Sorafenib increases 18-FDG colic uptake: demonstration in patients with differentiated thyroid cancer.

Abstract:

BACKGROUND:To assess 18-fluorodeoxyglucose (FDG) bowel uptake in patients with differentiated thyroid cancer (DTC) treated with sorafenib. FINDINGS:Visual (5-point scale) and high maximum standard uptake value (SUVmax) semi-quantitative analyses were conducted in 63 positron emission tomography (PET) studies performed in patients on sorafenib (group 1, n = 20), in a control group (group 2, n = 28) and in patients on sunitinib or vandetanib (group 3, n = 15).Moderate or high and diffuse bowel uptake (grade 4 or 5) was observed in 90% of the PET scans of group 1 versus none in group 2. Only 20% of PET scans in group 3 were scored grade 4. SUVmax values were significantly higher for all colic segments in group 1 than in group 2 (P < 0.0001) or 3 (P < 0.0004). This uptake pattern appeared rapidly (one month) and disappeared after sorafenib withdrawal. CONCLUSIONS:FDG uptake is increased in the colon of DTC patients treated by sorafenib.

journal_name

EJNMMI Res

journal_title

EJNMMI research

authors

Ciappuccini R,Trzepla G,Heutte N,Sevin E,Galais MP,Bardet S

doi

10.1186/2191-219X-2-18

subject

Has Abstract

pub_date

2012-05-07 00:00:00

pages

18

issue

1

issn

2191-219X

pii

2191-219X-2-18

journal_volume

2

pub_type

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