Quantitative measurements were performed on a dedicated workstation (Syngo TrueD, Siemens Medical Solutions).
Volume of interest (VOI) was performed using a 40% threshold of SUVmax. The SUVmax, SUVmean and MTV were obtained for each identified lung lesion. TLG defined as MTV multi-plied by the average SUV uptake (SUVmean) within the MTV. We used the liver as a source for the background and noise measurement [13 (link)]. In each patient, a 30 mm-diameter spherical VOI was placed within an area of uniform FDG distribution in the liver, the mean SUV and standard deviation within the VOI were obtained. The signal-to-nose ratio of the tumour, relative to the liver, SNR (T–L) was calculated as: SNR(T-L)=Tumour-LiverSDL where the Tumour refers to SUVmax in the lung lesion, Liver and SDL is the mean SUV and standard deviation measured in the liver VOI respectively.
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