Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS:...

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re-Tx 18 F-FDOPA PET Pre-Tx T1+C ost-Tx 18 F-FDOPA PET ference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011 POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM) RESPONDER Change in 18 F-FDOPA Signal + Increase - Decrease

Transcript of Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS:...

Page 1: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Pre-Tx 18F-FDOPA PET

Pre-Tx T1+C

Post-Tx 18F-FDOPA PET

Difference Post-Pre Tx 18F-FDOPA PET

IOIS: 3401

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM)

RESPONDER Change in 18F-FDOPA Signal

+ Increase- Decrease

Page 2: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Pre-Tx T1+C

Difference Post-Pre Tx 18F-FDOPA PET

IOIS: 3401

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM)

Change in 18F-FDOPA Signal

+ Increase- Decrease

Page 3: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Pre-Tx 18F-FDOPA PET

Pre-Tx T1+C

Post-Tx 18F-FDOPA PET

Difference Post-Pre Tx 18F-FDOPA PET

IOIS: 2383

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM)

NON-RESPONDER Change in 18F-FDOPA Signal

+ Increase- Decrease

Page 4: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Pre-Tx T1+C

Difference Post-Pre Tx 18F-FDOPA PET

IOIS: 2383

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM)

NON-RESPONDER Change in 18F-FDOPA Signal

+ Increase- Decrease

Page 5: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM)

NON-RESPONDER

Change in 18F-FDOPA Signal

+ Increase- Decrease

RESPONDERPre-Tx DOPA Tumor Volume = 117.5 mL

DOPA PRM

% Decreasing DOPA Uptake = 93.0%% Increasing DOPA Uptake = 7.0 %

Pre-Tx DOPA Tumor Volume = 18.3 mL

DOPA PRM

% Decreasing DOPA Uptake 72.8%% Increasing DOPA Uptake = 27.2 %

Page 6: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM)

% Change in 18F-FDOPA Signal

+ 100%- 100%

RESPONDER

> 50% Change

% Decreasing DOPA Uptake = 93.0%% Decreasing > 25% change = 47.9%% Decreasing > 50% change = 18.2%

% Increasing DOPA Uptake = 7.0 %% Increasing > 25% change = 0.9%% Increasing > 50% change = 0.0%

> 25% Change

All Changes

Page 7: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM)

% Change in 18F-FDOPA Signal

+ 100%- 100%

NON-RESPONDER

> 50% Change

% Decreasing DOPA Uptake = 72.8%% Decreasing > 25% change = 31.9%% Decreasing > 50% change = 2.7%

% Increasing DOPA Uptake = 27.2 %% Increasing > 25% change = 3.2%% Increasing > 50% change = 0.05%

> 25% Change

All Changes

Page 8: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM)

% Decreasing DOPA % Increasing DOPA

Page 9: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM)

NON-RESPONDER

Change in 18F-FDOPA Signal

+ Increase- Decrease

RESPONDER

VOLUME OF DECREASING DOPA UPTAKE = 7.4 mLVOLUME OF INCREASING DOPA UPTAKE = 1.2 mL

VOLUME OF DECREASING DOPA UPTAKE = 175.5 mLVOLUME OF INCREASING DOPA UPTAKE = 0.8 mL

Page 10: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

XXXX18F-FDOPA PET Parametric Response Maps (PET PRMs)

Change in PET Signal

-5000 + 5000Baseline: 3/10/09

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

10/20/09

3/30/10

10/12/10

2/15/11

Page 11: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

XXXX18F-FDOPA PET Parametric Response Maps (PET PRMs)

Baseline: 3/10/09

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

Page 12: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Pre-Tx 18F-FDOPA PET

Pre-Tx T1+C

Pre-Tx 18F-FLT PET

Combined 18F-FLT and 18F-FDOPA

FLT DOPA FLT+DOPA

IOIS: 3401

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

MALIGNANT MARKER MAPS (18F-FLT and 18F-FDOPA )

Page 13: Pre-Tx 18 F-FDOPA PET Pre-Tx T1+C Post-Tx 18 F-FDOPA PET Difference Post-Pre Tx 18 F-FDOPA PET IOIS: 3401 Benjamin M. Ellingson, Ph.D., Dept. of Radiological.

Benjamin M. Ellingson, Ph.D., Dept. of Radiological Sciences, David Geffen School of Medicine at UCLA, 2011

MALIGNANT MARKER MAPS (18F-FDOPA + CBV + ADC )