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A systematic comparison of 18F-FDOPA PET/CT with 18F-FDG PET/CT for diagnosis of brain tumors |
HUANG Shiming1,2,LUO Yanwei2,3,LI Yanfeng1,YANG Yang1,YUE Jianlan1,and LIN Zhichun1 |
1.Department of Nuclear Medicine, Affiliated Hospital of Logistics University of Chinese People’s Armed Police Force, Tianjin 300162, China; 2. Tianjin Key Laboratory of Cardiovascular Remodeling and Target Organ Injury Institute of Cardiovascular Disease and Heart Center, Tianjin 300162,China; 3. Postgraduate Training Base in Affiliated Hospital of Logistics University of Chinese People’s Armed Police Force, Jinzhou Medical University,Jinzhou Liaoning 121000,China |
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Abstract Objective To compare the diagnostic value of 18F-FDOPA and 18F-FDG PET/CT scan in patients with brain tumors by Meta analysis.Methods Data on diagnostic experiments related to the diagnostic value of 18F-FDOPA and 18F-FDG PET/CT scan for brain tumors was retrieved from CNKI, CSJD, WanFang Database, CBM, PubMed, Embase, Cochrane Library by October 2016. The diagnostic value of 18F-FDOPA and 18F-FDG PET/CT scan for brain tumors was compared. Meta-DiSc 1.4 software was used to analyze the pooled sensitivity (SEN), specificity (SPE),positive likelihood ratio (+LR), negative likelihood ratio (-LR), diagnostic odds ratio (DOR) under curve (AUC) the two different imaging agents.Results A total of four studies met the inclusion criteria. According to the results of 18F-FDOPA in diagnosis of brain tumors, the pooled SEN was 0.97(95%CI=0.90-1.00), SPE 0.67(95%CI=0.45-0.84),2.31(95%CI=1.40-3.81),0.07(95%CI=0.02-0.24), DOR 39.72(95%CI=8.94-176.48), SROC AUC 0.9725,and Q* value. According to the diagnostic results of 18F-FD, the pooled SEN was 0.51(95%CI=0.39-0.63),0.75(95%CI=0.53-0.90),2.31(95%CI=0.70-3.61),0.07(95%CI=0.47-0.86),DOR 2.55(95%CI=0.82-7.92), SROC AUC 0.5848,and Q* value was 0.5638.Conclusions 18F-FDOPA PET/CT imaging is more sensitive than 18F-FDG in the diagnosis of brain tumors.18F-FDOPA is of high diagnostic value for brain tumors and can be used as a reliable diagnostic method of brain tumors.
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Received: 13 December 2016
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[1] |
Ostrom Q T, Gittleman H, Farah P, et al. CBTRUS statistical report: Primary brain and central nervous system tumors diagnosed in the United States in 2006-2010[J]. Neuro Oncol, 2013, 15 (Sup 2):1-56.
|
[2] |
Li Z, Yu Y, Zhang H, et al. A meta-analysis comparing 18F-FLT PET with 18F-FDG PET for assessment of brain tumor recurrence[J]. Nucl Med Commun, 2015, 36(7):695-701.
|
[3] |
李 云,嵇 辉,张燕齐,等. (18)F-FDG PET/CT显像寻找肿瘤原发灶25例[J]. 武警医学, 2012, 23(8):710-711.
|
[4] |
Okochi Y, Nihashi T, Fujii M, et al. Clinical use of (11)C-methionine and (18)F-FDG-PET for germinoma in central nervous system[J]. Ann Nucl Med, 2014, 28(2):94-102.
|
[5] |
Van Waarde A ,Elsinga P H. Proliferation markers for the differential diagnosis of tumor and inflammation[J]. Curr Pharm Des, 2008, 14(31):3326-3339.
|
[6] |
Zhao C, Zhang Y, Wang J. A meta-analysis on the diagnostic performance of (18)F-FDG and (11)C-methionine PET for differentiating brain tumors[J]. AJNR Am J Neuroradiol, 2014, 35(6):1058-1065.
|
[7] |
Calabria F,Cascini GL. Current status of 18F-DOPA PET imaging in the detection of brain tumor recurrence[J]. Hell J Nucl Med, 2014, 18(2):152-156.
|
[8] |
Spence A M, Mankoff D A, Muzi M. Positron emission tomography imaging of brain tumors[J]. Neuroimaging Clin N Am, 2003, 13(4):717-739.
|
[9] |
Glaudemans A W, Enting R H, Heesters M A, et al. Value of 11C-methionine PET in imaging brain tumours and metastases[J]. Eur J Nucl Med Mol Imaging, 2013, 40(4):615-635.
|
[10] |
Minn H, Kauhanen S, Seppanen M, et al. 18F-FDOPA: a multiple-target molecule[J]. J Nucl Med, 2009, 50(12):1915-1918.
|
[11] |
Whiting P, Rutjes A W, Reitsma J B, et al. The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews[J]. BMC Med Res Methodol, 2003, 3(1):25.
|
[12] |
张 俊,徐志伟,李 克. 诊断性试验Meta分析的效应指标评价[J]. 中国循证医学杂志, 2013, 13(7):890-895.
|
[13] |
Chen W, Silverman D H, Delaloye S, et al. 18F-FDOPA PET imaging of brain tumors: comparison study with 18F-FDG PET and evaluation of diagnostic accuracy[J]. J Nucl Med, 2006, 47(6):904-911.
|
[14] |
Jora C, Mattakarottu J J, Aniruddha P G, et al. Comparative evaluation of 18F-FDOPA, 13N-AMMONIA, 18F-FDG PET/CT and MRI in primary brain tumors - A pilot study[J]. Indian J Nucl Med, 2011, 26(2):78-81.
|
[15] |
Karunanithi S, Sharma P, Kumar A, et al. 18F-FDOPA PET/CT for detection of recurrence in patients with glioma: prospective comparison with 18F-FDG PET/CT[J]. Eur J Nucl Med Mol Imaging, 2013, 40(7):1025-1035.
|
[16] |
Tripathi M, Sharma R, D'Souza M, et al. Comparative evaluation of F-18 FDOPA, F-18 FDG, and F-18 FLT-PET/CT for metabolic imaging of low grade gliomas[J]. Clin Nucl Med, 2009, 34(12):878-883.
|
[17] |
Lawal I and Sathekge M. F-18 FDG PET/CT imaging of cardiac and vascular inflammation and infection[J]. Br Med Bull, 2016, 120(1):55-74.
|
[18] |
Struck A F, Hall L T, Kusmirek J E, et al. (18)F-DOPA PET with and without MRI fusion, a receiver operator characteristics comparison[J]. Am J Nucl Med Mol Imaging, 2012, 2(4):475-482.
|
[19] |
Scherfler C, Esterhammer R, Nocker M, et al. Correlation of dopaminergic terminal dysfunction and microstructural abnormalities of the basal ganglia and the olfactory tract in Parkinson's disease[J]. Brain, 2013, 136(10):3028-3037.
|
[20] |
Oehme L, Perick M, Beuthien-Baumann B, et al. Comparison of dopamine turnover, dopamine influx constant and activity ratio of striatum and occipital brain with 18F-dopa brain PET in normal controls and patients with Parkinson’s disease[J]. Eur J Nucl Med Mol Imaging, 2011, 38(8):1550-1559.
|
[21] |
Fueger B J, Czernin J, Cloughesy T, et al. Correlation of 6-18F-fluoro-L-dopa PET uptake with proliferation and tumor grade in newly diagnosed and recurrent gliomas[J]. J Nucl Med, 2010, 51(10):1532-1538.
|
[22] |
Pafundi D H, Laack N N, Youland R S, et al. Biopsy validation of 18F-DOPA PET and biodistribution in gliomas for neurosurgical planning and radiotherapy target delineation: results of a prospective pilot study[J]. Neuro-oncology, 2013, 15(8):1058-1067.
|
[23] |
Becherer A, Karanikas G, Szabó M, et al. Brain tumour imaging with PET: a comparison between [18F] fluorodopa and [11C] methionine[J]. Eur JNucl Med Mol Imaging, 2003,30(11):1561-1567.
|
[1] |
. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(1): 67-69. |
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