Early assessment of treatment response in patients with AML using [(18)F]FLT PET imaging.

Abstract:

:Assessment of treatment response in acute leukemia is routinely performed after therapy via bone marrow biopsy. We investigated the use of positron emission tomography (PET) for early assessment of treatment response in patients with acute myeloid leukemia (AML), using the proliferation marker 3'-deoxy-3'-[(18)F]fluoro-l-thymidine (FLT). Eight adult AML patients receiving induction chemotherapy underwent whole-body FLT PET/CT scans acquired at different time points during therapy. Patients who entered complete remission (CR) exhibited significantly lower FLT uptake in bone marrow than those patients with resistant disease (RD). In bone marrow, mean and maximum standardized uptake values were 0.8, 3.6 for CR and 1.6, 11.4 for RD, p<0.001. FLT PET results for CR and RD patients were independent of assessment time point, suggesting that FLT PET scans acquired as early as 2 days after chemotherapy initiation may be predictive of clinical response. This pilot study suggests that FLT PET imaging during induction chemotherapy may serve as an early biomarker of treatment response in AML.

journal_name

Leuk Res

journal_title

Leukemia research

authors

Vanderhoek M,Juckett MB,Perlman SB,Nickles RJ,Jeraj R

doi

10.1016/j.leukres.2010.06.010

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

310-6

issue

3

eissn

0145-2126

issn

1873-5835

pii

S0145-2126(10)00302-4

journal_volume

35

pub_type

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