Document Detail


Staging of colon cancer: whole-body MRI vs. whole-body PET-CT--initial clinical experience.
MedLine Citation:
PMID:  18373114     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To assess the accuracy of whole-body MR imaging (WB-MRI) in comparison with whole-body [18(F)]-2-fluoro-2-deoxy-D-glucose (FDG) PET-CT in staging patients with diagnosed colorectal carcinoma (CRC). METHODS: Twenty consecutive patients with previously diagnosed CRC underwent WB-MRI (3T) and PET-CT for staging of lymph node (N) and distant metastases (M). Evaluation was done according to the American Joint Committee on Cancer Staging Criteria. MR images were evaluated by two radiologists while PET-CT images by one radiologist and one nuclear medicine physician. Histology and/or a clinical follow-up of 3-6 months served as standard of reference. RESULTS: Lymph node involvement was determined in 10/20 cases as N-positive in WB-MRI and in 15/20 in PET-CT. M-stage was evaluated for liver metastases (27 lesions in 15 patients with WB-MRI, 23/15 patients with PET-CT), lung (19/5 patients with WB-MRI, 25/7 patients with PET-CT), and bone (9/3 patients with WB-MRI, 9/3 patients with PET-CT). Two patients showed peritoneal implants and three patients demonstrated local recurrence at the surgery site on both modalities. No brain metastases were found. CONCLUSIONS: WB-MRI is a feasible method for examining colon cancer patients but cannot displace the present role of PET-CT.
Authors:
Ettore Squillaci; Guglielmo Manenti; Stefano Mancino; Carmelo Cicciò; Ferdinando Calabria; Roberta Danieli; Orazio Schillaci; Giovanni Simonetti
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Abdominal imaging     Volume:  33     ISSN:  1432-0509     ISO Abbreviation:  Abdom Imaging     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-11-25     Completed Date:  2009-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9303672     Medline TA:  Abdom Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  676-88     Citation Subset:  IM    
Affiliation:
Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Policlinic Tor Vergata, University of Rome, Tor Vergata, Viale Oxford, 81, Rome, Italy. ettoresquillaci@tiscali.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Bone and Bones / pathology,  radiography
Colonic Neoplasms / pathology*
Contrast Media / diagnostic use
Feasibility Studies
Female
Fluorodeoxyglucose F18 / diagnostic use
Follow-Up Studies
Humans
Image Processing, Computer-Assisted / methods
Liver / pathology,  radiography
Lung / pathology,  radiography
Lymph Nodes / pathology,  radiography
Lymphatic Metastasis
Magnetic Resonance Imaging / methods*
Male
Middle Aged
Neoplasm Metastasis
Neoplasm Staging
Observer Variation
Positron-Emission Tomography / methods*
Radiopharmaceuticals / diagnostic use
Reproducibility of Results
Tomography, X-Ray Computed / methods*
Whole Body Imaging / methods*
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Radiopharmaceuticals; 63503-12-8/Fluorodeoxyglucose F18

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


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