Abstract:
OBJECTIVES:Accurate staging of patients with melanoma is vital to guide appropriate treatment. 2-Deoxy-2-[F-18]fluoro-D-glucose (FDG)-positron emission tomography (PET) has been reported to be a sensitive and specific technique for the staging of advanced melanoma, however, few studies provide information regarding its impact on patient management. METHODS:We retrospectively reviewed the FDG-PET scan results of 92 patients with melanoma who had 126 scans performed over a six-year period. These patients were seen at the specialist melanoma clinic at our Institution, and 84 patients (92%) had stage III or IV disease. FDG-PET scan results were correlated with computed tomography (CT) scans and other imaging when available, and with clinical follow-up of a minimum of three to six months. The impact of FDG-PET scans on patient management was also assessed. RESULTS:On a lesion-by-lesion analysis, FDG-PET had a sensitivity of 92%, a specificity of 88%, and an accuracy of 91%. FDG-PET correctly affected the clinical decision-making process in 40 of 126 patient studies (32%), particularly assisting in the selection of patients for surgery. CONCLUSION:FDG-PET has an important role in guiding the management of patients with advanced melanoma, particularly when surgery is contemplated.
journal_name
Mol Imaging Bioljournal_title
Molecular imaging and biologyauthors
Harris MT,Berlangieri SU,Cebon JS,Davis ID,Scott AMdoi
10.1007/s11307-005-0002-7keywords:
subject
Has Abstractpub_date
2005-07-01 00:00:00pages
304-8issue
4eissn
1536-1632issn
1860-2002journal_volume
7pub_type
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journal_title:Molecular imaging and biology
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pub_type: 杂志文章
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更新日期:2015-04-01 00:00:00
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更新日期:2012-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-01-01 00:00:00
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更新日期:2020-06-01 00:00:00
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更新日期:2016-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2003-11-01 00:00:00
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更新日期:2019-08-01 00:00:00
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更新日期:2011-08-01 00:00:00
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更新日期:2015-12-01 00:00:00
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更新日期:2010-10-01 00:00:00
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更新日期:2015-08-01 00:00:00
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更新日期:2014-12-01 00:00:00
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更新日期:2014-06-01 00:00:00