フククラ ヨシヒコ   Yoshihiko Fukukura
  福倉 良彦
   所属   川崎医科大学  医学部 臨床医学 機能・代謝画像診断学
   職種   教授
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Correlations of (18)F-fluorothymidine uptake with pathological tumour size, Ki-67 and thymidine kinase 1 expressions in primary and metastatic lymph node colorectal cancer foci.
掲載誌名 正式名:European radiology
略  称:Eur Radiol
ISSNコード:14321084/09387994
掲載区分国外
巻・号・頁 24(12),pp.3199-3209
著者・共著者 Masatoyo Nakajo, Masayuki Nakajo, Yoriko Kajiya, Yuko Goto, Megumi Jinguji, Sadao Tanaka, Yoshihiko Fukukura, Atsushi Tani, Michiyo Higashi
発行年月 2014/12
概要 OBJECTIVE:To examine correlations of (18)F-fluorothymidine (FLT) uptake with pathological tumour size and immunohistochemical Ki-67, and thymidine kinase 1 (TK-1) expressions in primary and metastatic node colorectal cancer foci.METHODS:Thirty primary cancers (PCs) and 37 metastatic nodes (MNs) were included. FLT uptake was assessed by visual scores (non-visible: 0-1 and visible: 2-4), standardized uptake value (SUV), and correlated with size, Ki-67, and TK-1. SUV was measured in visible lesions. FLT heterogeneity was assessed by visual scores (no heterogeneous uptake: 0 and heterogeneous uptake: 1-4).RESULTS:Forty-two lesions were visible. The visible group showed significantly higher values than the non-visible group in size, Ki-67, and TK-1 (each p < 0.05). Size correlated significantly with visual score (PC; ρ = 0.74 and MN; ρ = 0.63), SUVmax (PC; ρ = 0.49, and MN; ρ = 0.76), and SUVmean (PC; ρ = 0.40 and MN; ρ = 0.76) (each p < 0.05). Visual score correlated significantly with size (ρ = 0.86), Ki-67max (ρ = 0.35), Ki-67mean (ρ = 0.38), TK-1max (ρ = 0.35) and TK-1mean (ρ = 0.25) (each p < 0.05). No significant correlations were found between FLT uptake and Ki-67 or TK-1 in 42 visible lesions (each p > 0.05). Heterogeneous FLT uptake was noted in 73 % (22/30) of PCs.CONCLUSION:FLT uptake correlated with size. Heterogeneous FLT distribution in colorectal cancers may be one of the causes of weak or lack of FLT uptake/Ki-67 or TK-1 correlation.KEY POINTS:FLT uptake correlated well with tumour size in colorectal cancer. Weak or lack of FLT uptake/Ki-67 and TK-1 correlations were observed. Immunohistochemical Ki-67 and TK-1 expressions are not always correlated with FLT uptake.
DOI 10.1007/s00330-014-3379-3
PMID 25120206