Document Detail


Comparison of magnetic resonance imaging-fluorodeoxy- glucose positron emission tomography fusion with pathological staging in rectal cancer.
MedLine Citation:
PMID:  20035542     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND:: This study represents an initial experience with combined magnetic resonance imaging (MRI) and [(18)F]fluorodeoxyglucose positron emission tomography (FDG PET) (MRI-PET fusion) in the primary staging of rectal carcinoma. METHODS:: A retrospective analysis of data recorded on patients with rectal cancer was undertaken. Patients requiring long-course radiotherapy were excluded. Chest radiography, abdominal computed tomography and endorectal ultrasonography were performed. In addition, MRI of the pelvis, whole-body FDG PET and MRI-PET fusion were carried out. All patients subsequently underwent anterior resection. RESULTS:: Twenty-three patients with rectal carcinoma (15 men), of median age 60 (range 46-75) years, were enrolled. In tumour (T) assessment, MRI correctly staged 14 of 22 T2/T3 tumours. In lymph node assessment, MRI-PET fusion had a sensitivity of 44 per cent, with a specificity and positive predictive value of 100 per cent. No additional information was acquired from MRI-PET fusion over MRI plus abdominal computed tomography and chest radiography. CONCLUSION:: MRI-PET fusion adds little to conventional investigations for staging rectal carcinoma.
Authors:
M H Kam; D C Wong; S Siu; A R L Stevenson; J Lai; G E Phillips
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  97     ISSN:  1365-2168     ISO Abbreviation:  Br J Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-25     Completed Date:  2010-02-18     Revised Date:  2010-07-19    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  266-8     Citation Subset:  AIM; IM    
Copyright Information:
Copyright (c) 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Affiliation:
Department of Surgery, Royal Brisbane and Women's Hospital, Queensland, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Fluorodeoxyglucose F18 / diagnostic use*
Humans
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Neoplasm Staging
Positron-Emission Tomography / methods*
Radiopharmaceuticals / diagnostic use*
Rectal Neoplasms / diagnosis*
Retrospective Studies
Sensitivity and Specificity
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 63503-12-8/Fluorodeoxyglucose F18
Comments/Corrections
Comment In:
Br J Surg. 2010 Jul;97(7):1151; author reply 1151   [PMID:  20632294 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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