Abdominal positron-emission tomography lesions with increased standardized uptake values correlate with intraoperative findings - 17/08/11
Abstract |
Background |
The reporting of standardized uptake value (SUV) on fluoro-2-deoxy-D-glucose positron-emission tomography (FDG-PET) in colorectal cancer is becoming common practice, but its clinical utility remains to be determined. This study was designed to compare FDG-PET uptake as measured by SUV with operative findings.
Methods |
A colorectal cancer database was queried to identify patients who underwent FDG-PET scans with reported SUVs followed by exploratory laparotomy within 3 months and compare these results to determine FDG-PET sensitivity.
Results |
Of 46 patients, 16 (34.8%) were found to be have increased extent of disease intraoperatively than seen on FDG-PET scan. This patient population had a statistically significant decreased mean maximal SUV than the patients whose FDG-PET scan equaled intraoperative findings (P < .025).
Conclusions |
This initial study indicates patients with potentially resectable disease by PET scan but decreased FDG uptake should undergo laparoscopic evaluation before performing laparotomy.
Le texte complet de cet article est disponible en PDF.Keywords : Colorectal cancer, FDG-PET scan, Standardized uptake value
Plan
Vol 191 - N° 1
P. 39-44 - janvier 2006 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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