PMID- 30187105 OWN - NLM STAT- MEDLINE DCOM- 20190520 LR - 20191210 IS - 1619-7089 (Electronic) IS - 1619-7070 (Linking) VI - 46 IP - 1 DP - 2019 Jan TI - (18)F-FDG PET/CT is useful for determining survival outcomes of patients with multiple myeloma classified as stage II and III with the Revised International Staging System. PG - 107-115 LID - 10.1007/s00259-018-4114-0 [doi] AB - PURPOSE: This study evaluated the prognostic role of (18)F-FDG PET/CT at baseline in patients with newly diagnosed multiple myeloa (MM) and evaluated the prognostic relevance of (18)F-FDG PET/CT for each stage according to the Revised International Staging System (R-ISS). METHOD: We retrospectively analyzed the records of 167 patients with newly diagnosed MM. (18)F-FDG PET/CT was performed prior to induction therapy in patients with newly diagnosed MM. RESULTS: In the total cohort, the presence of more than three hypermetabolic focal lesions (FLs) or extramedullary disease (EMD) on baseline PET/CT was associated with significantly inferior progression-free survival (PFS) and overall survival (OS) than other patients. Because most patients (91%) with EMD had more than three FLs, PET/CT positivity was defined as the presence of more than three FLs or the presence of EMD. In multivariate analyses, PET/CT positivity was an independent predictor of PFS and OS in all patients. Fifty-five patients (46.1%) with R-ISS II were PET/CT-positive at baseline and had significantly shorter PFS and OS. PET/CT positivity was also correlated with poor PFS and OS in patients with R-ISS III. CONCLUSION: (18)F-FDG PET/CT was an independent predictor of survival outcomes in patients with newly diagnosed MM. In addition, performing (18)F- FDG PET/CT at diagnosis may be useful for determining the survival outcomes of MM patients with R-ISS II and III. FAU - Jung, Sung-Hoon AU - Jung SH AD - Department of Hematology-Oncology, Chonnam National University Hwasun Hospital, 322 Seoyangro, Hwasun, Jeollanamdo, 519-763, Republic of Korea. FAU - Kwon, Seong Young AU - Kwon SY AD - Department of Nuclear Medicine, Chonnam National University Hwasun Hospital, Hwasun, Republic of Korea. FAU - Min, Jung-Joon AU - Min JJ AD - Department of Nuclear Medicine, Chonnam National University Hwasun Hospital, Hwasun, Republic of Korea. FAU - Bom, Hee-Seung AU - Bom HS AD - Department of Nuclear Medicine, Chonnam National University Hwasun Hospital, Hwasun, Republic of Korea. FAU - Ahn, Seo-Yeon AU - Ahn SY AD - Department of Hematology-Oncology, Chonnam National University Hwasun Hospital, 322 Seoyangro, Hwasun, Jeollanamdo, 519-763, Republic of Korea. FAU - Jung, Seung-Yeon AU - Jung SY AD - Department of Hematology-Oncology, Chonnam National University Hwasun Hospital, 322 Seoyangro, Hwasun, Jeollanamdo, 519-763, Republic of Korea. FAU - Lee, Seung-Shin AU - Lee SS AD - Department of Hematology-Oncology, Wonkwang University Hospital, Iksan, Republic of Korea. FAU - Park, Moo-Rim AU - Park MR AD - Department of Hematology-Oncology, Wonkwang University Hospital, Iksan, Republic of Korea. FAU - Yang, Deok-Hwan AU - Yang DH AD - Department of Hematology-Oncology, Chonnam National University Hwasun Hospital, 322 Seoyangro, Hwasun, Jeollanamdo, 519-763, Republic of Korea. FAU - Ahn, Jae-Sook AU - Ahn JS AD - Department of Hematology-Oncology, Chonnam National University Hwasun Hospital, 322 Seoyangro, Hwasun, Jeollanamdo, 519-763, Republic of Korea. FAU - Kim, Hyeoung-Joon AU - Kim HJ AD - Department of Hematology-Oncology, Chonnam National University Hwasun Hospital, 322 Seoyangro, Hwasun, Jeollanamdo, 519-763, Republic of Korea. FAU - Lee, Je-Jung AU - Lee JJ AD - Department of Hematology-Oncology, Chonnam National University Hwasun Hospital, 322 Seoyangro, Hwasun, Jeollanamdo, 519-763, Republic of Korea. drjejung@chonnam.ac.kr. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20180905 PL - Germany TA - Eur J Nucl Med Mol Imaging JT - European journal of nuclear medicine and molecular imaging JID - 101140988 RN - 0 (Radiopharmaceuticals) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) SB - IM CIN - Eur J Nucl Med Mol Imaging. 2019 May;46(5):1048-1050. PMID: 30770949 MH - Adult MH - Aged MH - Female MH - Fluorodeoxyglucose F18 MH - Humans MH - Male MH - Middle Aged MH - Multiple Myeloma/*diagnostic imaging/pathology MH - Neoplasm Staging/standards MH - Positron Emission Tomography Computed Tomography/*standards MH - Radiopharmaceuticals MH - Survival Analysis OTO - NOTNLM OT - Multiple myeloma OT - Positron emission tomography OT - Prognosis OT - Revised International Staging System EDAT- 2018/09/07 06:00 MHDA- 2019/05/21 06:00 CRDT- 2018/09/07 06:00 PHST- 2018/06/04 00:00 [received] PHST- 2018/07/27 00:00 [accepted] PHST- 2018/09/07 06:00 [pubmed] PHST- 2019/05/21 06:00 [medline] PHST- 2018/09/07 06:00 [entrez] AID - 10.1007/s00259-018-4114-0 [pii] AID - 10.1007/s00259-018-4114-0 [doi] PST - ppublish SO - Eur J Nucl Med Mol Imaging. 2019 Jan;46(1):107-115. doi: 10.1007/s00259-018-4114-0. Epub 2018 Sep 5.