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Table 4 Comparison among principal clinical series and our series

From: Does baseline [18F] FDG-PET/CT correlate with tumor staging, response after neoadjuvant chemoradiotherapy, and prognosis in patients with rectal cancer?

Study

Number of patients

Pathological responders % (TRG)

PET parameter

Correlation PET with pCR p Value

Correlation PET with DFS/OS

Martoni 2011 [15]

80

20% (TRG4 by Dworak)

SUVmax pre

SUVmax post

Negative p = 0.05

Negative p = 0.0003

Disease recurrence: SUVmax post >/< 5 p = 0.0003

Calvo 2013 [16]

38

50% (TRG3–4 by Dworak)

SUVmax pre

SUVmax post

Negative p = 0.12

Negative p < 0.0001

ΔSUVmax< 4 risk of Recurrence p = 0.0007

ΔSUVmax< 4 HR = 5.73 p = 0.05

Park 2014 [26]

88

19.3% (TRG1 by Mandard)

SUVmax pre

SUVmax post

MTV pre

MTV post

NS

p < 0.001

p = 0.029

p < 0.0001

NA

Dos Anjos 2016 [28]

90

22.2% (TRG NA)

ΔSUVmax (40%)

ΔMTV (40%)

ΔTLG (40%)

p < 0.0001

p = 0.005

p = 0.03

NA

Janssen 2012 [30]

26

20

42.3%(TRG1–2 by Mandard)

20% (TRG1–2 by Mandard)

RI SUVmax

48% SUVmax:

Spec 100%

Sens 64%

Spec 93%

Sens 83%

NA

Chennupati 2012 [33]

35

40% (TRG 0–1 by Ryan)

SUVmax pre

MTV pre

SUVmax post

MTV post

ΔSUVmax

ΔMTV

NS

NS

NS

NS

NS

NS

NA

Bang 2016 [34]

74

23% (TRG 0–1 by AJCC)

SUVmax pre

SUVpeak pre

SUVmean pre + 2 SDs

NS

NS

negative p = 0.0045

3-years DFS NS

3-years DFS NS

3-years DFS p = 0.01

Leccisotti 2015 [36]

126

24.6% (TRG1 by Mandard)

Early RI SUVmax

Late RI SUVmax

Cut-off 61% p < 0.001

cut-off not found

10.3% local recurrences

4.8% deaths

Our series

100

16% (TRG1 by Mandard)

31% (TRG1–2 by Mandard)

SUVmax pre

SUVmean pre

MTV pre

TLG pre

SUVmax pre

SUVmean pre

MTV pre

TLG pre

NS

NS

NS

NS

NS

NS

p = 0.01

NS

4-years DFS NS

4-years OS NS

  1. pCR Pathological complete response, TRG Tumor regression grade, RI Response index, Spec Specificity, Sens sensibility, Δ indicates percent residual, pre Before radiochemotherapy, post After radiochemotherapy, SD Standard deviation, SUVmax Maximum standardized uptake value, SUVmean Mean standardized uptake value, MTV Metabolic tumor volume, TLG Total lesion glycolysis, AJCC American Joint Committee on Cancer, NS Not significant, NA Not available