Background: To determine the optimum conditions for diagnosis of nasopharyngeal carcinoma, we established VX2 rabbit model to delineate gross target volume (GTV) in different imaging methods. Methods: The orthotopic nasopharyngeal carcinoma (NPC) was established in sixteen New Zealand rabbits. After 7-days inoculation, the rabbits were examined by CT scanning and then sacrificed for pathological examination. To achieve the best delineation, different GTVs of CT, MRI, 18 F-FDG PET/CT, and 18 F-FLT PET/CT images were correlated with pathological GTV (GTVp). Results: We found 45% and 60% of the maximum standardized uptake value (SUV max ) as the optimal SUV threshold for the target volume of NPC in 18 F-FDG PET/CT and 18 F-FLT PET/CT images, respectively (GTV FDG45% and GTV FLT60% ). Moreover, the GTV MRI and GTV CT were significantly higher than the GTVp (P ≤ 0.05), while the GTV FDG45% and especially GTV FLT60% were similar to the GTVp (R = 0.892 and R = 0.902, respectively; P ≤ 0.001). Conclusions: Notably, the results suggested that 18 F-FLT PET/CT could reflect the tumor boundaries more accurately than 18 F-FDG PET/CT, MRI and CT, which makes 18 F-FLT PET-CT more advantageous for the clinical delineation of the target volume in NPC.? The author(s).
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机译:背景:为了确定诊断鼻咽癌的最佳条件,我们建立了VX2兔模型以在不同的成像方法中描绘总目标量(GTV)。方法:原位鼻咽癌(NPC)成立于十六位新西兰兔。在7天接种后,通过CT扫描检查兔子,然后为病理检查处死。为了达到最佳描绘,CT,MRI,18 F-FDG PET / CT和18 F-FLT PET / CT图像的不同GTV与病理GTV(GTVP)相关。结果:我们发现了45%和60%的最大标准化摄取值(SUV MAX)作为18 F-FDG PET / CT和18 F-FLT / CT图像中NPC的目标体积的最佳SUV阈值( GTV FDG45%和GTV FLT60%)。此外,GTV MRI和GTV CT显着高于GTVP(P≤0.05),而GTV FDG45%且尤其是GTV FLT60%的GTVP(r = 0.892和r = 0.902)类似;p≤0.001) 。结论:特别是,结果表明,18个F-FLT PET / CT可以比18 F-FDG PET / CT,MRI和CT更精确地反映肿瘤界限,这使得18 F-FLT PET-CT对临床描绘更有利NPC中的目标体积。作者。
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