Document Detail


Contrast-enhanced MRI and PET-CT in the evaluation of patients with suspected local recurrence of rectal carcinoma.
MedLine Citation:
PMID:  20574705     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This study aimed to evaluate the role of contrast-enhanced magnetic resonance imaging (MRI) and positron emission tomography-computed tomography (PET-CT) in the assessment of local recurrence of rectal cancer. MATERIALS AND METHODS: Among 200 patients scheduled for CT follow-up, 60 (48 low risk; 12 high risk) were selected due to CT findings suspicious for or suggestive of local recurrence. Patients underwent contrast-enhanced MRI and PET-CT within 2 weeks. Biopsy was considered the gold standard in 39 cases and follow-up at 6 and 12 months in the remaining 21. RESULTS: Local recurrence was confirmed by histology in 15 cases (7 low risk; 8 high risk) and was excluded in 21 cases by long-term follow-up and in 24 by histology. Sensitivity, specificity, positive and negative predictive value and accuracy were 86.7%, 68.9%, 48.1%, 93.9% and 73.3% for contrast-enhanced MRI and 93.3%, 68.9%, 50%, 96.9% and 75% for PET-CT. CONCLUSIONS: Contrast-enhanced MRI and PET-CT can help in the detection of local recurrence of rectal cancer, even though their roles in early detection remains debatable, as the value of these techniques in current surveillance protocols is still to be defined.
Authors:
F Fiocchi; V Iotti; G Ligabue; A Pecchi; G Luppi; B Bagni; F Rivasi; P Torricelli
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Publication Detail:
Type:  Journal Article     Date:  2010-06-23
Journal Detail:
Title:  La Radiologia medica     Volume:  115     ISSN:  1826-6983     ISO Abbreviation:  Radiol Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2010-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0177625     Medline TA:  Radiol Med     Country:  Italy    
Other Details:
Languages:  eng; ita     Pagination:  906-19     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Modena and Reggio Emilia, Via del Pozzo 71, 41100 Modena, Italy. federica.fiocchi@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Biopsy
Carcinoma / surgery
Contrast Media / diagnostic use*
Female
Humans
Magnetic Resonance Imaging*
Male
Middle Aged
Neoplasm Recurrence, Local / diagnosis*
Positron-Emission Tomography*
Predictive Value of Tests
Radiopharmaceuticals / diagnostic use*
Rectal Neoplasms / surgery
Sensitivity and Specificity
Tomography, X-Ray Computed*
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Radiopharmaceuticals

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


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