Document Detail


Staging performance of carbon-11 choline positron emission tomography/computed tomography in patients with bone and soft tissue sarcoma: comparison with conventional imaging.
MedLine Citation:
PMID:  16925579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The present study was conducted to compare the diagnostic accuracy between carbon-11 choline (11C-choline) positron emission tomography (PET)/computed tomography (CT) and conventional imaging for the staging of bone and soft tissue sarcomas. Sixteen patients who underwent 11C-choline PET/CT prior to treatment were evaluated retrospectively for staging accuracy. Conventional imaging methods consisted of 99,mTc-hydroxymethylene diphosphonate bone scintigraphy, chest CT and magnetic resonance imaging of the primary site. The images were reviewed and a consensus was reached by two board-certified radiologists who were unaware of any clinical or radiological information using hard-copy films and multimodality computer platform. Tumor stage was confirmed by histological examination and/or by an obvious progression in number and/or size of the lesions on follow-up examinations. Reviewers examining both 11C-choline PET/CT and conventional imaging classified T stage in all patients. Interpretation based on 11C-choline PET/CT, the Node (N) stage was correctly diagnosed in all patients, whereas the accuracy of conventional imaging in N stage was 63%. Tumor Node Metastasis (TNM) stage was assessed correctly with 11C-choline PET/CT in 15 of 16 patients (94%) and with conventional imaging in eight of 16 patients (50%). The overall TNM staging and N staging accuracy of 11C-choline PET/CT were significantly higher than that of conventional imaging (P < 0.05). 11C-choline PET/CT is more accurate than conventional imaging regarding clinical staging of patients with bone and soft tissue sarcomas. A whole body 11C-choline PET/CT might be acceptable for imaging studies of tumor staging prior to treatment.
Authors:
Ukihide Tateishi; Umio Yamaguchi; Testuo Maeda; Kunihiko Seki; Takashi Terauchi; Akira Kawai; Yasuaki Arai; Noriyuki Moriyama; Tadao Kakizoe
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Cancer science     Volume:  97     ISSN:  1347-9032     ISO Abbreviation:  Cancer Sci.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-19     Completed Date:  2006-11-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101168776     Medline TA:  Cancer Sci     Country:  England    
Other Details:
Languages:  eng     Pagination:  1125-8     Citation Subset:  IM    
Affiliation:
Diagnostic Radiology, Research Center for Cancer Prevention and Screening, Japan. kuenstreli@nifty.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Bone Neoplasms / diagnosis*,  radiography,  radionuclide imaging
Carbon Radioisotopes
Choline / diagnostic use*
Female
Humans
Male
Middle Aged
Positron-Emission Tomography
Sarcoma / diagnosis*,  radiography,  radionuclide imaging
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Carbon Radioisotopes; 62-49-7/Choline

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


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