Objective:The current study aims to evaluate the correlation between inflammatory markers and 18F-fluorodeoxyglucose (FDG)positron emission tomography/computed tomography(PET/CT)metabolic parameters in patients with small cell lung cancer (SCLC)at baseline. Methods:A total of 56 SCLC patients,who underwent 18F - FDG PET/CT and did not receive any treatment in Department of Nuclear Medicine,the First Affiliated Hospital of Nanjing Medical University between January 2014 and December 2019,were analyzed retrospectively. The inflammatory markers[neutrophil/lymphocyte ratio(NLR),platelet/lymphocyte ratio(PLR), monocyte/lymphocyte ratio(MLR)and systemic immune-inflammation index(SII)],clinical data and metabolic parameters of primary tumor[maximum standardized uptake value(SUVmax),mean standardized uptake value(SUVmean),metabolic tumor volume(MTV),TLG(total lesion glycolysis)]within one week before PET/CT detection were collected to analyze the correlation by Spearman’s rho test. Results:The slight positive correlations were found between inflammatory markers(NLR,PLR,MLR,SII)and partial metabolic parameters[TLG(rNLR=0.309,rPLR=0.304,rMLR=0.271,rSII=0.362),MTV(rNLR=0.354,rPLR=0.341,rMLR=0.290,rSII=0.411)]of primary tumor in 56 patients with SCLC(all P < 0.05). The SUVmax and SUVmean were not found to be correlated with these hematological parameters(all P > 0.05). The neutrophils,NLR,MLR,SII,MTV and TLG in extensive stage were higher than those in limited stage, and the lymphocytes in extensive stage were lower than those in limited stage(all P < 0.05),but SUVmax,SUVmean,PLR,monocytes and platelets were not found differences between extensive and limited stage(all P > 0.05). Conclusion:Baseline NLR,MLR,SII of SCLC not only reflect the systemic metabolism,but also reflect the local inflammation of tumor. It may be necessary to receive whole- body PET/CT for staging to adjust treatment strategy in those patients with high NLR or MLR,SII.