Lung Cancer
Conditions
Brief summary
To detect value of F-18FDG PET/CT as a non-invasive method for the prediction of EGFR mutations in lung cancer patients.
Detailed description
* Globally, lung cancer cases and deaths are rising. In 2018, GLOBOCAN estimated 2.09 million new cases (11.6% of total cancer cases) and 1.76 million deaths (18.4% of total cancer deaths). It is the most frequent cancer and cause of cancer death in men. * Epidermal growth factor receptor (EGFR) mutations are the second most common oncogenic driver event in non-small cell lung cancer (NSCLC) and classical activating mutations are well defined as strong predictors for good clinical response to EGFR tyrosine kinase inhibitors (EGFRi). * Over the last decade, the introduction of tyrosine-kinase inhibitors (TKIs) has showed a remarkable paradigm shift in the treatment of non-small cell lung cancer (NSCLC). However, genetic testing is sometimes unavailable. * Data from previous studies that have investigated the value of F-18 FDG PET/CT for predicting EGFR status are conflicting.
Interventions
F-18 FDGPET/CT oncology protocol for lung cancer patients
Sponsors
Study design
Eligibility
Inclusion criteria
* NSCLC patients who underwent EGFR mutation testing. * All patients ≥ 18 years.
Exclusion criteria
* Time interval between EGFR sampling and PET/CT more than 1 month. * Patients had been treated before sampling for the gene alteration analysis * Patients with glucose level \< 200 mg/dl.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| • Assessment of semi-quantitative F-18 FDG PET/CT as a non-invasive method for prediction of EGFR mutations in lung cancer patients. | baseline | detection value of F-18 FDG PET/CT for the prediction of EGFR mutation in lung cancer patients. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| • Assessment of the relationship between degree of the tracer uptake and pathology of the lesion. | baseline | correlate between degree of the tracer uptake and pathology of the lesion |