PMID- 32368876 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220414 IS - 2146-1414 (Print) IS - 2147-1959 (Electronic) IS - 2146-1414 (Linking) VI - 29 IP - 2 DP - 2020 Apr 29 TI - The Predictive Value of Proportional Evaluation Based on the Metabolic Activity of Cervical Lymph Nodes on PET/CT Imaging in Patients with Larynx Cancer. PG - 59-64 LID - 10.4274/mirt.galenos.2019.92300 [doi] AB - OBJECTIVES: We aimed to evaluate the proportional values of maximum standardized uptake value (SUV(max)) for cervical lymph nodes on (18)F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for prediction of the presence of metastasis in patients with larynx squamous cell cancer (LSCC). METHODS: This retrospective study involved 43 patients with LSCC. All patients underwent resection of the primary tumor and neck dissection within 4 weeks after undergoing (18)F-FDG PET/CT examinations. Receiver operating characteristic (ROC) analysis was performed to evaluate the lymph node SUV(max)/primary tumor SUV(max) (SUV(max)LN/SUV(max)PT), lymph node SUV(max)/aortic SUV(max) (SUV(max)LN/SUV(max)A), and lymph node SUV(max)/ liver SUV(max) (SUV(max)LN/SUV(max)L) ratios for diagnosis of lymph node metastasis. RESULTS: SUV(max)LN/SUV(max)A, SUV(max)LN/SUV(max)L, and SUV(max)LN/SUV(max)PT rates were significantly higher in metastatic lymph nodes compared to non-metastatic nodes. ROC analysis for metastasis showed that the cut-off thresholds were 3.87 for SUV(max)LN; 1.78 for SUV(max)LN /SUV(max)A; 1.08 for SUV(max)LN/SUV(max)L; and 0.36 for SUV(max)LN/SUV(max)PT. The diagnostic sensitivity, specificity and AUC were 83.7%, 77%, 0.856 for SUV(max)LN; 79.7%, 84%, 1.78 for SUV(max)LN/SUV(max)A; 84.1%, 76%, 0.833 for SUV(max)LN/SUV(max)L; and 53.6%, 76%, 0.666 for SUV(max)LN/SUV(max)PT, respectively. CONCLUSION: SUV(max)LN/SUV(max)A, SUV(max)LN/SUV(max)L, and SUV(max)LN/SUV(max)PT ratios can be safely used for diagnosis of cervical lymph node metastasis in patients with LSCC. FAU - Saglampinar Karyagar, Sevda AU - Saglampinar Karyagar S AUID- ORCID: 0000-0002-6356-8280 AD - University of Health Sciences Turkey, Istanbul Okmeydani Training and Research Hospital, Clinic of Nuclear Medicine, Istanbul, Turkey. FAU - Karyagar, Savas AU - Karyagar S AUID- ORCID: 0000-0002-3259-9666 AD - University of Health Sciences Turkey, Istanbul Okmeydani Training and Research Hospital, Clinic of Nuclear Medicine, Istanbul, Turkey. FAU - Guven, Osman AU - Guven O AUID- ORCID: 0000-0001-5376-4993 AD - University of Health Sciences Turkey, Istanbul Okmeydani Training and Research Hospital, Clinic of Nuclear Medicine, Istanbul, Turkey. FAU - Ustun, Onur AU - Ustun O AUID- ORCID: 0000-0001-6892-7636 AD - University of Health Sciences Turkey, Istanbul Okmeydani Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, Turkey. FAU - Atar, Yavuz AU - Atar Y AUID- ORCID: 0000-0003-4496-6408 AD - University of Health Sciences Turkey, Istanbul Okmeydani Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, Turkey. FAU - Uyar, Yavuz AU - Uyar Y AUID- ORCID: 0000-0001-8732-4208 AD - University of Health Sciences Turkey, Istanbul Okmeydani Training and Research Hospital, Clinic of Otorhinolaryngology, Istanbul, Turkey. LA - eng PT - Journal Article PL - Turkey TA - Mol Imaging Radionucl Ther JT - Molecular imaging and radionuclide therapy JID - 101584839 PMC - PMC7201430 OTO - NOTNLM OT - Cervical lymph node OT - larynx cancer OT - metabolic activit OT - positron emission tomography/computed tomography EDAT- 2020/05/06 06:00 MHDA- 2020/05/06 06:01 PMCR- 2020/06/01 CRDT- 2020/05/06 06:00 PHST- 2020/05/06 06:00 [entrez] PHST- 2020/05/06 06:00 [pubmed] PHST- 2020/05/06 06:01 [medline] PHST- 2020/06/01 00:00 [pmc-release] AID - 38365 [pii] AID - 10.4274/mirt.galenos.2019.92300 [doi] PST - ppublish SO - Mol Imaging Radionucl Ther. 2020 Apr 29;29(2):59-64. doi: 10.4274/mirt.galenos.2019.92300.