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Research ArticleImaging

Revisiting Weight-Normalized SUV and Lean-Body-Mass–Normalized SUV in PET Studies

Ismet Sarikaya, Ahmed N. Albatineh and Ali Sarikaya
Journal of Nuclear Medicine Technology June 2020, 48 (2) 163-167; DOI: https://doi.org/10.2967/jnmt.119.233353
Ismet Sarikaya
1Department of Nuclear Medicine, Faculty of Medicine, Kuwait University, and Mubarak Al-Kabeer Hospital, Jabriya, Kuwait
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Ahmed N. Albatineh
2Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, Safat, Kuwait; and
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Ali Sarikaya
3Department of Nuclear Medicine, Faculty of Medicine, Trakya University, Edirne, Turkey
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  • FIGURE 1.
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    FIGURE 1.

    Mean ± SD SUVmean and SULmean of liver and blood pool in patients with normal BMI and obese patients. BP = blood pool; NL = normal BMI.

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    FIGURE 2.

    Mean ± SD SUVmax and SULmax of liver and blood pool in patients with normal BMI and obese patients. BP = blood pool; NL = normal BMI.

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    FIGURE 3.

    Mean ± SD SUV–SUL differences (mean and maximum) in liver and blood pool in patients with normal BMI and obese patients.

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    FIGURE 4.

    Scatterplots of weight and SUV–SUL differences.

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    FIGURE 5.

    Principle of patient who, at different times, had same body weight but different LBMs and was injected with same 18F-FDG activity per body weight. In A, patient has more fat; in B, patient has more muscle. LBM activity (injected dose/LBM) is higher in A than in B, but target-area activity (kBq/mL) is also higher in A (because of smaller LBM volume in A and more available activity for target area). LBM activity is lower in B than in A, but target-area activity is also lower in B (because of higher volume of LBM and competitive reduction in target-area uptake caused by uptake in muscle). Both sides of SUL equation are higher in A and lower in B; as a result, SULs of target in A and B do not significantly differ. I/D = injected dose.

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    TABLE 1

    SULmax and SULmean in Obese Patients with Different Amounts of LBM

    AreaLBM ∼ 50 kg (n = 10)LBM ∼ 60 kg (n = 10)P*
    Liver SULmax2.84 ± 0.4062.92 ± 0.4640.686
    Liver SULmean2.32 ± 0.2782.26 ± 0.3600.681
    Blood-pool SULmax2.03 ± 0.2752.14 ± 0.3810.468
    Blood-pool SULmean1.72 ± 0.2491.80 ± 0.3060.529
    • ↵* Based on 2-sample t test, because groups showed normality on Shapiro–Wilk test.

    • Data are mean ± SD.

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Journal of Nuclear Medicine Technology: 48 (2)
Journal of Nuclear Medicine Technology
Vol. 48, Issue 2
June 1, 2020
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Revisiting Weight-Normalized SUV and Lean-Body-Mass–Normalized SUV in PET Studies
Ismet Sarikaya, Ahmed N. Albatineh, Ali Sarikaya
Journal of Nuclear Medicine Technology Jun 2020, 48 (2) 163-167; DOI: 10.2967/jnmt.119.233353
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Keywords

  • SUV
  • SUL
  • lean body mass
  • weight
  • PET
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Revisiting Weight-Normalized SUV and Lean-Body-Mass–Normalized SUV in PET Studies
Ismet Sarikaya, Ahmed N. Albatineh, Ali Sarikaya
Journal of Nuclear Medicine Technology Jun 2020, 48 (2) 163-167; DOI: 10.2967/jnmt.119.233353

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