Universitario de Ciudad Real, Spain.,Allergy Department. Hospital Universitario Fundación Alcorcón, Madrid, Spain
| | - F Feo Brito
- Allergy Department. Hospital General Universitario de Ciudad Real, Spain.,Faculty of Medicine. Universidad de Castilla-La Mancha (UCLM), Spain
| | - M L Somoza Álvarez
- Allergy Department. Hospital Universitario Infanta Leonor, Madrid, Spain
| | - M Amo-Salas
- Faculty of Medicine. Mathematics department. Universidad de Castilla La Mancha (UCLM), Spain
| | - J A Lucas
- Plant Physiology, Pharmaceutical and Health Sciences Department, Faculty of Pharmacy, Universidad San Pablo-CEU, Spain
| | - J Gutiérrez Mañero
- Plant Physiology, Pharmaceutical and Health Sciences Department, Faculty of Pharmacy, Universidad San Pablo-CEU, Spain
| | - J M Urra Ardanaz
- Immunology Department, Hospital General Universitario de Ciudad Real. Spain
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Noriega-Álvarez E, García Vicente AM, Pena Pardo FJ, Jiménez Londoño GA, Amo-Salas M, Benítez Segura AM, Bajén Lázaro MT, Mora Salvadó J, Gámez Censano C, Soriano Castrejón ÁM. Diagnostic methodology in labelled leukocyte scan for prosthetic / non-prosthetic osteoarticular infection: Visual or semi-quantitative analysis? One- or two-day protocol? Rev Esp Med Nucl Imagen Mol 2021; 41:S2253-654X(20)30190-6. [PMID: 34167930 DOI: 10.1016/j.remn.2020.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 09/24/2020] [Accepted: 09/30/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVE As scarce literature on the topic is available, we aimed to compare diagnostic utility of semi-quantitative versus visual analysis in labelled white blood cell scintigraphy (WBCS) for osteoarticular infection. One-day and two-day protocols were assessed, particularly in orthopaedic devices. MATERIAL AND METHODS Prospective study of 79 consecutive patients with suspected osteoarticular infection. In all patients, WBCS were performed at 30min, 4h, 8h and 24h. Images were analysed by grouping in two protocols: one-day-protocol (experts evaluated 30min, 4h and 8h planar images) and two-day-protocol (experts evaluated 30min, 4h and 24h planar images). Planar images were interpreted qualitative and semiquantitatively and also were compared grouping patients with and without orthopaedic devices. To find which cut-off value of the percentage variation could predict of osteoarticular infection, multiple cut-off values were calculated in both protocols from the Youden index. Three blinded readers analysed the images. RESULTS Comparing final diagnosis visual analysis of the one-day-protocol provided better results with sensitivity of 95.5%, specificity of 93% and diagnostic accuracy of 93.7% (P<.01) than the two-day-protocol with values of 86.4%, 94.7% and 92.4%, respectively (P<.01). For semi-quantitative analysis, the one-day-protocol also obtained better results with sensitivity of 72.7%, specificity of 78.9% and accuracy of 77.2% (P<.01) than two-day-protocol (no significant results; P=.14), especially in the group of patients with orthopaedic devices (sensitivity of 100%, specificity of 79.5% and accuracy of 82.7%; P<.01). CONCLUSIONS Most accurate approach in the diagnosis of osteoarticular infection corresponded to visual analysis in one-day-protocol that showed greater sensitivity and specificity than semi-quantitative analysis. Semi-quantitative analysis only could be useful when visual analysis is doubtful. In patients with joint prostheses, an increase in percentage variation above 9% obtained maximum sensitivity and negative predictive value.
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Affiliation(s)
- E Noriega-Álvarez
- Departamento de Medicina Nuclear, Hospital Universitario de Ciudad Real, Ciudad Real, España.
| | - A M García Vicente
- Departamento de Medicina Nuclear, Hospital Universitario de Ciudad Real, Ciudad Real, España
| | - F J Pena Pardo
- Departamento de Medicina Nuclear, Hospital Universitario de Ciudad Real, Ciudad Real, España
| | - G A Jiménez Londoño
- Departamento de Medicina Nuclear, Hospital Universitario de Ciudad Real, Ciudad Real, España
| | - M Amo-Salas
- Departamento de Matemáticas, Universidad de Castilla-La Mancha, Ciudad Real, España
| | - A M Benítez Segura
- Departamento de Medicina Nuclear, Hospital Universitari de Bellvitge-IDIBELL, L'Hospitalet de Llobregat, Barcelona, España
| | - M T Bajén Lázaro
- Departamento de Medicina Nuclear, Hospital Universitari de Bellvitge-IDIBELL, L'Hospitalet de Llobregat, Barcelona, España
| | - J Mora Salvadó
- Departamento de Medicina Nuclear, Hospital Universitari de Bellvitge-IDIBELL, L'Hospitalet de Llobregat, Barcelona, España
| | - C Gámez Censano
- Departamento de Medicina Nuclear, Hospital Universitari de Bellvitge-IDIBELL, L'Hospitalet de Llobregat, Barcelona, España
| | - Á M Soriano Castrejón
- Departamento de Medicina Nuclear, Hospital Universitario de Ciudad Real, Ciudad Real, España
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García Vicente AM, Pérez-Beteta J, Jiménez Londoño GA, Amo-Salas M, Pena Pardo FJ, Villena Martín M, Borrás Moreno JM, Soriano Castrejón Á. Segmentation of gliomas in 18F-fluorocholine PET/CT. A multiapproach study. Rev Esp Med Nucl Imagen Mol 2019; 38:362-369. [PMID: 31669074 DOI: 10.1016/j.remn.2019.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2019] [Revised: 03/16/2019] [Accepted: 03/25/2019] [Indexed: 10/25/2022]
Abstract
AIM Our aim was two-fold, to study the interobserver agreement in tumour segmentation and to search for a reliable methodology to segment gliomas using 18F-fluorocholine PET/CT. METHODS 25 patients with glioma, from a prospective and non-randomized study (Functional and Metabolic Glioma Analysis), were included.Interobserver variability in tumour segmentation was assessed using fixed thresholds. Different strategies were used to segment the tumours. First, a semi-automatic tumour segmentation was performed, selecting the best SUVmax-% threshold for each lesion. Next we determined a variable SUVmax-% depending on the SUVmax. Finally a segmentation using a fixed SUVmax threshold was performed. To do so, a sampling of 10 regions of interest (ROI of 2.8cm2) located in the normal brain was performed. The upper value of the sample mean SUVmax±3 SD was used as cut-off. All procedures were tested and classified as effective or not for tumour segmentation by two observer's consensus. RESULTS In the pilot segmentation, the mean±SD of SUVmax, SUVmean and optimal SUVmax-% threshold were: 3.64±1.77, 1.32±0.57 and 21.32±8.39, respectively. Optimal SUVmax-% threshold showed a significant association with the SUVmax (Pearson=-0.653, p=.002). However, the linear regression model for the total sample was not good, that supported the division in two homogeneous groups, defining two formulas for predicting the optimal SUVmax-% threshold. As to the third procedure, the obtained value for the mean SUVmax background+3 SD was 0.33. This value allowed segmenting correctly a significant fraction of tumours, although not all. CONCLUSION A great interobserver variability in the tumour segmentation was found. None of the methods was able to segment correctly all the gliomas, probably explained by the wide tumour heterogeneity on 18F-fluorocholine PET/CT.
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Affiliation(s)
- A M García Vicente
- Nuclear Medicine Department, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
| | - J Pérez-Beteta
- Mathematical Oncology Laboratory (MôLAB), Universidad de Castilla-La Mancha, Ciudad Real, España
| | - G A Jiménez Londoño
- Nuclear Medicine Department, Hospital General Universitario de Ciudad Real, Ciudad Real, España
| | - M Amo-Salas
- Department of Mathematics, University of Castilla-La Mancha, Ciudad Real, España
| | - F J Pena Pardo
- Nuclear Medicine Department, Hospital General Universitario de Ciudad Real, Ciudad Real, España
| | - M Villena Martín
- Neurosurgery Department, Hospital General Universitario de Ciudad Real, Ciudad Real, España
| | - J M Borrás Moreno
- Neurosurgery Department, Hospital General Universitario de Ciudad Real, Ciudad Real, España
| | - Á Soriano Castrejón
- Nuclear Medicine Department, Hospital General Universitario de Ciudad Real, Ciudad Real, España
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Menéndez-Sánchez P, León-Salinas C, Amo-Salas M, Méndez-Cea B, García-Carranza A. Association of laboratory and radiologic parameters in the diagnosis of acute cholecystitis. Revista de Gastroenterología de México (English Edition) 2019. [DOI: 10.1016/j.rgmxen.2019.02.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/07/2022] Open
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García Vicente AM, González García B, Amo-Salas M, García Carbonero I, Cassinello Espinosa J, Gómez-Aldaraví Gutierrez JL, Suarez Hinojosa L, Soriano Castrejón Á. Baseline 18F-Fluorocholine PET/CT and bone scan in the outcome prediction of patients treated with radium 223 dichloride. Clin Transl Oncol 2018; 21:289-297. [DOI: 10.1007/s12094-018-1920-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Accepted: 07/09/2018] [Indexed: 12/22/2022]
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García Vicente A, Talavera Rubio M, Dominguez Ferreras E, Calle Primo C, Amo-Salas M, Tello Galán M, Jimèc)nez Londoño G, Jimèc)nez Aragón F, Hernández Ruiz B, Soriano Castrejón Á. 18 F-FDG PET/contrast enhanced CT in the standard follow-up of patients with lymphoma. Rev Esp Med Nucl Imagen Mol 2018. [DOI: 10.1016/j.remnie.2017.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Garcia-Vicente A, Pérez-Beteta J, Amo-Salas M, Molina D, Jimenez-Londoño G, Soriano-Castrejón A, Pena Pardo F, Martínez-González A. Predictive and prognostic potential of volume-based metabolic variables obtained by a baseline 18 F-FDG PET/CT in breast cancer with neoadjuvant chemotherapy indication. Rev Esp Med Nucl Imagen Mol 2018. [DOI: 10.1016/j.remnie.2017.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Garcia-Vicente AM, Pérez-Beteta J, Amo-Salas M, Molina D, Jimenez-Londoño GA, Soriano-Castrejón AM, Pena Pardo FJ, Martínez-González A. Predictive and prognostic potential of volume-based metabolic variables obtained by a baseline 18F-FDG PET/CT in breast cancer with neoadjuvant chemotherapy indication. Rev Esp Med Nucl Imagen Mol 2017; 37:73-79. [PMID: 29102649 DOI: 10.1016/j.remn.2017.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Revised: 08/16/2017] [Accepted: 09/13/2017] [Indexed: 12/16/2022]
Abstract
AIM To investigate the usefulness of metabolic variables using 18F-FDG PET/CT in the prediction of neoadjuvant chemotherapy (NC) response and the prognosis in locally advanced breast cancer (LABC). MATERIAL AND METHODS Prospective study including 67 patients with LABC, NC indication and a baseline 18F-FDG PET/CT. After breast tumor segmentation, SUV variables (SUVmax, SUVmean and SUVpeak) and volume-based variables, such as metabolic tumor volume (MTV) and total lesion glycolysis (TLG), were obtained. Tumors were grouped into molecular phenotypes, and classified as responders or non-responders after completion of NC. Disease-free status (DFs), disease-free survival (DFS), and overall survival (OS) were assessed. A univariate and multivariate analysis was performed to study the potential of all variables to predict DFs, DFS, and OS. RESULTS Fourteen patients were classified as responders. Median±SD of DFS and OS was 43±15 and 46±13 months, respectively. SUV and TLG showed a significant correlation (p<0.005) with the histological response, with higher values in responders compared to non-responders. MTV and TLG showed a significant association with DFs (p=0.015 and p=0.038 respectively). Median, mean and SD of MTV and TLG for patients with DFs were: 8.90, 13.73, 15.10 and 33.78, and 90.54 and 144.64, respectively. Median, mean and SD of MTV and TLG for patients with non-DFs were: 16.72, 29.70 and 31.09 and 90.89, 210.98 and 382.80, respectively. No significant relationships were observed with SUV variables and DFs. Volume-based variables were significantly associated with OS and DFS, although in multivariate analysis only MTV was related to OS. No SUV variables showed an association with the prognosis. CONCLUSION Volume-based metabolic variables obtained with 18F-FDG PET/CT, unlike SUV based variables, were good predictors of both neoadjuvant chemotherapy response and prognosis.
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Affiliation(s)
- A M Garcia-Vicente
- Servicio de Medicina Nuclear, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
| | - J Pérez-Beteta
- Instituto de Matemática Aplicada a la Ciencia y la Ingeniería, Universidad de Castilla-La Mancha, Ciudad Real, España
| | - M Amo-Salas
- Departamento de Matemáticas, Universidad de Castilla-La Mancha, Ciudad Real, España
| | - D Molina
- Instituto de Matemática Aplicada a la Ciencia y la Ingeniería, Universidad de Castilla-La Mancha, Ciudad Real, España
| | - G A Jimenez-Londoño
- Servicio de Medicina Nuclear, Hospital General Universitario de Ciudad Real, Ciudad Real, España
| | - A M Soriano-Castrejón
- Servicio de Medicina Nuclear, Hospital General Universitario de Ciudad Real, Ciudad Real, España
| | - F J Pena Pardo
- Servicio de Medicina Nuclear, Hospital General Universitario de Ciudad Real, Ciudad Real, España
| | - A Martínez-González
- Instituto de Matemática Aplicada a la Ciencia y la Ingeniería, Universidad de Castilla-La Mancha, Ciudad Real, España
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Jiménez Londoño G, García Vicente A, Amo-Salas M, Fúnez Mayorga F, López Guerrero M, Talavera Rubio M, Gutierrez Martin P, González García B, de la Torre Pérez J, Soriano Castrejón Á. Role of 18 F-Choline PET/CT in guiding biopsy in patients with risen PSA levels and previous negative biopsy for prostate cancer. Rev Esp Med Nucl Imagen Mol 2017. [DOI: 10.1016/j.remnie.2017.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Jiménez Londoño GA, García Vicente AM, Amo-Salas M, Fúnez Mayorga F, López Guerrero MA, Talavera Rubio MP, Gutierrez Martin P, González García B, de la Torre Pérez JA, Soriano Castrejón ÁM. Role of 18F-Choline PET/CT in guiding biopsy in patients with risen PSA levels and previous negative biopsy for prostate cancer. Rev Esp Med Nucl Imagen Mol 2017; 36:241-246. [PMID: 28330596 DOI: 10.1016/j.remn.2017.01.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2016] [Revised: 12/23/2016] [Accepted: 01/03/2017] [Indexed: 11/15/2022]
Abstract
OBJECTIVES To study 18F-Choline PET/CT in the diagnosis and biopsy guide of prostate cancer (pCa) in patients with persistently high prostate-specific antigen (PSA) and previous negative prostate biopsy. To compare the clinical risk factors and metabolic variables as predictors of malignancy. METHODS Patients with persistently elevated PSA in serum (total PSA >4ng/mL) and at least a previous negative or inconclusive biopsy were consecutively referred for a whole body 18F-Choline PET/CT. Patient age, PSA level, PSA doubling time (PSAdt) and PSA velocity (PSAvel) were obtained. PET images were visually (positive or negative) and semiquantitatively (SUVmax) reviewed. 18F-Choline uptake prostate patterns were defined as focal, multifocal, homogeneous or heterogeneous. Histology on biopsy using transrectal ultrasound-guided approach was the gold standard. Sensitivity (Se), specificity (Sp) and accuracy (Ac) of PET/CT for diagnosis of pCa were evaluated using per-patient and per-prostate lobe analysis. Receiver-operating-characteristic (ROC) curve analysis was used to assess the value of SUVmax to diagnose pCa. Correlation between PET/CT and biopsy results per-prostate lobe was assessed using the Chi-square test. Univariate and multivariate logistic regression analysis were applied to compare clinical risk factors and metabolic variables as predictors of malignancy. RESULTS Thirty-six out of 43 patients with histologic confirmation were included. In 11 (30.5%) patients, pCa was diagnosed (Gleason score from 4 to 9). The mean values of patient age, PSA level, PSAdt and PSAvel were: 65.5 years, 15.6ng/ml, 28.1 months and 8.5ng/mL per year, respectively. Thirty-three patients had a positive PET/CT; 18 had a focal pattern, 7 multifocal, 4 homogeneous and 4 heterogeneous. Se, Sp and Ac of PET/CT were of 100%, 12% and 38% in the patient based analysis, and 87%, 29% and 14% in the prostate lobe based analysis, respectively. The ROC curve analysis of SUVmax showed an AUC of 0.568 (p=0.52). On a lobe analysis, poor agreement was observed between PET/CT findings and biopsy results (p=0.097). In the univariate/multivariate analysis, none of clinical and metabolic variables were statistically significant as predictor of pCa. CONCLUSION Choline PET/CT is a suitable procedure for the detection of pCa in highly selected patients, however, a high rate of false positive should be expected.
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Affiliation(s)
- G A Jiménez Londoño
- Nuclear Medicine Department, Hospital Universitario de Ciudad Real, Ciudad Real, Spain.
| | - A M García Vicente
- Nuclear Medicine Department, Hospital Universitario de Ciudad Real, Ciudad Real, Spain
| | - M Amo-Salas
- Mathematic Department, University of Castilla La Mancha, Ciudad Real, Spain
| | - F Fúnez Mayorga
- Urology Department, Hospital Virgen de Altagracia, Manzanares, Ciudad Real, Spain
| | | | - M P Talavera Rubio
- Nuclear Medicine Department, Hospital Universitario de Ciudad Real, Ciudad Real, Spain
| | - P Gutierrez Martin
- Urology Department, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo, Spain
| | - B González García
- Nuclear Medicine Department, Hospital Universitario de Ciudad Real, Ciudad Real, Spain
| | - J A de la Torre Pérez
- Urology Department, Hospital Nuestra Señora del Prado, Talavera de la Reina, Toledo, Spain
| | - Á M Soriano Castrejón
- Nuclear Medicine Department, Hospital Universitario de Ciudad Real, Ciudad Real, Spain
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Jiménez Londoño G, García Vicente A, Poblete García V, Amo-Salas M, Calle Primo C, Ibañez García Á, Martínez Sanchís B, López-Fidalgo J, Solano Ramos F, Martínez Hellín A, Díaz Morfa M, Soriano Castrejón Á. Basal 18 F-FDG PET/CT in follicular lymphoma: A comparison of metabolic and clinical variables in the prognostic assessment. Rev Esp Med Nucl Imagen Mol 2016. [DOI: 10.1016/j.remnie.2016.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Jiménez Londoño GA, García Vicente AM, Poblete García VM, Amo-Salas M, Calle Primo C, Ibañez García Á, Martínez Sanchís B, López-Fidalgo JF, Solano Ramos F, Martínez Hellín A, Díaz Morfa M, Soriano Castrejón Á. Basal (18)F-FDG PET/CT in follicular lymphoma: A comparison of metabolic and clinical variables in the prognostic assessment. Rev Esp Med Nucl Imagen Mol 2016; 35:298-305. [PMID: 27312693 DOI: 10.1016/j.remn.2016.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Revised: 03/31/2016] [Accepted: 04/01/2016] [Indexed: 10/21/2022]
Abstract
AIM To analyze the relationship of clinical variables related to prognosis and tumor burden, with metabolic variables obtained in the staging (18)F-FDG PET/CT, and their value in the prognosis in follicular lymphoma (FL). METHODS 82 patients with FL, a (18)F-FDG PET/CT at diagnosis and a follow-up for a minimum of 12 months, were retrospectively enrolled in the present study. Clinical variables (Tumor grade, Follicular Lymphoma International Prognostic Index (FLIPI) and Tumor burden) were evaluated. Metabolic variables such as SUVmax in the highest hypermetabolic lesion, extralymphatic locations, number of involved lymph node locations, bone marrow (BM) involvement, PET stage and diameter of the biggest hypermetabolic lesion, were analyzed in order to establish a PET score and classify the studies in low, intermediate and high metabolic risk. Clinical and metabolic variables (included metabolic risk) were compared. The relation among all variables and disease-free survival (DFS) was studied. RESULTS The 28% of patients had a high-grade tumor. The 30.5% had FLIPI risk low, 29.3% intermediate y 40.2% high. The 42.7% presented a high tumor burden. The PET/CT was positive in 94% of patients. The tumor grade did not show significant relation with metabolic variable. FLIPI risk and tumor burden showed statistical relations with the SUV max and the PET score (p<0.008 and p=0.003 respectively). With respect to DFS, significant differences were detected for the PET stage and FLIPI risk (p=0.015 and p=0.047 respectively). FLIPI risk was the only significant predictor in Cox regression analysis, with a Hazard Ratio of 5.13 between high risk and low risk. CONCLUSION The present research highlights the significant relation between metabolic variables obtained with FDG PET/CT and clinical variables although their goal as an independent factor of prognosis was not demonstrated in the present work.
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Affiliation(s)
- G A Jiménez Londoño
- Department of Nuclear Medicine, Hospital General Universitario de Ciudad Real, Spain.
| | - A M García Vicente
- Department of Nuclear Medicine, Hospital General Universitario de Ciudad Real, Spain
| | - V M Poblete García
- Department of Nuclear Medicine, Hospital General Universitario de Ciudad Real, Spain
| | - M Amo-Salas
- Department of Mathematics, University of Castilla La Mancha, Ciudad Real, Spain
| | - C Calle Primo
- Department of Hematology, Hospital General Universitario de Ciudad Real, Spain
| | - Á Ibañez García
- Department of Hematology, Complejo Hospitalario Universitario de Albacete, Spain
| | - B Martínez Sanchís
- Department of Nuclear Medicine, Hospital General Universitario de Ciudad Real, Spain
| | - J F López-Fidalgo
- Department of Mathematics, University of Castilla La Mancha, Ciudad Real, Spain
| | - F Solano Ramos
- Department of Hematology, Hospital Ntra. Sra. del Prado, Talavera de la Reina, Toledo, Spain
| | - A Martínez Hellín
- Department of Hematology, Complejo Hospitalario Universitario de Albacete, Spain
| | - M Díaz Morfa
- Department of Hematology, Hospital Universitario de Guadalajara, Spain
| | - Á Soriano Castrejón
- Department of Nuclear Medicine, Hospital General Universitario de Ciudad Real, Spain
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Pena Pardo FJ, García Vicente AM, Amo-Salas M, López-Fidalgo JF, Garrido Robles JA, de Ayala Fernández JÁ, del Saz Saucedo P, Muñoz Pasadas M, Soriano Castrejón A. Utility of 18F-FDG-PET/CT in patients suspected of paraneoplastic neurological syndrome: importance of risk classification. Clin Transl Oncol 2016; 19:111-118. [DOI: 10.1007/s12094-016-1511-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Accepted: 04/09/2016] [Indexed: 12/26/2022]
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15
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Garcia Vicente A, Soriano Castrejón A, Amo-Salas M, Lopez Fidalgo J, Muñoz Sanchez M, Alvarez Cabellos R, Espinosa Aunion R, Muñoz Madero V. Glycolytic activity in breast cancer using 18 F-FDG PET/CT as prognostic predictor: A molecular phenotype approach. Rev Esp Med Nucl Imagen Mol 2016. [DOI: 10.1016/j.remnie.2015.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ortega-López V, Amo-Salas M, Ortiz-Barredo A, Díez-Navajas AM. Male flight phenology of the European grapevine moth Lobesia botrana (Lepidoptera: Tortricidae) in different wine-growing regions in Spain. Bull Entomol Res 2014; 104:566-575. [PMID: 24810404 DOI: 10.1017/s0007485314000339] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Lobesia botrana is the most significant pest of grape berries in Spain. Further knowledge of its phenology would enable wine growers to decide on an optimal treatment schedule. The aim of this study is, therefore, to predict the flight peaks of L. botrana in seven wine-growing regions of Spain. The main goal is to provide a prediction model based on meteorological data records. A logistic function model, based on temperature and humidity records, together with an exhaustive statistical analysis, were used to compare the wine-growing regions in which the male flight phenology of L. botrana displays similar patterns and to sort them into groups. By doing so, a joint study of the dynamics of the moth is possible in the regions within each group. A comparison of the prediction errors before and after applying the Touzeau model confirmed that the fit of the latter model is not sufficiently accurate for the regions under study. Moth flight predictions with the logistic function model are good, but accuracy may still be improved by evaluating other non-biotic and biotic factors.
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Affiliation(s)
- V Ortega-López
- Civil Engineering Department,University of Burgos,Calle Villadiego s/n, E-09001 Burgos,Spain
| | - M Amo-Salas
- Mathematics Department,University of Castilla-La Mancha,Camino de Moledores s/n, E-13071 Ciudad Real,Spain
| | - A Ortiz-Barredo
- Plant Production and Protection Department,NEIKER-Tecnalia,E-01080 Vitoria-Gasteiz,Spain
| | - A M Díez-Navajas
- Plant Production and Protection Department,NEIKER-Tecnalia,E-01080 Vitoria-Gasteiz,Spain
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Zaruma CL, Arregui E, Cano JM, Gonzalez J, Amo-Salas M, Lopez C, Moreno JMB. P17.52 * ANALYSIS OF RISK AND PROGNOSIS FACTORS IN GLIOBLASTOMA - OUR EXPERIENCE IN 104 PATIENTS. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou174.381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Amo-Salas M, López-Fidalgo J, López-Ríos VI. Optimal Designs for Two Nested Pharmacokinetic Models with Correlated Observations. COMMUN STAT-SIMUL C 2012. [DOI: 10.1080/03610918.2012.625743] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Feo Brito F, Alonso AM, Carnés J, Martín-Martín R, Fernández-Caldas E, Galindo PA, Alfaya T, Amo-Salas M. Correlation between Alt a 1 levels and clinical symptoms in Alternaria alternata-monosensitized patients. J Investig Allergol Clin Immunol 2012; 22:154-159. [PMID: 22697004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Abstract
BACKGROUND Alternaria alternata is a risk factor for developing asthma.Alt a 1, which has been described as the major allergen in A alternata, shows a good correlation with A alternata spores only when they have germinated. OBJECTIVES The objective of this study was to determine the correlation between spore counts and clinical symptoms in patients with allergic asthma and/or rhinitis monosensitized to A alternata. METHODS Two types of samplers were used to determine exposure: a Burkard spore trap to collect A alternata spores and a high-volume air sampler to collect airborne particles. A total of 366 air filters were collected. Alt a 1 levels were measured by monoclonal antibody-based enzyme-linked immunosorbent assay. Eighteen monosensitized patients were asked to record their daily symptoms throughout the year. RESULTS A alternata spores were detected throughout the year, whereas Alt a 1 was detected only between March and December. Symptoms showed positive and significant correlations with spore counts (r=0.459, P<.001), and Alt a 1 levels (r=0.294, P<.001). The correlation between spores and Alt a 1 was low. The negative binomial model proved that an increase of 10 pg/m3 in Alt a 1 levels increased the number of symptoms at a 3-day lag by 5%. CONCLUSIONS In patients who are allergic to A alternata, Alt a 1 levels can be considered an important marker for predicting the risk of respiratory symptoms.
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Affiliation(s)
- F Feo Brito
- Allergy Section, General University Hospital, Ciudad Real, Spain.
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Abstract
The model that describes the retention in lungs of radioisotope particles is studied in this paper, considering the situation of an accident in facilities that handle radioactive materials. Optimal times to make the bioassays are computed for D- and c-optimality, and efficiencies for the computed designs are provided and compared. Moreover, the test power is checked by means of simulations and replications. After that the inverse of the Fisher information matrix is compared to an estimation of the covariance matrix of the parameters. Finally, a study taking into consideration the randomness of the designs space is performed.
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Affiliation(s)
- M Amo-Salas
- Department of Mathematics, University of Castilla-La Mancha, Ciudad Real, Spain.
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