Detection of hepatic metastases using dual-time-point FDG PET/CT scans in patients with colorectal cancer.

Abstract:

PURPOSE:The purpose of this study was to determine the most useful parameter of dual-time-point 2-deoxy-2-[¹⁸F]fluoro-D: -glucose positron emission tomography/computed tomography (PET/CT) for detection of hepatic metastases in patients with colorectal cancer. PROCEDURES:Thirty-nine patients had undergone a dual-time-point PET/CT scan and a subsequent histopathological confirmation for a workup of hepatic metastases. Detection rates were compared for visual analysis score, standardized uptake value (SUV), tumor-to-liver uptake ratio (TLR), and percent changes of the SUV and TLR. RESULTS:Of 91 liver lesions, 86 lesions were confirmed as metastases. The SUV and TLR of metastatic lesions on the delayed images were higher than those on the first scan (p < 0.001). The signal-to-noise ratio of the delayed PET scan was higher than that of the first scan (p < 0.0001). The TLR and SUV of the delayed scan showed the highest detection rates of 92% and 88%, whereas percent changes of SUV and TLR showed the lowest detection rates (51%, 67%). Visual analysis detected 87% on the delayed scan and 77% on the first scan. CONCLUSIONS:A delayed scan is more favorable for the detection of hepatic metastases of colorectal cancer, and the TLR on the delayed scan was the most useful parameter.

journal_name

Mol Imaging Biol

authors

Lee JW,Kim SK,Lee SM,Moon SH,Kim TS

doi

10.1007/s11307-010-0394-x

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

565-572

issue

3

eissn

1536-1632

issn

1860-2002

pii

10.1007/s11307-010-0394-x

journal_volume

13

pub_type

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