A different role for FDG PET/CT in axillary lymph node staging in breast cancer

2009 ◽  
Vol 36 (11) ◽  
pp. 1896-1897 ◽  
Author(s):  
Tjeerd S. Aukema ◽  
Marieke E. Straver ◽  
Renato A. Valdés Olmos ◽  
Wouter V. Vogel
2009 ◽  
Vol 36 (11) ◽  
pp. 1898-1899
Author(s):  
Till A. Heusner ◽  
Sherko Kuemmel ◽  
Gerald Antoch ◽  
Alexander R. Stahl

2015 ◽  
Vol 34 (3) ◽  
pp. 220-228 ◽  
Author(s):  
Kazuhiro Kitajima ◽  
Kazuhito Fukushima ◽  
Yasuo Miyoshi ◽  
Takayuki Katsuura ◽  
Yoko Igarashi ◽  
...  

2014 ◽  
Vol 24 (1) ◽  
pp. 1173-1184
Author(s):  
Jin Kyoung Oh ◽  
Yong An Chung ◽  
Yeon Sil Kim ◽  
Hae Myung Jeon ◽  
Sung Hoon Kim ◽  
...  

2014 ◽  
Vol 41 (7) ◽  
pp. 1309-1318 ◽  
Author(s):  
Ana María García Vicente ◽  
Ángel Soriano Castrejón ◽  
Alberto León Martín ◽  
Fernanda Relea Calatayud ◽  
María del Mar Muñoz Sánchez ◽  
...  

2010 ◽  
Vol 46 (18) ◽  
pp. 3205-3210 ◽  
Author(s):  
Tjeerd S. Aukema ◽  
Marieke E. Straver ◽  
Marie-Jeanne T.F.D. Vrancken Peeters ◽  
Nicola S. Russell ◽  
Kenneth G.A. Gilhuijs ◽  
...  

2012 ◽  
Vol 153 (49) ◽  
pp. 1958-1964 ◽  
Author(s):  
Tímea Tőkés ◽  
Krisztián Somlai ◽  
Borbála Székely ◽  
Janina Kulka ◽  
Gyöngyvér Szentmártoni ◽  
...  

Introduction: FDG-PET-CT is highly sensitive in detection of viable tumour tissue, giving an importance for that in oncological diagnostics. Aim: The authors analysed retrospectively the relationship between metabolic response and changes in Ki-67, a proliferation marker. Methods: Staging FDG-PET-CT scans (before and after therapy) SUVs (Standardized Uptake Value), and morphological changes in the primary tumour and axillary lymph node region were evaluated in 30 patients with breast cancer. Calculated ΔSUV were compared with Ki-67 proliferation marker (measured in biopsies and surgical specimens). Results: The decrease of SUV and size were significant in the primary tumour and the axillary lymph node region. Decrease of Ki-67 was significant. Significant correlation was found between Ki-67 and SUV before therapy, initial Ki-67 and ΔSUV, and ΔKi-67 and ΔSUV. Conclusions: The metabolic changes were more sensitive in the measurement of the therapeutic response than morphological remission, and they correlated well with the pathological response, in not standardized clinical conditions even. Orv. Hetil., 2012, 153, 1958–1964.


2009 ◽  
Vol 36 (10) ◽  
pp. 1543-1550 ◽  
Author(s):  
Till A. Heusner ◽  
Sherko Kuemmel ◽  
Steffen Hahn ◽  
Angela Koeninger ◽  
Friedrich Otterbach ◽  
...  

2014 ◽  
Vol 53 (03) ◽  
pp. 89-94 ◽  
Author(s):  
D. H. Lee ◽  
J.-K Yoon ◽  
S. J. Lee ◽  
T. H. Kim ◽  
D. K. Kang ◽  
...  

SummaryThe aim of this study was to evaluate the diagnostic abilities of 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) compared with those of ultrasonography and magnetic resonance imaging (MRI) for axillary lymph node staging in breast cancer patients. Patients, methods: Pre- operative 18F-FDG PET/non-contrast CT, ultrasonography and MRI were performed in 215 women with breast cancer. Axillary lymph node dissection was performed in all patients and the diagnostic performance of each modality was evaluated using histopathologic assessments as the reference standard. ROC curves were compared to evaluate the diagnostic ability of several imaging modalities (i. e., ultrasonography, MRI and 18F-FDG PET/CT). Results: In total, 132 patients (61.4%) had axillary lymph node metastasis. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy for the detection of axillary lymph node metastasis were 72.3%, 77.3%, 66.7%, 81.6%, 75.3% for ultrasonography, 67.5%, 78.0%, 65.9%, 79.2%, 74.0% for MRI, and 62.7%, 88.6%, 77.6%, 79.1%, 78.6% for 18F-FDG PET/CT, respectively. There was no significant difference in diagnostic ability among the imaging modalities (i.e., ultrasonography, MRI and 18F-FDG PET/CT). The diagnostic ability of 18F-FDG PET/CT was significantly improved by combination with MRI (p = 0.0002) or ultrasonography (p < 0.0001). The combination of 18F-FDG PET/CT with ultrasonography had a similar diagnostic ability to that of all three modalities combined (18F-FDG PET/CT+ultraso- nography+MRI, p = 0.05). Conclusion: The diagnostic performance of 18F-FDG PET/CT for detection of axillary node metastasis was not significantly different from that of ultrasonography or MRI in breast cancer patients. Combining 18F-FDG PET/CT with ultrasonography or MRI could improve the diagnostic performance compared to 18F-FDG PET/CT alone.


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