Detection of breast cancer in an FDG-PET cancer screening program: results of a nationwide Japanese survey.

Abstract:

BACKGROUND:The [18F]-fluorodeoxyglucose positron emission tomography (FDG-PET) cancer screening program is defined as cancer screening for asymptomatic subjects using FDG-PET/computed tomography with or without combination of other screening tests. The aim of this study was to analyze the detection rate and effectiveness of the FDG-PET cancer screening program for breast cancer between 2006 and 2009 in Japan. PATIENTS AND METHODS:A total of 62,054 asymptomatic female subjects underwent FDG-PET cancer screening. We analyzed 473 cases with findings of possible breast cancer in any screening tests. RESULTS:Among 473 possible cases, 161 were verified as breast cancer. The relative sensitivity and positive predictive value (PPV) of FDG-PET for breast cancer were 83.9% and 41.7%, respectively. The relative sensitivity and PPV of mammography (MMG) for breast cancer was less than for FDG-PET; results for breast ultrasonography (US) were close to FDG-PET. The combination of FDG-PET with MMG and US might contribute to increased sensitivity but does not improve PPV. Most breast cancer cases (83.0%) detected using the FDG-PET cancer screening program were stage 0 or I based on the Union for International Cancer Control criteria. CONCLUSION:The FDG-PET screening program in Japan detected breast cancer at an early stage. A combination of FDG-PET and MMG and/or breast US yields the best results for detecting breast cancer. The FDG-PET cancer-screening program alone cannot detect all breast cancers.

journal_name

Clin Breast Cancer

journal_title

Clinical breast cancer

authors

Minamimoto R,Senda M,Jinnouchi S,Terauchi T,Yoshida T,Inoue T

doi

10.1016/j.clbc.2014.09.008

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

e139-46

issue

2

eissn

1526-8209

issn

1938-0666

pii

S1526-8209(14)00200-6

journal_volume

15

pub_type

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