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World J Radiol. Jul 28, 2014; 6(7): 392-398
Published online Jul 28, 2014. doi: 10.4329/wjr.v6.i7.392
FDG-PET/CT response evaluation during EGFR-TKI treatment in patients with NSCLC
Matthijs H van Gool, Tjeerd S Aukema, Koen J Hartemink, Renato A Valdés Olmos, Harm van Tinteren, Houke M Klomp
Matthijs H van Gool, Koen J Hartemink, Houke M Klomp, Department of Surgical Oncology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, 1066 CX Amsterdam, The Netherlands
Tjeerd S Aukema, Renato A Valdés Olmos, Department of Nuclear Medicine, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, 1066 CX Amsterdam, The Netherlands
Harm van Tinteren, Department of Biometrics, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, 1066 CX Amsterdam, The Netherlands
Author contributions: All authors contributed equally on this manuscript in accordance with the standard proposed by the International Committee of Medical Journal Editors.
Correspondence to: Houke M Klomp, MD, PhD, Department of Surgical Oncology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. h.klomp@nki.nl
Telephone: +31-20-5122554 Fax: +31-20-5129111
Received: January 23, 2014
Revised: April 28, 2014
Accepted: May 16, 2014
Published online: July 28, 2014
Processing time: 188 Days and 16.5 Hours
Core Tip

Core tip: Our report shows that response monitoring using [18F]-fluorodeoxyglucose positron emission tomography (FDG-PET) acquired together with low dose computed tomography has potential in targeted treatment for non-small cell lung cancer and can be performed as early as 1-2 wk after initiation of treatment. Patients with substantial decrease of metabolic activity during epidermal growth factor receptor-tyrosine kinase inhibitors treatment will probably benefit from continued treatment. Refining FDG-PET response criteria may help the clinician to decide on continuation or discontinuation of targeted treatment.