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Comparison of integrin αvβ3 expression with 68Ga-NODAGA-RGD PET/CT and glucose metabolism with 18F-FDG PET/CT in esophageal or gastroesophageal junction cancers.


ABSTRACT:

Background

The primary aims of this study were to compare in patients with esophageal or esophagogastric junction cancers the potential of 68Ga-NODAGA-RGD PET/CT with that of 18F-FDG PET/CT regarding tumoral uptake and distribution, as well as histopathologic examination.

Methods

Ten 68Ga-NODAGA-RGD and ten 18F-FDG PET/CT were performed in nine prospectively included participants (1 woman; aged 58 ± 8.4 y, range 40-69 y). Maximum SUV (SUVmax) and metabolic tumor volumes (MTV) were calculated. The Mann-Whitney U test and Spearman correlation analysis (ρ) were used.

Results

68Ga-NODAGA-RGD PET/CT detected positive uptake in 10 primary sites (8 for primary tumors and 2 for local relapse suspicion), 6 lymph nodes and 3 skeletal sites. 18F-FDG PET/CT detected positive uptake in the same sites but also in 16 additional lymph nodes and 1 adrenal gland. On a lesion-based analysis, SUVmax of 18F-FDG was significantly higher than those of 68Ga-NODAGA-RGD (4.9 [3.7-11.3] vs. 3.2 [2.6-4.2] g/mL, p = 0.014). Only one participant showed a higher SUVmax in an osseous metastasis with 68Ga-NODAGA-RGD as compared to 18F-FDG (6.6 vs. 3.9 g/mL). Correlation analysis showed positive correlation between 18F-FDG and 68Ga-NODAGA-RGD PET parameters (ρ = 0.56, p = 0.012 for SUVmax, ρ = 0.78, p < 0.001 for lesion-to-background ratios and ρ = 0.58, p = 0.024 for MTV). We observed that 18F-FDG uptake was homogenous inside all the confirmed primary sites (n = 9). In contrast, 68Ga-NODAGA-RGD PET showed more heterogenous uptake in 6 out of the 9 confirmed primary sites (67%), seen mostly in the periphery of the tumor in 5 out of the 9 confirmed primary sites (56%), and showed slight extensions into perilesional structures in 5 out of the 9 confirmed primary sites (56%).

Conclusions

In conclusion, 68Ga-NODAGA-RGD has lower potential in the detection of esophageal or esophagogastric junction malignancies compared to 18F-FDG. However, the results suggest that PET imaging of integrin αvβ3 expression may provide complementary information and could aid in tumor diversity and delineation.

Trial registration

Trial registration: NCT02666547. Registered January 28, 2016-Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT02666547 .

SUBMITTER: Dietz M 

PROVIDER: S-EPMC9889587 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Publications

Comparison of integrin α<sub>v</sub>β<sub>3</sub> expression with <sup>68</sup>Ga-NODAGA-RGD PET/CT and glucose metabolism with <sup>18</sup>F-FDG PET/CT in esophageal or gastroesophageal junction cancers.

Dietz Matthieu M   Dunet Vincent V   Mantziari Styliani S   Pomoni Anastasia A   Dias Correia Ricardo R   Testart Dardel Nathalie N   Boughdad Sarah S   Nicod Lalonde Marie M   Treglia Giorgio G   Schafer Markus M   Schaefer Niklaus N   Prior John O JO  

European journal of hybrid imaging 20230201 1


<h4>Background</h4>The primary aims of this study were to compare in patients with esophageal or esophagogastric junction cancers the potential of <sup>68</sup>Ga-NODAGA-RGD PET/CT with that of <sup>18</sup>F-FDG PET/CT regarding tumoral uptake and distribution, as well as histopathologic examination.<h4>Methods</h4>Ten <sup>68</sup>Ga-NODAGA-RGD and ten <sup>18</sup>F-FDG PET/CT were performed in nine prospectively included participants (1 woman; aged 58 ± 8.4 y, range 40-69 y). Maximum SUV (SU  ...[more]

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