| Dual time point 18F-FDG PET for the evaluation of pulmonary nodules. | |
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MedLine Citation:
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PMID: 12097455 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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18F-FDG PET has reached widespread application in the assessment of pulmonary nodules. This study compares the diagnostic accuracy of standard 18F-FDG PET scanning with those of dual time point 18F-FDG PET scanning. METHODS: Thirty-six patients (21 women, 15 men; mean age, 67 y; range, 36-88 y) with 38 known or suspected malignant pulmonary nodules underwent PET of the thorax at 2 time points: scan 1 at 70 min (range, 56-110 min) and scan 2 at 123 min (range, 100-163 min) after the intravenous injection of 2.5 MBq 18F-FDG per kilogram of body weight. All scanning was performed on a dedicated C-PET scanner. The mean interval between the scans was 56 min (range, 49-64 min). Regions of interest were overlaid onto each fully corrected image in the areas of the radiographically known lung densities. The standardized uptake values (SUVs) were calculated for both time points. RESULTS: Surgical pathology and follow-up revealed 19 patients with 20 malignant tumors, whereas 16 patients had benign lesions. The tumor SUVs (mean +/- SD) were 3.66 +/- 1.95 (scan 1) and 4.43 +/- 2.43 (scan 2) (20.5% +/- 8.1% increase; P < 0.01). Four of 20 malignant tumors had SUVs of <2.5 on scan 1 (range, 1.12-1.69). Benign lesions had SUVs of 1.14 +/- 0.64 (scan 1) and 1.11 +/- 0.70 (scan 2) (P = not significant). Standard PET scanning (single time point) with a threshold SUV of 2.5 (at time point 1) reached a sensitivity of 80% and a specificity of 94%; dual time point scanning with a threshold value of 10% increase between scan 1 and scan 2 reached a sensitivity of 100% with a specificity of 89%. CONCLUSION: Dual time point 18F-FDG PET results in a very high sensitivity and specificity for detection of malignant lung tumors. |
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Authors:
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Alexander Matthies; Marc Hickeson; Andrew Cuchiara; Abass Alavi |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of nuclear medicine : official publication, Society of Nuclear Medicine Volume: 43 ISSN: 0161-5505 ISO Abbreviation: J. Nucl. Med. Publication Date: 2002 Jul |
Date Detail:
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Created Date: 2002-07-04 Completed Date: 2002-07-30 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0217410 Medline TA: J Nucl Med Country: United States |
Other Details:
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Languages: eng Pagination: 871-5 Citation Subset: IM |
Affiliation:
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Division of Nuclear Medicine, Hospital of the University of Pennsylvania, Philadelphia 19104, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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radionuclide imaging Aged Carcinoma, Squamous Cell / radionuclide imaging Female Fluorodeoxyglucose F18 / diagnostic use* Humans Lung Neoplasms / radionuclide imaging Male Radiopharmaceuticals / diagnostic use Sensitivity and Specificity Solitary Pulmonary Nodule / radionuclide imaging* Time Factors Tomography, Emission-Computed / methods* |
| Chemical | |
Reg. No./Substance:
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0/Radiopharmaceuticals; 63503-12-8/Fluorodeoxyglucose F18 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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