| An audit of fusion CT-PET in the management of colorectal liver metastases. | |
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MedLine Citation:
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PMID: 16564155 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To assess the use of positron emission tomography combined with computerized tomography (CT-PET) with fluoro-18-2-deoxy-d-glucose ((18)F-FDG) to identify hyper-metabolic tumours, especially colorectal metastases (CRM). METHODS: Patient particulars, diagnoses and clinical outcome for each patient were studied. Twenty-three patients underwent CT-PET, 10 males and 13 females, median age 59 (range 34-72). Fourteen patients presented with primary liver CRM and nine had undergone previous liver resections. Indications for CT-PET included; suspected extrahepatic disease in 13/23 patients, possible hepatic recurrence 5/23 and clinical suspicion in 8/23 patients. RESULTS: Seven patients had a major impact on their management. Unexpected (not seen on CT) findings in the CRM group included, 7/23 (30%) patients with extrahepatic disease, 3/23 with hepatic metastases, 8/23 suspected of having liver or distant metastases on CT had a negative study. A clinical decision, based on the CT-PET report, could be undertaken in 21/23 patients. CONCLUSION: CT-PET is useful in patients with CRM where conventional imaging presents dilemmas such as: assessment of suspected extrahepatic disease, recurrence in liver, patients with advanced or perforated initial tumours. |
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Authors:
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S Khan; Y M Tan; A John; J Isaac; S Singhvi; P Guest; D F Mirza |
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Publication Detail:
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Type: Journal Article Date: 2006-03-24 |
Journal Detail:
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Title: European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology Volume: 32 ISSN: 0748-7983 ISO Abbreviation: Eur J Surg Oncol Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-05-29 Completed Date: 2006-08-11 Revised Date: 2007-07-02 |
Medline Journal Info:
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Nlm Unique ID: 8504356 Medline TA: Eur J Surg Oncol Country: England |
Other Details:
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Languages: eng Pagination: 564-7 Citation Subset: IM |
Affiliation:
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Liver Unit (Liver Transplantation and Hepatobiliary Surgery), University Hospital Birmingham, Queen Elizabeth, Edgbaston, UK. saboor.711@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Gland Neoplasms
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secondary Adult Aged Colonic Neoplasms / pathology* Female Fluorodeoxyglucose F18 / diagnostic use Follow-Up Studies Hepatectomy Humans Liver Neoplasms / secondary*, surgery Lymphatic Metastasis / radiography, radionuclide imaging Male Medical Audit* Middle Aged Neoplasm Recurrence, Local / radiography, radionuclide imaging Neoplasm Staging Pilot Projects Positron-Emission Tomography / methods* Radiopharmaceuticals / diagnostic use Rectal Neoplasms / pathology* Tomography, X-Ray Computed / methods* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Radiopharmaceuticals; 63503-12-8/Fluorodeoxyglucose F18 |
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