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Table 1 Patients’ imaging and clinical characteristics

From: Dexamethasone suppression for 18F-FDG PET/CT to localize ACTH-secreting pituitary tumors

 

Total (N = 22)

Age at diagnosis (years)

37.50 (13.00–56.00)

Sex

 

 Male (%)

2/22 (9.09%)

 Female (%)

20/22 (90.91%)

24 h UFC (µg/day)

443.35 (93.20–4452.20)

Preop ACTH level (pg/mL)

36.16 (5.69–91.82)

Preop cortisol level (µg/dL)

18.55 (5.50–40.40)

Nadir cortisol on the HD DST (µg/dL)

2.40 (0.40–14.36)

Suppression on the 1-mg ON DST

0/22 (0.00%)

Suppression on the HD DST

21/22 (95.45%)

Result of TSA surgery

 

 Remission (%)

18/22 (81.82%)

 Delayed remission (%)

3/22 (13.64%)

 No remission (%)

1/22 (4.56%)

Size on MRI (mm)

7.85 (2.00–28.00)

Ki-67

 

< 1

6/17(35.29%)

1–2

8/17(47.06%)

≥ 2

3/17(17.65%)

Knosp classification (%)

 

 0

15/20 (75.00%)

 1

1/20 (5.00%)

 2

0/20 (0.00%)

 3a/b

1/20 (5.00%)

4

3/20 (15.00%)

Baseline18F-FDG PET/CT

 

Adenoma SUVmean

4.60(2.80–8.30)

Adenoma SUVmax

5.05(3.20–8.60)

18F-FDG PET/CT after DEX suppression

 

Adenoma SUVmean

4.50(2.10–7.00)

Adenoma SUVmax

4.70(2.50–7.50)

  1. Success group, patients with CD whose tumors were successfully localized by 18F-FDG PET/CT after DEX suppression; Failed group, patients with CD whose tumors were not localized by 18F-FDG PET/CT after DEX suppression; 24 h UFC, 24-hour urine free cortisol; ACTH, adrenocorticotropic hormone; MRI, magnetic resonance imaging; ON DST, overnight dexamethasone suppression test; HD DST, high-dose dexamethasone suppression test; CD, Cushing’s disease; SUVmean, mean standardized uptake value; SUVmax, maximum standardized uptake value; 18F-FDG-PET/CT, 18 F-fluorodeoxyglucose positron emission tomography/computed tomography; Preop, preoperative