TY - JOUR
T1 - PET/CT in therapy evaluation of patients with lung cancer
AU - Langer, Natasha Hemicke
AU - Christensen, Tine Nøhr
AU - Langer, Seppo W
AU - Kjaer, Andreas
AU - Fischer, Barbara Malene
PY - 2014/5
Y1 - 2014/5
N2 - FDG-PET/CT is a well documented and widespread used imaging modality for the diagnosis and staging of patient with lung cancer. FDG-PET/CT is increasingly used for the assessment of treatment effects during and after chemotherapy. However, PET is not an accepted surrogate end-point for assessment of response rate in clinical trials. The aim of this review is to present current evidence on the use of PET in response evaluation of patients with lung cancer and to introduce the pearls and pitfalls of the PET-technology relating to response assessment. Based on this and relating to validation criteria, including stable technology, standardization, reproducibility and broad availability, the review discusses why, despite numerous studies on response assessment indicating a possible role for FDG-PET/CT, PET still has no place in guidelines relating to response evaluation in lung cancer.
AB - FDG-PET/CT is a well documented and widespread used imaging modality for the diagnosis and staging of patient with lung cancer. FDG-PET/CT is increasingly used for the assessment of treatment effects during and after chemotherapy. However, PET is not an accepted surrogate end-point for assessment of response rate in clinical trials. The aim of this review is to present current evidence on the use of PET in response evaluation of patients with lung cancer and to introduce the pearls and pitfalls of the PET-technology relating to response assessment. Based on this and relating to validation criteria, including stable technology, standardization, reproducibility and broad availability, the review discusses why, despite numerous studies on response assessment indicating a possible role for FDG-PET/CT, PET still has no place in guidelines relating to response evaluation in lung cancer.
KW - Humans
KW - Lung Neoplasms
KW - Multimodal Imaging
KW - Positron-Emission Tomography
KW - Tomography, X-Ray Computed
U2 - 10.1586/14737140.2014.883280
DO - 10.1586/14737140.2014.883280
M3 - Journal article
C2 - 24702537
SN - 1473-7140
VL - 14
SP - 595
EP - 620
JO - Expert Review of Anticancer Therapy
JF - Expert Review of Anticancer Therapy
IS - 5
ER -