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Sensitivity and Specificity of Positron Emission Tomography (PET) for the Diagnosis of Lymph Node Metastases

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Lymphatic Metastasis and Sentinel Lymphonodectomy

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 157))

Abstract

The introduction of Positron Emission Tomography (PET) and the use of the glucose analog F-18-Deoxyglucose (FDG) can help to improve the sensitivity of the diagnosis of lymph node metastases. Sensitivity exceeding 90% can be achieved when advanced imaging protocols and image reconstruction methods are used for PET. Superior staging information is obtained with PET as compared to morphological imaging methods for the most frequent tumor types. The accuracy of N-staging can be significantly improved by adding PET to the pretherapeutic diagnostic procedures. Limitations exist with regard to false positive results. Acute or chronic inflammation as well as unspecific reactions following radiotherapy may mimic tumor tissue.

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References

  1. Strauss LG, Clorius JH, Schlag P, et al. (1989) Recurrence of colorectal tumors: PET evaluation. Radiology 170:329–332

    PubMed  CAS  Google Scholar 

  2. Strauss LG, Conti PS (1991) The applications of PET in clinical oncology. J Nucl Med 32:623–648

    PubMed  CAS  Google Scholar 

  3. Dimitrakopoulou-Strauss A, Strauss LG, Schlag P, et al. (1998) Fluorine-18-fluorouracil to predict therapy response in liver metastases from colorectal carcinoma. J Nucl Med 39:1197–1202

    PubMed  CAS  Google Scholar 

  4. Dimitrakopoulou-Strauss A (1996) Editorial: New approaches for the non invasive quantification of chemotherapeutic drugs in tumors and the evaluation of multidrug resistance. The Cancer Journal 9:118–120

    Google Scholar 

  5. Higashi K, Clavo AC, Wahl RL (1993) Does FDG uptake measure proliferative activity of human cancer cells? In vitro comparison with DNAflow cytometry and tritiated thymidine uptake. J Nucl Med 34:414–419

    PubMed  CAS  Google Scholar 

  6. Strauss LG (1996) Fluorine-18 deoxyglucose and false-positive results: a major problem in the diagnosis of oncological patients. Eur J Nucl Med 23:1409–1415

    Article  PubMed  CAS  Google Scholar 

  7. Hundt W, Braunschweig R, Reiser M (1999) Evaluation of spiral CT of colon and rectom carcinoma. Eur Radiol 9:78–84

    Article  PubMed  CAS  Google Scholar 

  8. Anzai Y, Brunberg JA, Lufkin RB (1997) Imaging of nodal metastases in the head and neck. J Magn Reson Imaging 7:774–783

    Article  PubMed  CAS  Google Scholar 

  9. Adams S, Baum RP, Stuckensen T, et al. (1998) Prospective comparison of 18F-FDG PET with conventional imaging modalities (CT, MRI, US) in lymph node staging of head and neck cancer. Eur J Nucl Med 25:1255–1260

    Article  PubMed  CAS  Google Scholar 

  10. Laubenbacher C, Saumweber D, Wagner-Mansiau C, et al. (1995) Comparison of fluorine-18-fluorodeoxyglucose PET, MRI and endoscopy for staging head and neck squamous-cell carcinomas. J Nucl Med 36:1747–1757

    PubMed  CAS  Google Scholar 

  11. Crippa F, Agresti R, Seregni E, et al. (1998) Prospective evaluation of fluorine-18-FDG PET in presurgical staging of the axilla in breast cancer. J Nucl Med 39:4–8

    PubMed  CAS  Google Scholar 

  12. Avril N, Dose J, Janicke F, Ziegler S, et al. (1996) Assessment of axillary lymph node involvement in breast cancer patients with positron emission tomography using radiolabeled 2-(fluorine-18)-fluoro-2-deoxy-D-glucose. J Natl. Cancer Inst 4:1204–1209

    Article  Google Scholar 

  13. Matthews JI, Richey HM, Helsel RA, et al. (1987) Thoracic computed tomography in the preoperative evaluation of primary bronchogenic carcinoma. Arch Intern Med 147:449–453

    Article  PubMed  CAS  Google Scholar 

  14. Bonomo L, Ciccotosto C, Guidotti A, et al. (1996) Lung cancer staging: the role of computed tomography and magnetic resonance imaging. Eur J Radiol 23:35–45

    Article  PubMed  CAS  Google Scholar 

  15. Strauss LG, Clorius JH, Manke H, et al. (1987) PET in oat cell carcinoma. Radiology 165(P):212

    Google Scholar 

  16. Steinert HC, Hauser M, Allemann F, et al. (1997) Non-small cell lung cancer: nodal staging with FDG PET versus CT with correlative lymph node mapping and sampling. Radiology 202:441–446

    PubMed  CAS  Google Scholar 

  17. Vansteenkiste JF, Stroobants SG, De Leyn PR, et al. (1998) Lymph node staging in nonsmall-cell lung cancer with FDG-PET scan: a prospective study on 690 lymph node stations from 68 patients. J Clin Oncol 16:2142–2149

    PubMed  CAS  Google Scholar 

  18. Nettelbladt OS, Sundin AE, Valind SO, et al. (1998) Combined fluorine-18-FDG and carbon-11-methionine PET for diagnosis of tumors in lung and mediastinum. J Nucl Med 39:640–647

    PubMed  CAS  Google Scholar 

  19. Steinert HC, Huch Buoni RA, Buck A, et al. (1995) Malignant melanoma: staging with whole-body positron emission tomography and 2-[F-18]-fluoro-2-deoxy-D-glucose. Radiology 195:705–709

    PubMed  CAS  Google Scholar 

  20. Macfarlane DJ, Sondak V, Johnson T, et al. (1998) Prospective evaluation of 1[F-18]-2-deoxy-D-glucose positron emission tomography in staging of regional lymph nodes in patients with cutaneous malignant melanoma. J Clin Oncol 16:1770–1776

    PubMed  CAS  Google Scholar 

  21. Holder WD Jr, Whilte RL Jr, Zuger JH, et al. (1998) Effectiveness of positron emission tomography for the detection of melanoma metastases. Ann Surg 227:764–769

    Article  PubMed  Google Scholar 

  22. Steinert HC, Voellmy DR, Trachsel C, et al. (1998) Planar coincidence scintigraphy and PET in staging malignant melanoma. J Nucl Med 39:1892–1897

    PubMed  CAS  Google Scholar 

  23. Ogunbiyi OA, Flanagan FL, Dehdashti F, et al. (1997) Detection of recurrent and metastatic colorectal cancer: comparison of positron emission tomography and computed tomography. Ann Surg Oncol 4:613–620

    Article  PubMed  CAS  Google Scholar 

  24. Abdel-Nabi H, Doerr RJ, Lamonica DM, et al. (1998) Staging of primary colorectal carcinomas with fluorine-18 fluorodeoxyglucose whole-body PET: correlation with histopathologic and CT findings. Radiology 206:755–760

    PubMed  CAS  Google Scholar 

  25. Engenhart R, Kimmig BN, Strauss LG, et al. (1990) Therapy monitoring of presacral recurrencies after high-dose irradiation. Value of PET, CT, CEA and pain score. Strahlenther Oncol 166:95–98

    CAS  Google Scholar 

  26. Minn H, Kangas L, Kellokumpu-Lehtinen P, et al. (1990) Uptake of 2-fluoro-2-deoxy-D[U-(14)C]glucose during chemotherapy in murine Lewis lung tumor. Nucl Med Biol Int J Radiat Appl Instrum 19:55–63

    Article  Google Scholar 

  27. Haberkorn U, Reinhardt M, Strauss LG, et al. (1992) Metabolic design of combined therapy: use of enhanced fluorode oxyglucose uptake caused by chemotherapy. J Nucl Med 33:1981–1987

    PubMed  CAS  Google Scholar 

  28. Dimitrakopoulou-Strauss A, Strauss LG, Goldschmidt H, et al. (1995) Evaluation of tumour metabolism and multidrug resistance in patients with treated malignant lymphomas. Eur J Nucl Med 22:434–442

    Article  PubMed  CAS  Google Scholar 

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© 2000 Springer-Verlag Berlin Heidelberg

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Strauss, L.G. (2000). Sensitivity and Specificity of Positron Emission Tomography (PET) for the Diagnosis of Lymph Node Metastases. In: Schlag, P.M., Veronesi, U. (eds) Lymphatic Metastasis and Sentinel Lymphonodectomy. Recent Results in Cancer Research, vol 157. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57151-0_2

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  • DOI: https://doi.org/10.1007/978-3-642-57151-0_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63070-5

  • Online ISBN: 978-3-642-57151-0

  • eBook Packages: Springer Book Archive

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