Hypoxia imaging with [18F]HX4 PET in NSCLC patients: Defining optimal imaging parameters  Catharina M.L. Zegers, Wouter van Elmpt, Roel Wierts, Bart Reymen,

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Hypoxia imaging with [18F]HX4 PET in NSCLC patients: Defining optimal imaging parameters  Catharina M.L. Zegers, Wouter van Elmpt, Roel Wierts, Bart Reymen, Hoda Sharifi, Michel C. Öllers, Frank Hoebers, Esther G.C. Troost, Rinus Wanders, Angela van Baardwijk, Boudewijn Brans, Jonas Eriksson, Bert Windhorst, Felix M. Mottaghy, Dirk De Ruysscher, Philippe Lambin  Radiotherapy and Oncology  Volume 109, Issue 1, Pages 58-64 (October 2013) DOI: 10.1016/j.radonc.2013.08.031 Copyright © 2013 The Authors Terms and Conditions

Fig. 1 Example of two transversal slices of the [18F]HX4 CT/PET image of patient 14 at 2h and 4h p.i. showing the primary tumor (GTVprim) and involved lymph nodes (GTVln). Radiotherapy and Oncology 2013 109, 58-64DOI: (10.1016/j.radonc.2013.08.031) Copyright © 2013 The Authors Terms and Conditions

Fig. 2 TBRmax of the primary tumor (GTVprim) and involved lymph nodes (GTVln) of all patients. Radiotherapy and Oncology 2013 109, 58-64DOI: (10.1016/j.radonc.2013.08.031) Copyright © 2013 The Authors Terms and Conditions

Fig. 3 Example of patient 8. Left figure shows the 2h p.i. [18F]HX4 PET/CT that is rigidly registered to the 4h p.i. scan (middle). Visualized are the gross tumor volume (blue) and the hypoxic volume in the 4h p.i. scan and its corresponding high uptake volume in the 2h p.i. scan (red). The right figure shows the voxel-wise comparison between 2h and 4h p.i. within the gross tumor volume. Radiotherapy and Oncology 2013 109, 58-64DOI: (10.1016/j.radonc.2013.08.031) Copyright © 2013 The Authors Terms and Conditions

Fig. 4 Transversal [18F]HX4 PET slice of patient 4 at 4h p.i., reconstructed with the total acquisition of 30min or the first 20, 10 and 5min. Radiotherapy and Oncology 2013 109, 58-64DOI: (10.1016/j.radonc.2013.08.031) Copyright © 2013 The Authors Terms and Conditions