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The study evaluates the diagnostic utility of 18F-FDG PET/CT for predicting pathological response in non-small cell lung cancer after neoadjuvant therapy.
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Fourteen studies with 1,315 subjects were analyzed, revealing high predictive accuracy for major pathological response using metabolic parameters.
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The metabolic parameter ΔSUVmax% achieved an sAUC of 0.96, with sensitivity of 0.87 and specificity of 0.93 for predicting major pathological response.
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The parameter SUVmax also demonstrated strong predictive performance, with an sAUC of 0.95, sensitivity of 0.80, and specificity of 0.94.
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Quantitative metrics from 18F-FDG PET/CT may enhance individualized treatment strategies, but further high-quality research is needed to confirm these findings.