Diabetes decreases FDG accumulation in primary lung cancer

Tatsuo Torizuka, Kenneth R. Zasadny, Richard L. Wahl

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Objective: To compare kinetics and accumulation of 2-[fluorine-18]-fluoro-2-deoxy-D-glucose (FDG) in primary lung cancer between diabetic and non-diabetic patients using positron emission tomography (PET). Methods: Five diabetic patients and 21 non-diabetic patients underwent dynamic FDG-PET to image untreated primary lung cancers. Standardized uptake value normalized for lean body mass (SUL) was determined in tumor, blood, muscle, and lung. A 3-compartment metabolic model was applied to FDG kinetics in tumors in 24 of 26 patients. Results: At the time of PET scans, serum glucose levels were elevated in 5 diabetic patients, while 21 non-diabetic patients showed normal glucose levels. In diabetic patients, tumor SUL, tumor/blood and rumor/muscle SUL ratios were significantly decreased (P < 0.02) and also rumor/lung SUL ratio declined (P = 0.064), as compared to non-diabetic patients. In addition, the rate constant for FDG phosphorylation (k3) and influx constant (Ki) in diabetic patients were significantly lower than those in non-diabetic patients (P < 0.02). Conclusion: In diabetic patients, the rate of FDG accumulation in tumors is decreased, and tumor targeting with FDG is impaired. Diabetes may reduce the sensitivity of FDG-PET for lung cancer detection.

Original languageEnglish
Pages (from-to)281-287
Number of pages7
JournalClinical Positron Imaging (Netherlands)
Issue number5
StatePublished - 1999


  • Diabetes
  • Lung Cancer


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