title: PET/CT mediastinal and liver FDG uptake: effects of biological and procedural factors.
abstract: BACKGROUND
  To establish the effects of biological and procedural factors on mediastinal and liver [(18) F]-fluorodeoxyglucose (FDG) uptake in oncological FDG positron emission tomography/computed tomography (PET/CT).
  
  
  METHODS
  This retrospective study included 557 patients who had a baseline FDG PET/CT scan in 2008 and 2009. Mediastinal and liver standardised uptake values mean normalised to lean body mass (SUVlbm mean) were measured in each patient. Univariate and multivariate regression models were established. Study population was then dichotomised into low and high body mass index (BMI) groups, and linear regression models were established for the effects of age, incubation period and blood glucose levels.
  
  
  RESULTS
  BMI had the highest adjusted effect (standardised beta coefficient, b = 0.43) (P < 0.001) and partial correlation, adjusting for covariates included in the final model (r = 0.45; P < 0.001) on mediastinal FDG uptake. Partial correlations (r) were 0.22 for age, -0.17 for male gender, -0.25 for incubation period and 0.14 for blood glucose (P < 0.001). The linear regression models showed significant differences in mediastinal FDG uptake between the low and high BMI groups and the effects of age, incubation period and basal blood glucose levels (P < 0.001). Similar results were observed for liver FDG uptake except the partial correlation for incubation period was r = -0.09 (P = 0.02).
  
  
  CONCLUSIONS
  BMI has the highest effect and correlation on mediastinal and liver FDG uptake. FDG uptake time has a greater effect on mediastinal than liver SUVlbm mean.
authors.affiliation: Department of Radiology, Boston Medical Center and Boston University, School of Medicine, Boston, MA, USA.
authors.forename: Ashish
authors.initials: A
authors.lastname: Malladi
authors.forename: Maya
authors.initials: M
authors.lastname: Viner
authors.forename: Tatianie
authors.initials: T
authors.lastname: Jackson
authors.forename: Gustavo
authors.initials: G
authors.lastname: Mercier
authors.forename: Rathan M
authors.initials: RM
authors.lastname: Subramaniam
mesh_terms: D017677:Age Distribution; D000375:Aging / Q000378:metabolism; D015992:Body Mass Index; D001900:Boston / Q000453:epidemiology; D005260:Female; D019788:Fluorodeoxyglucose F18 / Q000493:pharmacokinetics*; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000453:epidemiology* / Q000378:metabolism*; D008297:Male; D008479:Mediastinal Neoplasms / Q000175:diagnosis / Q000453:epidemiology* / Q000378:metabolism*; D008657:Metabolic Clearance Rate; D008875:Middle Aged; D064847:Multimodal Imaging / Q000706:statistics & numerical data*; D009928:Organ Specificity; D019275:Radiopharmaceuticals / Q000493:pharmacokinetics*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D017678:Sex Distribution; D014018:Tissue Distribution
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18