Comparison of preoperative whole-body positron emission tomography with MDCT in patients with primary colorectal cancer.

作者: T. Akiyoshi , M. Oya , Y. Fujimoto , H. Kuroyanagi , M. Ueno

DOI: 10.1111/J.1463-1318.2008.01643.X

关键词: In patientColorectal cancerPositron emission tomographyLymph nodeWhole bodyRetrospective cohort studyMedicineRadiologyAdvanced colorectal cancerTUMOUR DETECTION

摘要: Objective  Preoperative use of emission tomography with18F-fluorodeoxyglucose (FDG-PET) in patients with primary colorectal cancer remains controversial. This study evaluated the additional value FDG-PET comparison routine multidetector row computed (MDCT) cancer. Method  Retrospective analysis was performed 65 who underwent whole-body FDG-PET. Results were compared preoperative evaluation by MDCT regarding detection tumour, lymph node involvement and distant metastases. All images before surgery. Results  Tumour rate 100% (63/63) for 98% (62/63) Lymph pathologically confirmed 35 patients. displayed sensitivities 89% (31/35; 95% CI: 73–97%) 43% (15/35; 26–61%) specificities 52% (11/21; 30–74%) (20/21; 76–100%), respectively. Liver metastases present 22 showed accuracies (64/65; 92–100%) 97% (63/65; 89–100%), detected extrahepatic metastatic lesions affected treatment plan 10 patients. Conclusion  is not superior to or liver metastases, but may have potential clinical advanced detecting

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