pre- tx 18 f-fdopa pet

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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

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Pre- Tx T1+C. POSITRON EMISSION TOMOGRAPHY PARAMETRIC RESPONSE MAP (PET-PRM). IOIS: 3401. Pre- Tx 18 F-FDOPA PET. Post- Tx 18 F-FDOPA PET. Difference Post-Pre Tx 18 F-FDOPA PET. RESPONDER. Change in 18 F-FDOPA Signal. - Decrease. + Increase. - PowerPoint PPT Presentation

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Page 1: Pre- Tx 18 F-FDOPA PET

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

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 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

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

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

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

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

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

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

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

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 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

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

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