Detection of lung cancer by FDG-PET cancer screening program: a nationwide Japanese survey.

Abstract:

AIM:The aim of this study was to analyze the lung cancer detection rate in asymptomatic individuals by the Fluorine-18 fluorodeoxyglucose-positron emission tomography FDG-PET cancer screening program in Japan. MATERIALS AND METHODS:A total of 153,775 asymptomatic individuals underwent the FDG-PET cancer screening program; the 854 cases with findings that indicated suspected lung cancer by any detection method were analyzed. RESULTS:Among the 854 cases, 319 were verified as lung cancer. The relative sensitivity and positive predictive value (PPV) of FDG-PET were 86.5% and 38.9% for lung cancer, respectively. The sensitivity of PET/computed tomography (CT) scanner was higher than that of dedicated PET (100.0% vs. 63.2%), indicating that CT imaging was effective for lung cancer screening. The majority of lung carcinomas detected by FDG-PET screening were UICC stage IA or IB, but detection of smaller or less invasive carcinomas was limited. CONCLUSION:The FDG-PET screening program in Japan detected lung cancer at an early stage.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Minamimoto R,Senda M,Jinnouchi S,Terauchi T,Yoshida T,Uno K,Iinuma T,Murano T,Nakashima R,Inoue T

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

183-9

issue

1

eissn

0250-7005

issn

1791-7530

pii

34/1/183

journal_volume

34

pub_type

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