Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (6): 81-86.doi: 10.6040/j.issn.1671-7554.0.2018.1481

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Correlation between SUVmax of 18F-FDG PET/CT and programmed cell death-ligand 1 expression in lung cancer patients: a Meta-analysis

CHEN Hongyan1, MA Yuanyuan2, SUN Hukui2   

  1. 1. Respiratory Department, Chest Hospital of Shandong Province, Jinan 250013, Shandong, China;
    2. Nuclear Medicine Department, Central Hospital of Zibo, Zibo 255000, Shandong, China
  • Published:2022-09-27

Abstract: Objective To study the correlation between 18F-FDG uptake and programmed cell death-ligand 1(PD-L1)expression in lung cancer patients by Meta-analysis of published articles. Methods According to the literature inclusion and exclusion criteria, PubMed(MEDLINE included), EMBASE, and Cochrane Database of Systematic Review were searched, and research articles on the relationship between 18F-FDG uptake and PD-L1 expression, which were published between January 1, 2000 and Decenber 1, 2018, were selected. The quality of included articles was evaluated according to the Jadad scale. The correlation coefficient(r)was extracted from the included articles. The combined r and the 95% confidence interval (CI) were calculated with Comprehensive Meta-Analysis software under a random-effects model. Results According to the inclusion and exclusion criteria, 4 articles, involving 1033 patients, were finally included. All the studies had a combined r value of 0.289(95%CI: 0.100~0.459, P<0.001), but with a significant 山 东 大 学 学 报 (医 学 版)57卷6期 -陈红艳,等.肺癌患者18F-FDG PET/CT SUVmax与程序性死亡受体-配体1表达相关性的Meta分析 \=-heterogeneity(I2=86%, P=0.003). Subgroup analysis for different tumor types indicated that adenocarcinomas and squamous cell carcinomas showed a positive correction(r=0.273, P=0.003; r=0.235, P=0.001). Conclusion SUVmax positively correlates with PD-L1 expression for patients with lung cancer, and the similar trend is found in both adenocarcinomas and squamous cell carcinomas. The assessment of SUVmax value and PD-L1 immunohistochemistry score may improve the accuracy of patient selection and predicit PD-1 treatment effect.

Key words: Lung cancer, Programmed cell death-ligand1, SUVmax, Meta analysis, Spearman correlation coefficient

CLC Number: 

  • R734.2
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