Document Detail


Prospective comparison of 18F-fluorodeoxyglucose positron emission tomography/computed tomography and whole-body magnetic resonance imaging in staging of advanced malignant melanoma.
MedLine Citation:
PMID:  17224266     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of our study was to compare the overall and site-based accuracy and impact on patient management of positron emission tomography/computed tomography (PET/CT) and whole-body (wb) magnetic resonance imaging (MRI) in staging of advanced melanoma. In a prospective blinded study, 64 patients with American Joint Committee on Cancer (AJCC) stage III/IV melanoma underwent 18F-fluorodeoxyglucose PET/CT and wbMRI. In total 420 lesions were evaluated. The overall accuracy of PET/CT was 86.7% compared to 78.8% for wbMRI (P=0.0007). PET/CT was significantly more accurate in N-staging and detecting of skin and subcutaneous metastases, whereas wbMRI was more sensitive in detecting liver, bone and brain metastases. WbMRI was less sensitive but more specific than PET/CT in classifying pulmonary lesions. In 41 patients (64%) whole-body imaging caused changes of treatment. Whole-body staging of patients with advanced melanoma is most accurate by combining wbPET/CT and organ-specific wbMRI including a brain, liver and bone marrow protocol.
Authors:
Christina Pfannenberg; Philip Aschoff; Sandra Schanz; Susanne M Eschmann; Christian Plathow; Thomas K Eigentler; Claus Garbe; Klaus Brechtel; Reinhard Vonthein; Roland Bares; Claus D Claussen; Heinz P Schlemmer
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Publication Detail:
Type:  Journal Article     Date:  2007-01-16
Journal Detail:
Title:  European journal of cancer (Oxford, England : 1990)     Volume:  43     ISSN:  0959-8049     ISO Abbreviation:  Eur. J. Cancer     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-05     Completed Date:  2007-05-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9005373     Medline TA:  Eur J Cancer     Country:  England    
Other Details:
Languages:  eng     Pagination:  557-64     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology, Eberhard-Karls-University Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany. christina.pfannenberg@med.uni-tuebingen.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Fluorodeoxyglucose F18 / diagnostic use*
Humans
Magnetic Resonance Imaging / methods
Male
Melanoma / diagnosis*,  therapy
Middle Aged
Neoplasm Staging / methods
Positron-Emission Tomography / methods
Reference Standards
Skin Neoplasms / diagnosis*,  therapy
Tomography, X-Ray Computed
Whole Body Imaging / methods
Chemical
Reg. No./Substance:
63503-12-8/Fluorodeoxyglucose F18

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


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