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Bone metastasis in patients with non-small cell lung cancer: the diagnostic role of F-18 FDG PET/CT.

Abstract：

PURPOSE:To evaluate the performance of F-18 FDG PET/CT in the detection of bone metastasis in non-small cell lung cancer (NSCLC) patients. MATERIALS AND METHODS:Three hundred and sixty-two consecutive NSCLC patients who underwent F-18 FDG PET/CT scanning were retrospectively analyzed. Each image of PET/CT, combined CT, and PET was performed at 10 separate areas and interpreted blindly and separately. The sensitivity, specificity and accuracy of F-18 FDG PET/CT, combined CT and F-18 FDG PET were calculated and the results were statistically analyzed. RESULTS:Bone metastasis was confirmed in 82 patients with 331 positive segments based on the image findings and clinical follow-up. On patient-based analysis, the sensitivity of F-18 FDG PET/CT (93.9%) was significantly higher than those of combined CT (74.4%) and F-18 FDG PET (84.1%), respectively (p<0.05). The overall specificity and accuracy of combined CT, F-18 FDG PET, and F-18 FDG PET/CT were 90.7%, 93.2%, 98.9% and 87.0%, 91.2%, and 97.8%, respectively (compared with PET/CT, p<0.05). On segment-based analysis, the sensitivity of the three modalities were 79.5%, 94.3%, and 98.8%, respectively (compared with PET/CT, p<0.05). The overall specificity and accuracy of the three modalities were 87.9%, 89.2%, 98.6% and 84.5%, 91.2%, 98.7%, respectively (compared with PET/CT, p<0.05). CONCLUSION:F-18 FDG PET/CT is superior to F-18 FDG PET or combined CT in detecting bone metastasis of NSCLC patients because of the complementation of CT and PET. It is worth noting that the added value of F-18 FDG PET/CT may beneficially impact the clinical management of NSCLC.

journal_name

Eur J Radiol

journal_title

European journal of radiology

authors

Liu N,Ma L,Zhou W,Pang Q,Hu M,Shi F,Fu Z,Li M,Yang G,Yu J

doi

10.1016/j.ejrad.2009.01.036

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

231-5

issue

1

eissn

0720-048X

issn

1872-7727

pii

S0720-048X(09)00062-X

journal_volume

74

pub_type

杂志文章

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