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Correlation Between Uptake of 18F-FDG During PET/CT and Ki-67 Expression in Patients Newly Diagnosed With Multiple
Qian Li1,2,3, Jing Ma1,3, Han Li1
11 Department of Hematology and Blood and Marrow Transplantation, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer. Tianjin's Clinical Research Center for Cancer. Key Laboratory of Cancer Prevention and Therapy, Tianjin, China.
Abstract:
The aim of this study was to evaluate the relationship of prognosis of patients with multiple myeloma having extramedullary involvement (EMM) with the 18F- fluorodeoxyglucose(18F-FDG) maximum standardized uptake value and the expression of Ki-67 in biopsy samples. Sixty-five patients were newly diagnosed with multiple myeloma presenting with EMM at our hospital from January 2005 to January 2015. Of these 65 patients, 20 were enrolled in this study. Over the last decade, both the maximum standardized uptake value and Ki-67 expression in these extramedullary lesions significantly correlated with progression-free survival, respectively ( P= .039, P =.009). After combining-the maximum standardized uptake value and the Ki-67 expression as an integral-there was a significant correlation between both the overall survival ( P = .027) and progression-free survival ( P= .014). Patients have poor outcomes when EMM is detected at presentation. Both the maximum standardized uptake value and Ki-67 expression could aid in accurately evaluating EMM patient prognosis.
Insights
Prognosis for multiple myeloma patients with extramedullary involvement (EMM) can be predicted. Elevated 18F-FDG uptake and Ki-67 expression in EMM correlate with poorer survival outcomes.
Area of Science:
- Oncology
- Nuclear Medicine
- Pathology
Background:
- Multiple myeloma (MM) is a hematologic malignancy.
- Extramedullary involvement (EMM) in MM indicates a more aggressive disease course.
- Predictive markers for MM prognosis are crucial for treatment planning.
Purpose of the Study:
- To assess the prognostic value of 18F-FDG maximum standardized uptake value (SUVmax) and Ki-67 expression in patients with MM and EMM.
- To determine the correlation between these markers and patient survival outcomes.
Main Methods:
- Retrospective analysis of 20 newly diagnosed MM patients with EMM.
- Evaluation of 18F-FDG PET/CT scans for SUVmax in EMM lesions.
- Assessment of Ki-67 expression via immunohistochemistry in biopsy samples of EMM.
- Correlation analysis with progression-free survival (PFS) and overall survival (OS).
Main Results:
- Both 18F-FDG SUVmax and Ki-67 expression in EMM significantly correlated with PFS (P=.039 and P=.009, respectively).
- Combined analysis of SUVmax and Ki-67 showed significant correlations with both OS (P=.027) and PFS (P=.014).
- EMM detected at initial presentation is associated with poor patient outcomes.
Conclusions:
- 18F-FDG SUVmax and Ki-67 expression are valuable prognostic indicators in MM patients with EMM.
- These markers can aid in the accurate evaluation of prognosis for EMM patients.
- Early detection of EMM warrants careful prognostic assessment and tailored management strategies.
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