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肺癌患者肿瘤病灶中葡萄糖代谢与体重指数的相关性

Correlation between glucose metabolism and body mass index in tumor lesions of patients with lung cancer.

作者信息

Zhao Zhengqin, Wang Xiaona, Wang Dong, Zhang Jiahui, Yang Hongjie

机构信息

Department of Nuclear Medicine, Affiliated Hospital of Guangdong Medical University, No.57, South Renmin Avenue, xiashan district, Zhanjiang, 524002, Guangdong, China.

Henan Key Laboratory of Children's Genetics and Metabolic Diseases, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Neurodevelopment Engineering Research Center, Zhengzhou, 450018, China.

出版信息

Discov Oncol. 2024 Nov 14;15(1):655. doi: 10.1007/s12672-024-01539-3.

Abstract

OBJECTIVE

Lung cancer, along with various other cancers, is characterized by increased glucose metabolism. The maximum standardized uptake value (SUVmax), derived from positron emission tomography-computed tomography (PET-CT), serves as an indicator of glucose metabolic activity in tumor lesions. This study aimed to evaluate the correlation between body mass index (BMI) and SUVmax in individuals with lung cancer.

METHODS

This study included 41 patients with lung cancer, who were divided into two groups: Group 1 (n = 21), with a BMI greater than 22.4, and Group 2 (n = 20), with a BMI less than 22.4. All participants underwent 18F-fluorodeoxyglucose positron emission tomography-computed tomography (18F-FDG PET-CT) imaging. The SUVmax was calculated by manually delineating the regions of interest. A t-test was performed to assess whether the differences in SUVmax between the two groups were statistically significant.

RESULTS

The mean SUVmax for Group 1 was 11.20 ± 5.45, while for Group 2 it was 10.65 ± 5.96. Although the mean SUVmax was higher in Group 1 compared to Group 2, the difference between the groups was not statistically significant (P = 0.757).

CONCLUSION

The findings indicate a non-significant difference in glucose metabolism in lung cancer lesions between patients with different BMI levels. These results offer valuable insights into the metabolic characteristics of lung cancer and contribute to a deeper understanding of its pathophysiology.

摘要

目的

肺癌与其他多种癌症一样,具有葡萄糖代谢增加的特征。正电子发射断层扫描-计算机断层扫描(PET-CT)得出的最大标准化摄取值(SUVmax)可作为肿瘤病灶中葡萄糖代谢活性的指标。本研究旨在评估肺癌患者体重指数(BMI)与SUVmax之间的相关性。

方法

本研究纳入41例肺癌患者,分为两组:第1组(n = 21),BMI大于22.4;第2组(n = 20),BMI小于22.4。所有参与者均接受18F-氟脱氧葡萄糖正电子发射断层扫描-计算机断层扫描(18F-FDG PET-CT)成像。通过手动勾勒感兴趣区域来计算SUVmax。进行t检验以评估两组之间SUVmax的差异是否具有统计学意义。

结果

第1组的平均SUVmax为11.20±5.45,而第2组为10.65±5.96。尽管第1组的平均SUVmax高于第2组,但两组之间的差异无统计学意义(P = 0.757)。

结论

研究结果表明,不同BMI水平的肺癌患者在肺癌病灶的葡萄糖代谢方面无显著差异。这些结果为肺癌的代谢特征提供了有价值的见解,并有助于更深入地了解其病理生理学。

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