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[F]FDG PET/CT can trigger relevant oncological management changes leading to favorable outcome in iodine-negative thyroid cancer patients.

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Endocrine 📖 저널 OA 26.4% 2022: 9/35 OA 2023: 14/49 OA 2024: 14/69 OA 2025: 18/63 OA 2026: 8/22 OA 2022~2026 2024 Vol.84(2) p. 656-662
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PICO 자동 추출 (휴리스틱, conf 2/4)

유사 논문
P · Population 대상 환자/모집단
26 subjects with available follow-up, rate of CD was 22/26 (84.
I · Intervention 중재 / 시술
추출되지 않음
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
[CONCLUSIONS] In subjects with iodine-negative TC, [F]FDG PET/CT triggered relevant management changes along with disease control in the vast majority of patients.

Zhi Y, Higuchi T, Hackenberg S, Hagen R, Stöth M, Scherzad A

📝 환자 설명용 한 줄

[BACKGROUND] In patients with iodine-negative thyroid cancer (TC), current guidelines endorse an [F]FDG PET/CT to identify dedifferentiated sites of disease.

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↓ .bib ↓ .ris
APA Zhi Y, Higuchi T, et al. (2024). [F]FDG PET/CT can trigger relevant oncological management changes leading to favorable outcome in iodine-negative thyroid cancer patients.. Endocrine, 84(2), 656-662. https://doi.org/10.1007/s12020-023-03645-8
MLA Zhi Y, et al.. "[F]FDG PET/CT can trigger relevant oncological management changes leading to favorable outcome in iodine-negative thyroid cancer patients.." Endocrine, vol. 84, no. 2, 2024, pp. 656-662.
PMID 38133766 ↗

Abstract

[BACKGROUND] In patients with iodine-negative thyroid cancer (TC), current guidelines endorse an [F]FDG PET/CT to identify dedifferentiated sites of disease. We aimed to determine the rate of oncological management changes triggered by such a molecular imaging approach, along with the impact on outcome.

[METHODS] 42 consecutive patients with negative findings on [I] whole body scan were scheduled for [F]FDG PET/CT and treatment based on PET results were initiated. To determine the impact on oncological management, we compared the therapeutic plan prior to and after molecular imaging. Based on imaging follow-up, the rate of controlled disease (CD, defined as stable disease, complete or partial response) was also recorded, thereby allowing to assess whether [F]FDG-triggered management changes can also lead to favorable outcome.

[RESULTS] We observed no alterations of the treatment plan in 9/42 (21.4%) subjects (active surveillance in 9/9 [100%]). Oncological management was changed in the remaining 33/42 (78.6%; systemic treatment in 9/33 [27.3%] and non-systemic treatment in 24/33 [72.7%]). Among patients receiving non-systemic therapy, the following changes were noted: surgery in 20/24 (83.3%) and radiation therapy in 4/24 (16.7%). In the systemic group, tyrosine kinase inhibitor (TKI) was prescribed in 8/9 (88.9%), while radioiodine therapy based on a TKI-mediated redifferentiation approach was conducted in 1/9 (11.1%). In 26 subjects with available follow-up, rate of CD was 22/26 (84.6%) and among those, 15/22 (68.1%) had experienced previous management changes based on PET/CT findings.

[CONCLUSIONS] In subjects with iodine-negative TC, [F]FDG PET/CT triggered relevant management changes along with disease control in the vast majority of patients. As such, in dedifferentiated TC, [F]FDG PET/CT may serve as a relevant management tool and therapeutic decision-aid in the clinic.

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