Document Detail


PET-CT in radiation oncology: the impact on diagnosis, treatment planning, and assessment of treatment response.
MedLine Citation:
PMID:  18845994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review the role of hybrid positron emission tomography (PET)-computed tomography (CT) systems in the design and management of cancer patients in the modern radiation oncology practice. PET is co-registered with CT and incorporated into a systematic approach to the staging, management, and assessment of response and surveillance of a variety of oncologic diagnoses. METHODS: A review of the literature of functional imaging such as PET-CT in staging, treatment plan design, assessment of response and detection of recurrence for tumors involving the head and neck, lung, esophagus, rectum amongst others. RESULTS: PET and PET-CT offer significant advantages which include more accurate staging which often results in management changes in roughly one-third of patients across a number of disease site. More accurate target definition may augment highly conformal radiation treatment plans using intensity-modulated radiation therapy and stereotactic radiosurgery and radiotherapy. CONCLUSION: The emerging data appears to suggest the functional imaging may be a more useful tool to evaluate the therapeutic effect of treatment, detect early failures and prognosticate long-term outcome.
Authors:
Dwight E Heron; Regiane S Andrade; Sushil Beriwal; Ryan P Smith
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of clinical oncology     Volume:  31     ISSN:  1537-453X     ISO Abbreviation:  Am. J. Clin. Oncol.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-10-10     Completed Date:  2008-11-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8207754     Medline TA:  Am J Clin Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  352-62     Citation Subset:  IM    
Affiliation:
University of Pittsburgh Cancer Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. herond2@upmc.edu
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MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic
Humans
Neoplasms / radionuclide imaging*,  radiotherapy*
Patient Care Planning
Positron-Emission Tomography / methods*
Radiation Oncology*
Radiopharmaceuticals / diagnostic use*
Radiotherapy Planning, Computer-Assisted
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals

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


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