AI Article Synopsis

  • In a study involving 55 lung cancer patients, researchers found that two imaging substances, F-FLT and F-FDG, showed different patterns of accumulation in cancer tissues. F-FLT attached mainly to rapidly dividing cancer cells, while F-FDG targeted oxygen-starved cells.
  • Of the 24 confirmed malignant lesions, 79% exhibited mismatched accumulation of F-FLT and F-FDG, suggesting distinct tumor characteristics, while only 39% of the 31 benign lesions showed similar mismatches.
  • The study concluded that the mismatch in distribution of F-FLT and F-FDG could serve as an important marker for identifying tumor behavior, with F-FDG indicating hypoxia and F-FLT indicating higher

Article Abstract

In a mouse model of human lung cancer, intratumoral distribution between 3'-deoxy-3'-[F] fluorothymidine (F-FLT) and [F] fluorodeoxyglucose (F-FDG) was mutually exclusive. F-FLT primarily accumulated in proliferating cancer cells, whereas F-FDG accumulated in hypoxic cancer cells. The aim of the present study was to evaluate these preclinical findings in patients with lung cancer. A total of 55 patients with solitary pulmonary lesion were included in the present study. Patients underwent F-FLT positron emission tomography-computed tomography (PET/CT) and F-FDG PET/CT scan with a 3-day interval. The final diagnosis was based on histological examination. Among the 55 cases, a total of 24 cases were confirmed as malignant lesions. Mismatched F-FLT- and F-FDG-accumulated regions were observed in 19 cases (79%) and matched in 5 (21%). Among the 31 benign lesions, F-FLT and F-FDG were mismatched in 12 cases (39%) and matched in 19 (61%). The difference in intratumoral distribution of F-FLT and F-FDG between malignant and benign lesions was statistically significant (P<0.05). The results of the present study indicate that a mismatch in intratumoral distribution of F-FLT and F-FDG may be a feature of patients with lung cancer. Increased F-FDG accumulation may serve as an indicator of tumor hypoxia, whereas regions with increased F-FLT uptake may be associated with an increased rate of cancer cell proliferation in patients with lung cancer.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5652252PMC
http://dx.doi.org/10.3892/ol.2017.6840DOI Listing

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