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Title: [Nuclear medicine prediction of histologic tumor response of osteosarcoma]. Author: Knop J, Delling G, Salzer-Kuntschik M, Berberich R, Feine U, Feistel H, Ladenstein R, Müller-Schauenburg W, Schober O, Szabo Z. Journal: Klin Padiatr; 1989; 201(4):285-92. PubMed ID: 2674533. Abstract: The prediction of histologic tumor response to preoperative chemotherapy was assessed by quantitative scintigraphic follow-up examinations of 54 osteosarcomas. Tumor/non-tumor scintimetry using 99mTc labeled diphosphonates allowed accurate prediction of tumor response in 28 of 30 tumors (accuracy = 93%) after completion and in 10 of 12 osteosarcomas (accuracy = 83%) at the half-way stage of preoperative chemotherapy evaluating only those tumors which showed convergent changes of tumor/non-tumor ratios in the perfusion and the mineral phase. At the half-way stage, however, evaluation of chemotherapy effects was complicated in 12 of 23 osteosarcomas by diverging T/NT ratios. In contrast, quantification and mapping of the tumor plasma volume and 99mTc MDP plasma clearance predicted the histologic tumor response to chemotherapy in 12 of 13 tumors (accuracy = 92%) after completion and in all 11 cases (accuracy = 100%) at the half-way stage.[Abstract] [Full Text] [Related] [New Search]