| Positron emission tomography in the initial staging of esophageal cancer. | |
| | |
MedLine Citation:
|
PMID: 12215149 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To assess the value of positron emission tomography (PET) compared with computed tomography (CT) in the initial staging of esophageal cancer. DESIGN: Case series. SETTING: Tertiary care veterans hospital. PATIENTS: Patients with newly diagnosed esophageal cancers from January 1996 through May 2001 who underwent both CT and PET scanning within 4 weeks were included in the study (n = 24). Only patients who underwent pathological or radiographic follow-up were included. MAIN OUTCOME MEASURES: The sensitivity, specificity, and negative and positive predictive values of CT and PET were determined based on a criterion standard of pathological staging in 16 patients (67%) and follow-up imaging in 8 patients (33%). RESULTS: For staging regional lymph node involvement, CT and PET scans showed no statistically significant difference in sensitivity (57% and 71%, respectively) and specificity (71% and 86%, respectively). For detection of metastatic disease, CT and PET showed no significant difference in sensitivity (83% and 67%, respectively) and specificity (75% and 92%, respectively). There was no significant difference in clinical decision making when the results of both tests were discordant. CONCLUSIONS: There was no significant difference between the 2 imaging modalities in the initial staging of esophageal cancer. The CT scan was a sensitive indicator of distant metastases, whereas PET was more specific. It is unclear what additional role PET scanning should have in the initial screening of patients. |
| | |
Authors:
|
Sherry M Wren; Pascal Stijns; Sandy Srinivas |
Related Documents
:
|
16474909 - Utility of preoperative [(18)]f fluorodeoxyglucose-positron emission tomography scannin... 10823629 - Value of (18f)-fdg positron emission tomography, computed tomography, and magnetic reso... 18541009 - Utility of 18f-fluoro-deoxyglucose emission tomography/computed tomography fusion imagi... 9766719 - Computed tomography and positron emission tomography in the pre-operative staging of oe... 22283139 - Dynamic gadolinium-enhanced magnetic resonance imaging allows accurate assessment of th... 10739689 - Whole-body pet with (fluorine-18)-2-deoxyglucose for detecting recurrent primary serous... 741859 - Cerebellar hemorrhage and ct scanning. 8184029 - Cardiac function. quantification with magnetic resonance and computed tomography. 3398729 - Magnetic resonance imaging of soft tissue masses: an evaluation of fifty-three histolog... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 137 ISSN: 0004-0010 ISO Abbreviation: Arch Surg Publication Date: 2002 Sep |
Date Detail:
|
Created Date: 2002-09-06 Completed Date: 2002-10-07 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1001-6; discussion 1006-7 Citation Subset: AIM; IM |
Affiliation:
|
Department of Surgery, Palo Alto Veterans Hospital, 3801 Miranda Ave, Palo Alto, CA 94304, USA. swren@stanford.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Esophageal Neoplasms / pathology, radiography, radionuclide imaging* Follow-Up Studies Humans Lymphatic Metastasis Male Neoplasm Staging Retrospective Studies Sensitivity and Specificity Tomography, Emission-Computed* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Outcome of elderly patients with appendicitis: effect of computed tomography and laparoscopy.
Next Document: Postoperative symptoms and failure after antireflux surgery.