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Abstract #0483

Comparison of DTI and 11C-methionine PET for reliable prediction of tumor cell density in gliomas

Manabu Kinoshita 1 , Hideyuki Arita 2 , Naoki Kagawa 2 , Yoshiyuki Watanabe 3 , Jun Hatazawa 4 , Naoya Hashimoto 2 , and Toshiki Yoshimine 2

1 Neurosurgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Osaka, Japan, 2 Neurosurgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan, 3 Radiology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan, 4 Nuclear Medicine and Tracer Kinetics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan

Imaging and predicting tumor cell density or tumor cell invasion is challenging. The authors have compared diffusion tensor imaging (DTI) and 11C-methionine PET in terms of tumor cell density prediction by use of 98 stereotactically sampled glioma tissues from 37 patients. Tumor cell density showed a statistically significant positive correlation with MET-TNR (p<0.0001, R2=0.43) and negative correlation with rADC (p=0.0096, R2=0.09), while rFA did not correlate with tumor cell density. Multiple regression analysis revealed that MET-TNR was the solo statistically significant factor for tumor cell density prediction (MET-TNR: p<0.0001, rADC: p=0.06).

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