Rev Esp Med Nucl Imagen Mol (Engl Ed). 2025 Jun 20. pii: S2253-8089(25)00085-0. [Epub ahead of print] 500198
OBJECTIVE: To investigate the prognostic value of pretreatment 2-[18F]-fluoro-2-deoxy-d-glucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) in patients with hepatic neuroendocrine tumors (HNET).
METHODS: In total, 41 patients were included in this study. PET-derived metabolic parameters, including maximum and mean standardized uptake values (SUVmax and SUVmean, respectively), metabolic tumor volume (MTV), and total lesion glycolysis (TLG), of the tumors were measured. Meanwhile, clinical data, including tumor pathological findings such as the Ki-67 index were also assessed. Progression-free survival (PFS) and overall survival (OS) were evaluated. Univariate and multivariate analyses were performed to predict the prognostic value of clinical variables and PET-derived metabolic parameters in HNET patients. Correlation between PET-derived metabolic parameters and Ki-67 was estimated.
RESULTS: Univariate analyses revealed that among PET-derived metabolic parameters, SUVmax, SUVmean, and TLG were significant prognostic factors for OS (P < 0.05). Among clinical variables, the Ki-67 index and radical surgical resection were significant factors for both PFS and OS (P < 0.05). In multivariate analyses, only Ki-67 index was an independent prognostic factor for both PFS and OS (P < 0.05). Ki-67 index presented correlates with SUVmax and SUVmean (R = 0.566, P < 0.001, R = 0.493, P = 0.001, respectively).
CONCLUSIONS: In patients with HNET, the Ki-67 index was an independent prognostic factor for both PFS and OS, while SUVmax, SUVmean, and TLG measured on pretreatment 18F-FDG PET/CT scans were prognostic factors for predicting OS. Ki-67 index also presented correlates with SUVmax and SUVmean. 18F-FDG-PET may be useful as quantitative predicting prognostic imaging biomarkers, especially in poorly differentiated HNET.
Keywords: 2-[(18)F]-fluoro-2-deoxy-D-glucose; 2-[(18)F]-fluoro-2-desoxid-glucosa; Hepatic neuroendocrine tumors; Positron emission tomography/computed tomography (PET/CT); Tomografía por emisión de positrones/tomografía computarizada (PET/CT); Tumores neuroendocrinos hepáticos primarios