申景涛,辛小燕,贾支俊,朱斌,郭万华.结直肠癌18F-FDG的摄取与Glut-1表达的相关性[J].中国医学影像技术,2012,28(12):2185~2188
结直肠癌18F-FDG的摄取与Glut-1表达的相关性
Relationship between 18F-fluorodeoxyglucose uptake and expression of Glut-1 in colorectal cancer
投稿时间:2012-05-07  修订日期:2012-08-06
DOI:
中文关键词:  结直肠肿瘤  正电子发射型体层摄影术  体层摄影术,X线计算机  18F 氟脱氧葡萄糖  葡萄糖转运蛋白-1
英文关键词:Colorectal neoplasms  Positron-emission tomography  Tomography, X-ray computed  Fluorodeoxyglucose F18  Glucose transporter-1
基金项目:国家自然科学基金(81171363);江苏省卫生厅"十二五科教兴卫"医学重点人才项目(RC2011014)。
作者单位E-mail
申景涛 南京鼓楼医院 南京大学医学院附属鼓楼医院核医学科, 江苏 南京 210008  
辛小燕 南京鼓楼医院 南京大学医学院附属鼓楼医院放射科, 江苏 南京 210008  
贾支俊 南京鼓楼医院 南京大学医学院附属鼓楼医院核医学科, 江苏 南京 210008  
朱斌 南京鼓楼医院 南京大学医学院附属鼓楼医院放射科, 江苏 南京 210008  
郭万华 南京鼓楼医院 南京大学医学院附属鼓楼医院核医学科, 江苏 南京 210008 wanhuaguo@163.com 
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中文摘要:
      目的 探讨结直肠癌18F-FDG摄取与肿瘤组织葡萄糖转运蛋白-1(Glut-1)表达的相关性。 方法 对20 例结直肠癌患者术前进行18F-FDG PET/CT检查,测定肿瘤平均标准摄取值(SUVmean);对手术切除标本进行病理检查,并应用免疫组织化学法检测肿瘤组织Glut-1的表达。分析SUVmean值与组织病理关系及与Glut-1表达的相关性。 结果 20例结直肠癌均为高摄取,SUVmean值为5.42±1.67。大体分型中,浸润型结直肠癌的SUVmean值(6.55±1.63)高于肿块型(4.20±1.29)和溃疡型(5.83±1.60),但差异无统计学意义(P>0.05)。M分期中,远处转移者的SUVmean值(7.14±1.07)高于无转移者(4.84±1.41,P=0.04)。SUVmean值与Glut-1的表达呈正相关(r=0.53,P=0.02)。 结论 结直肠癌18F-FDG摄取(SUVmean值)与Glut-1表达呈现正相关。
英文摘要:
      Objective To explore the relationship between 18F-fluorodeoxyglucose (18F-FDG) uptake on PET/CT and the expression of glucose transporter-1(Glut-1) in patients with colorectal cancer. Methods Twenty patients with colorectal cancer were imaged with 18F-FDG PET/CT before operation. The mean standard uptake value (SUVmean) was measured. Resected tumor samples were pathologic examined. The expression of Glut-1 was graded semiquantitatively by immunohistochemistry. The correlation of histopathology, Glut-1 and SUVmean were analyzed. Results 18F-FDG uptakes of colorectal cancer were high, and the SUVmean was 5.42±1.67. According to the morphous classification, SUVmean of infiltrating type colorectal cancer (6.55±1.63) was higher than that of mass type (4.20±1.29) and ulcer type (5.83±1.60), but there was no significantly different (P>0.05). SUVmean of colorectal cancer with metastasis (7.14±1.07) was higher than that of non-metastasis (4.84±1.41) (P=0.04). There was significant positive correlation between SUVmean and expression of Glut-1 (r=0.53, P=0.02). Conclusion Expression of Glut-1 correlates with 18F-FDG uptake (SUVmean) in patients with colorectal cancer.
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