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Abdominal Radiology

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10.03.2020 | Review

Clinical impact of FDG PET/CT in alimentary tract malignancies: an updated review

verfasst von: Esma A. Akin, Zain N. Qazi, Murat Osman, Robert K. Zeman

Erschienen in: Abdominal Radiology | Ausgabe 4/2020

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Abstract

The use of ¹⁸F-fluorodeoxyglucose (FDG) positron emission tomography combined with computed tomography (PET/CT) is well established in the evaluation of alimentary tract malignancies. This review of the literature and demonstration of correlative images focuses on the current role of PET/CT in the diagnosis (including pathologic/clinical staging) and post-therapy follow-up of esophageal, gastric, and colorectal cancers. PET/CT provides utility in the management of esophageal cancer, including detection of distant disease prior to resection. In gastric cancer, PET/CT is useful in detecting solid organ metastases and in characterizing responders vs. non-responders after neoadjuvant chemotherapy, the latter of which have poorer overall survival. In patients with GIST tumors, PET/CT also determines response to imatinib therapy with greater expedience as compared to CECT. For colorectal cancer, PET/CT has proven helpful in detecting hepatic and other distant metastases, treatment response, and differentiating post-radiation changes from tumor recurrence. Our review also highlights several pitfalls in PET/CT interpretation of alimentary tract lesions.

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Titel: Clinical impact of FDG PET/CT in alimentary tract malignancies: an updated review
verfasst von: Esma A. Akin
Zain N. Qazi
Murat Osman
Robert K. Zeman
Publikationsdatum: 10.03.2020
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 4/2020
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-020-02447-0

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Clinical impact of FDG PET/CT in alimentary tract malignancies: an updated review

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