Review Article

Usefulness of Whole-Body Fluorine-18-Fluorodeoxyglucose Positron Emission Tomography in Patients with Neurofibromatosis Type 1: A Systematic Review

Table 2

Characteristics of the PET studies.

Authors Indication for examDiagnostic criteriaNumber of neurogenic lesions evaluatedMPNST diagnosis
Qualitative analysisSemiquantitative analysis/SUV cutoffCalculated SUV (in brackets NF 1 lesions)   SeSp

Ferner et al. [9]Symptomatic NFUptake > liver = malignantMean SUV23 (23)100%87%
Cardona et al. [10]Suspicious MPNSTHypermetabolic area1.8Median SUV25 (15)100%*83%*
Wegner et al. [11]Symptomatic NF13 ( n.a.)
Brenner et al. [12]Prediction of MPNST outcome3Mean SUV16 (16)75%100%
Bensaid et al. [13]Symptomatic NFTumour/liver ratio >1.549 (49)100%86%
Bredella et al. [14]Symptomatic NFUptake > liver = malignantMaximum SUV47 (47)95%72%
Ferner et al. [15]Symptomatic NFUptake > liver and not reduced at 4 hours = malignantMaximum SUV114 (114)89%95%
Fisher et al. [16]High-risk progression NF5 point visual scale2Maximum SUV19 (19)
Karabatsou et al. [17]Suspicious MPNSTnot specified7Average and maximal SUV9 (9)
Warbey et al. [18]Symptomatic NFnot specified3.5 (at 4 hours)Maximum SUV85 (85)97%87%
Benz et al. [19]Presurgical evaluation of PNST6.1Maximum SUV26 (5)94%91%
Moharir et al. [20]Symptomatic NF>3Maximum SUV16 (16)100%85%

NF: neurofibromas; MPNSTs: malignant peripheral nerve sheath tumors; PNSTs: peripheral nerve sheath tumors; Se: sensitivity; Sp: specificity; *: calculated for all 25 neurogenic tumours (15 tumours were detected in 5 NF1 patients) with semiquantitative analysis.