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Clinical Value of (99m)Tc-3PRGD2 SPECT/CT in Differentiated Thyroid Carcinoma with Negative (131)I Whole-Body Scan and Elevated Thyroglobulin Level

The aim of this study was to assess the usefulness of integrin imaging with (99m)Tc-PEG(4)-E[PEG(4)-c(RGDfK)](2) ((99m)Tc-3PRGD2) single photon emission computed tomography (SPECT)/computed tomography (CT) in detecting recurrent disease in patients with differentiated thyroid cancer (DTC), negative...

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Autores principales: Gao, Rui, Zhang, Guang-Jian, Wang, Yuan-Bo, Liu, Yan, Wang, Fan, Jia, Xi, Liang, Yi-Qian, Yang, Ai-Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765165/
https://www.ncbi.nlm.nih.gov/pubmed/29323252
http://dx.doi.org/10.1038/s41598-017-19036-9
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author Gao, Rui
Zhang, Guang-Jian
Wang, Yuan-Bo
Liu, Yan
Wang, Fan
Jia, Xi
Liang, Yi-Qian
Yang, Ai-Min
author_facet Gao, Rui
Zhang, Guang-Jian
Wang, Yuan-Bo
Liu, Yan
Wang, Fan
Jia, Xi
Liang, Yi-Qian
Yang, Ai-Min
author_sort Gao, Rui
collection PubMed
description The aim of this study was to assess the usefulness of integrin imaging with (99m)Tc-PEG(4)-E[PEG(4)-c(RGDfK)](2) ((99m)Tc-3PRGD2) single photon emission computed tomography (SPECT)/computed tomography (CT) in detecting recurrent disease in patients with differentiated thyroid cancer (DTC), negative radioiodine whole-body scan (WBS) and high serum thyroglobulin (Tg). Thirty-seven patients who underwent total thyroidectomy followed by radioactive iodine ablation and had negative radioiodine WBS but elevated Tg levels were included. (99m)Tc-3PRGD2 SPECT/CT was performed 1 week after the negative diagnostic (131)I WBS. Diagnostic performance indicators, including sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV), for (99m)Tc-3PRGD2 SPECT/CT was calculated. The correlations between SPECT/CT results and clinic-pathological characteristics were examined. In 30 (81.1%) of the 37 patients, (99m)Tc-3PRGD2 SPECT/CT showed positive uptake. The sensitivity, specificity, PPV, and NPV of SPECT/CT to detect recurrent disease at follow-up were 96.6%, 75%, 93.3% and 85.7%, respectively. The sensitivity and PPV of SPECT/CT increased with increasing serum Tg levels. (99m)Tc-3PRGD2 SPECT/CT showed high sensitivity and PPV in the detection of recurrence among DTC patients with higher Tg levels and negative WBS, and the probability of obtaining a positive SPECT/CT result was related with the level of Tg.
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spelling pubmed-57651652018-01-17 Clinical Value of (99m)Tc-3PRGD2 SPECT/CT in Differentiated Thyroid Carcinoma with Negative (131)I Whole-Body Scan and Elevated Thyroglobulin Level Gao, Rui Zhang, Guang-Jian Wang, Yuan-Bo Liu, Yan Wang, Fan Jia, Xi Liang, Yi-Qian Yang, Ai-Min Sci Rep Article The aim of this study was to assess the usefulness of integrin imaging with (99m)Tc-PEG(4)-E[PEG(4)-c(RGDfK)](2) ((99m)Tc-3PRGD2) single photon emission computed tomography (SPECT)/computed tomography (CT) in detecting recurrent disease in patients with differentiated thyroid cancer (DTC), negative radioiodine whole-body scan (WBS) and high serum thyroglobulin (Tg). Thirty-seven patients who underwent total thyroidectomy followed by radioactive iodine ablation and had negative radioiodine WBS but elevated Tg levels were included. (99m)Tc-3PRGD2 SPECT/CT was performed 1 week after the negative diagnostic (131)I WBS. Diagnostic performance indicators, including sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV), for (99m)Tc-3PRGD2 SPECT/CT was calculated. The correlations between SPECT/CT results and clinic-pathological characteristics were examined. In 30 (81.1%) of the 37 patients, (99m)Tc-3PRGD2 SPECT/CT showed positive uptake. The sensitivity, specificity, PPV, and NPV of SPECT/CT to detect recurrent disease at follow-up were 96.6%, 75%, 93.3% and 85.7%, respectively. The sensitivity and PPV of SPECT/CT increased with increasing serum Tg levels. (99m)Tc-3PRGD2 SPECT/CT showed high sensitivity and PPV in the detection of recurrence among DTC patients with higher Tg levels and negative WBS, and the probability of obtaining a positive SPECT/CT result was related with the level of Tg. Nature Publishing Group UK 2018-01-11 /pmc/articles/PMC5765165/ /pubmed/29323252 http://dx.doi.org/10.1038/s41598-017-19036-9 Text en © The Author(s) 2017 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Gao, Rui
Zhang, Guang-Jian
Wang, Yuan-Bo
Liu, Yan
Wang, Fan
Jia, Xi
Liang, Yi-Qian
Yang, Ai-Min
Clinical Value of (99m)Tc-3PRGD2 SPECT/CT in Differentiated Thyroid Carcinoma with Negative (131)I Whole-Body Scan and Elevated Thyroglobulin Level
title Clinical Value of (99m)Tc-3PRGD2 SPECT/CT in Differentiated Thyroid Carcinoma with Negative (131)I Whole-Body Scan and Elevated Thyroglobulin Level
title_full Clinical Value of (99m)Tc-3PRGD2 SPECT/CT in Differentiated Thyroid Carcinoma with Negative (131)I Whole-Body Scan and Elevated Thyroglobulin Level
title_fullStr Clinical Value of (99m)Tc-3PRGD2 SPECT/CT in Differentiated Thyroid Carcinoma with Negative (131)I Whole-Body Scan and Elevated Thyroglobulin Level
title_full_unstemmed Clinical Value of (99m)Tc-3PRGD2 SPECT/CT in Differentiated Thyroid Carcinoma with Negative (131)I Whole-Body Scan and Elevated Thyroglobulin Level
title_short Clinical Value of (99m)Tc-3PRGD2 SPECT/CT in Differentiated Thyroid Carcinoma with Negative (131)I Whole-Body Scan and Elevated Thyroglobulin Level
title_sort clinical value of (99m)tc-3prgd2 spect/ct in differentiated thyroid carcinoma with negative (131)i whole-body scan and elevated thyroglobulin level
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5765165/
https://www.ncbi.nlm.nih.gov/pubmed/29323252
http://dx.doi.org/10.1038/s41598-017-19036-9
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