Document Detail


FDG/PET and spiral CT image fusion for medistinal lymph node assessment of non-small cell lung cancer patients.
MedLine Citation:
PMID:  10597015     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To assess the potential usefulness of 18F-FDG/PET and spiral-CT images concurrent assessment and coregistration in staging mediastinal lymph node involvement in patients with non small cell lung cancer. METHODS: 28 patients waiting to undergo surgical treatment underwent spiral-CT and PET examinations on the same day. The results of the two studies were interpreted separately, together (CT&PET) and following their fusion in a single image (CT+PET). Results of spiral-CT, PET, CT&PET and CT+PET were assessed with respect to the histological diagnosis. RESULTS: A correct assessment of mediastinal lymph nodes was achieved by spiral-CT in 21 of the 28 patients, in 22 of the 28 patients by PET, in 24 patients by CT&PET and in 25 patients by CT+PET. CONCLUSIONS: CT+PET is more accurate than spiral-CT and PET alone in staging mediastinal lymph node involvement in lung cancer patients, with possible implications for their prognosis and therapy.
Authors:
P Magnani; A Carretta; G Rizzo; F Fazio; A Vanzulli; G Lucignani; P Zannini; C Messa; C Landoni; M C Gilardi; A Del Maschio
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  40     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-12-27     Completed Date:  1999-12-27     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  741-8     Citation Subset:  IM    
Affiliation:
Department of Nuclear Medicine, INB-CNR, Institute H.S. Raffaele, University of Milan, Milano, Italy.
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MeSH Terms
Descriptor/Qualifier:
Aged
Carcinoma, Non-Small-Cell Lung / diagnosis*
Diagnosis, Differential
Female
Fluorodeoxyglucose F18 / diagnostic use*
Humans
Lung Neoplasms / diagnosis*
Lymph Nodes* / pathology,  radiography,  radionuclide imaging
Lymphatic Metastasis / pathology,  radiography,  radionuclide imaging
Male
Mediastinum
Middle Aged
Neoplasm Staging
Observer Variation
Prognosis
Reproducibility of Results
Sensitivity and Specificity
Tomography, Emission-Computed* / methods
Tomography, X-Ray Computed*
Chemical
Reg. No./Substance:
63503-12-8/Fluorodeoxyglucose F18

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