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Quantification of PD-L1 Expression with 18F-BMS-986192 PET/CT in patients with advanced-stage non–small cell lung cancer

The Journal of Nuclear Medicine Oct 05, 2020

Huisman MC, Niemeijer ALN, Windhorst AD, et al. - In patients with non–small cell lung cancer, researchers evaluated the uptake of 18F-BMS-986192, a programmed cell death ligand 1 (PD-L1) adnectin PET tracer. Researchers conducted plasma input kinetic modeling of dynamic tumor uptake data with online arterial blood sampling. They utilized data from a study with 18F-BMS-986192 in patients with advanced-stage non–small cell lung cancer eligible for nivolumab treatment if a dynamic scan was available and lesions were present in the field of view of the dynamic scan. They examined 22 tumors in 9 patients. The present study demonstrates that a single-tissue reversible model can be applied to evaluate tumor uptake of the PD-L1 PET tracer 18F-BMS-986192. The data suggested that SUV at 60 minutes following injection, normalized for body weight, is an accurate simplified parameter for uptake assessment of baseline studies. Further validation of SUV against VT based on an image-derived input function is recommended to evaluate its predictive value for response assessment during programmed cell death protein 1 or PD-L1 immune checkpoint inhibition.

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