F]FDG-PET/CT and MRI for initial pelvic lymph node staging in patients with cervical carcinoma: The potential usefulness of [[.sup.18]F]FDG-PET/MRI
The current study aimed to determine the optimum diagnostic imaging technique out of magnetic resonance imaging (MRI), [.sup.18]F-fludeoxyglucose positron emission tomography/computed tomography ([[.sup.18]F] FDG-PET/CT, otherwise known as PET/CT) and [[.sup.18]F] FDG-PET/MRI (otherwise known as PET...
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Veröffentlicht in: | Oncology letters 2018-03, Vol.15 (3), p.3951 |
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creator | Hacker, Marcus Anner, Philip Haug, Alexander Geleff, Silvana Wadsak, Wolfgang Karanikas, Georgios Mayerhofer, Marius Dudczak, Robert |
description | The current study aimed to determine the optimum diagnostic imaging technique out of magnetic resonance imaging (MRI), [.sup.18]F-fludeoxyglucose positron emission tomography/computed tomography ([[.sup.18]F] FDG-PET/CT, otherwise known as PET/CT) and [[.sup.18]F] FDG-PET/MRI (otherwise known as PET/MRI) for the pelvic lymph node staging (N-staging) of untreated cervical carcinoma (CC). A total of 27 patients were included in the present study. All patients had undergone pre-treatment with PET/CT and MRI [less than or equal to]45 days prior to undergoing a lymphadenectomy. The results from PET (separated from PET/CT), MRI and the statistically combined results of (virtual) PET/MRI were compared to those from histological analyses (the gold standard). A per-patient-based analysis of the detection of pelvic lymph node metastases indicated that PET/MRI had a sensitivity of 64%. The specificity of PET/CT and MRI were 69 and 62%, respectively. The positive predictive value (PPV) was 69 and 64% for PET/CT and MRI, respectively. The negative predictive value (NPV) was 64 and 62% for PET/CT and MRI, respectively. The sensitivity of the PET-guided PET/MRI and the MRI-guided PET/MRI was 64% for both. The specificity of the PET-guided PET/MRI and the MRI-guided PET/MRI was 77 and 62%, respectively. The PPV was 75% for PET-guided PET/MRI and 64% for MRI-guided PET/MRI, and the NPV was 67 and 62%, respectively. PET/CT and the virtual PET/MRI exhibited the same low sensitivity (64%). PET/MRI exhibited slightly better results than PET/CT regarding specificity (77 vs. 69%, respectively), PPV (75 vs. 69%, respectively) and NPV (67 vs. 64%, respectively). The results of the present study suggested that PET/CT and MRI are not optimal diagnostic modalities, and that PET/MRI does not necessarily lead to better results than PET/CT, in the pelvic N-staging of CC. Key words: pelvic nodal staging, cervical carcinoma, [.sup.18]F-fludeoxyglucose positron emission tomography/computed tomography, magnetic resonance imaging, positron emission tomography/magnetic resonance imaging |
doi_str_mv | 10.3892/ol.2018.7775 |
format | Article |
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A total of 27 patients were included in the present study. All patients had undergone pre-treatment with PET/CT and MRI [less than or equal to]45 days prior to undergoing a lymphadenectomy. The results from PET (separated from PET/CT), MRI and the statistically combined results of (virtual) PET/MRI were compared to those from histological analyses (the gold standard). A per-patient-based analysis of the detection of pelvic lymph node metastases indicated that PET/MRI had a sensitivity of 64%. The specificity of PET/CT and MRI were 69 and 62%, respectively. The positive predictive value (PPV) was 69 and 64% for PET/CT and MRI, respectively. The negative predictive value (NPV) was 64 and 62% for PET/CT and MRI, respectively. The sensitivity of the PET-guided PET/MRI and the MRI-guided PET/MRI was 64% for both. The specificity of the PET-guided PET/MRI and the MRI-guided PET/MRI was 77 and 62%, respectively. The PPV was 75% for PET-guided PET/MRI and 64% for MRI-guided PET/MRI, and the NPV was 67 and 62%, respectively. PET/CT and the virtual PET/MRI exhibited the same low sensitivity (64%). PET/MRI exhibited slightly better results than PET/CT regarding specificity (77 vs. 69%, respectively), PPV (75 vs. 69%, respectively) and NPV (67 vs. 64%, respectively). The results of the present study suggested that PET/CT and MRI are not optimal diagnostic modalities, and that PET/MRI does not necessarily lead to better results than PET/CT, in the pelvic N-staging of CC. Key words: pelvic nodal staging, cervical carcinoma, [.sup.18]F-fludeoxyglucose positron emission tomography/computed tomography, magnetic resonance imaging, positron emission tomography/magnetic resonance imaging</description><identifier>ISSN: 1792-1074</identifier><identifier>DOI: 10.3892/ol.2018.7775</identifier><language>eng</language><publisher>Spandidos Publications</publisher><subject>Care and treatment ; Cervical cancer ; Diagnosis ; Magnetic resonance imaging ; Positron emission tomography</subject><ispartof>Oncology letters, 2018-03, Vol.15 (3), p.3951</ispartof><rights>COPYRIGHT 2018 Spandidos Publications</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Hacker, Marcus</creatorcontrib><creatorcontrib>Anner, Philip</creatorcontrib><creatorcontrib>Haug, Alexander</creatorcontrib><creatorcontrib>Geleff, Silvana</creatorcontrib><creatorcontrib>Wadsak, Wolfgang</creatorcontrib><creatorcontrib>Karanikas, Georgios</creatorcontrib><creatorcontrib>Mayerhofer, Marius</creatorcontrib><creatorcontrib>Dudczak, Robert</creatorcontrib><title>F]FDG-PET/CT and MRI for initial pelvic lymph node staging in patients with cervical carcinoma: The potential usefulness of [[.sup.18]F]FDG-PET/MRI</title><title>Oncology letters</title><description>The current study aimed to determine the optimum diagnostic imaging technique out of magnetic resonance imaging (MRI), [.sup.18]F-fludeoxyglucose positron emission tomography/computed tomography ([[.sup.18]F] FDG-PET/CT, otherwise known as PET/CT) and [[.sup.18]F] FDG-PET/MRI (otherwise known as PET/MRI) for the pelvic lymph node staging (N-staging) of untreated cervical carcinoma (CC). A total of 27 patients were included in the present study. All patients had undergone pre-treatment with PET/CT and MRI [less than or equal to]45 days prior to undergoing a lymphadenectomy. The results from PET (separated from PET/CT), MRI and the statistically combined results of (virtual) PET/MRI were compared to those from histological analyses (the gold standard). A per-patient-based analysis of the detection of pelvic lymph node metastases indicated that PET/MRI had a sensitivity of 64%. The specificity of PET/CT and MRI were 69 and 62%, respectively. The positive predictive value (PPV) was 69 and 64% for PET/CT and MRI, respectively. The negative predictive value (NPV) was 64 and 62% for PET/CT and MRI, respectively. The sensitivity of the PET-guided PET/MRI and the MRI-guided PET/MRI was 64% for both. The specificity of the PET-guided PET/MRI and the MRI-guided PET/MRI was 77 and 62%, respectively. The PPV was 75% for PET-guided PET/MRI and 64% for MRI-guided PET/MRI, and the NPV was 67 and 62%, respectively. PET/CT and the virtual PET/MRI exhibited the same low sensitivity (64%). PET/MRI exhibited slightly better results than PET/CT regarding specificity (77 vs. 69%, respectively), PPV (75 vs. 69%, respectively) and NPV (67 vs. 64%, respectively). The results of the present study suggested that PET/CT and MRI are not optimal diagnostic modalities, and that PET/MRI does not necessarily lead to better results than PET/CT, in the pelvic N-staging of CC. Key words: pelvic nodal staging, cervical carcinoma, [.sup.18]F-fludeoxyglucose positron emission tomography/computed tomography, magnetic resonance imaging, positron emission tomography/magnetic resonance imaging</description><subject>Care and treatment</subject><subject>Cervical cancer</subject><subject>Diagnosis</subject><subject>Magnetic resonance imaging</subject><subject>Positron emission tomography</subject><issn>1792-1074</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNpNzkFLwzAUB_AcFBxzNz9AQPDWLmmbNvU25jYHE0V6G2O8tkkbyZLSpIqfwy9sRcG9y7v8_v_3ELqhJIx5Hs2tDiNCeZhlGbtAE5rlUUBJllyhmXNvZByWUs7TCfpaH9YPm-BlVcyXBQZT46fXLZa2x8oor0DjTuh3VWH9eepabGwtsPPQKNOMAnfglTDe4Q_lW1yJfqRjpoK-Usae4B4XrcCd9SP6KRuckIM2wjlsJd7vQzd0IeWH_y_G89foUoJ2Yva3p6hYr4rlY7B73myXi13QsDwNEgBW8ogDTWgs6zKjvK5FCpEsYy7qkjIClSBCRiWJsxJYlWaUpgmlhOUJh3iKbn9rG9DiqIy0vofqpFx1XLA4JjljNB3V3ZlqBWjfOqsHr6xx5_AbVXhxRQ</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Hacker, Marcus</creator><creator>Anner, Philip</creator><creator>Haug, Alexander</creator><creator>Geleff, Silvana</creator><creator>Wadsak, Wolfgang</creator><creator>Karanikas, Georgios</creator><creator>Mayerhofer, Marius</creator><creator>Dudczak, Robert</creator><general>Spandidos Publications</general><scope/></search><sort><creationdate>20180301</creationdate><title>F]FDG-PET/CT and MRI for initial pelvic lymph node staging in patients with cervical carcinoma: The potential usefulness of [[.sup.18]F]FDG-PET/MRI</title><author>Hacker, Marcus ; Anner, Philip ; Haug, Alexander ; Geleff, Silvana ; Wadsak, Wolfgang ; Karanikas, Georgios ; Mayerhofer, Marius ; Dudczak, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g596-4aa5b828a1413fdb718dde6a2fb38edb150ace0ef2b037ba5c6711641105948a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Care and treatment</topic><topic>Cervical cancer</topic><topic>Diagnosis</topic><topic>Magnetic resonance imaging</topic><topic>Positron emission tomography</topic><toplevel>online_resources</toplevel><creatorcontrib>Hacker, Marcus</creatorcontrib><creatorcontrib>Anner, Philip</creatorcontrib><creatorcontrib>Haug, Alexander</creatorcontrib><creatorcontrib>Geleff, Silvana</creatorcontrib><creatorcontrib>Wadsak, Wolfgang</creatorcontrib><creatorcontrib>Karanikas, Georgios</creatorcontrib><creatorcontrib>Mayerhofer, Marius</creatorcontrib><creatorcontrib>Dudczak, Robert</creatorcontrib><jtitle>Oncology letters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hacker, Marcus</au><au>Anner, Philip</au><au>Haug, Alexander</au><au>Geleff, Silvana</au><au>Wadsak, Wolfgang</au><au>Karanikas, Georgios</au><au>Mayerhofer, Marius</au><au>Dudczak, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>F]FDG-PET/CT and MRI for initial pelvic lymph node staging in patients with cervical carcinoma: The potential usefulness of [[.sup.18]F]FDG-PET/MRI</atitle><jtitle>Oncology letters</jtitle><date>2018-03-01</date><risdate>2018</risdate><volume>15</volume><issue>3</issue><spage>3951</spage><pages>3951-</pages><issn>1792-1074</issn><abstract>The current study aimed to determine the optimum diagnostic imaging technique out of magnetic resonance imaging (MRI), [.sup.18]F-fludeoxyglucose positron emission tomography/computed tomography ([[.sup.18]F] FDG-PET/CT, otherwise known as PET/CT) and [[.sup.18]F] FDG-PET/MRI (otherwise known as PET/MRI) for the pelvic lymph node staging (N-staging) of untreated cervical carcinoma (CC). A total of 27 patients were included in the present study. All patients had undergone pre-treatment with PET/CT and MRI [less than or equal to]45 days prior to undergoing a lymphadenectomy. The results from PET (separated from PET/CT), MRI and the statistically combined results of (virtual) PET/MRI were compared to those from histological analyses (the gold standard). A per-patient-based analysis of the detection of pelvic lymph node metastases indicated that PET/MRI had a sensitivity of 64%. The specificity of PET/CT and MRI were 69 and 62%, respectively. The positive predictive value (PPV) was 69 and 64% for PET/CT and MRI, respectively. The negative predictive value (NPV) was 64 and 62% for PET/CT and MRI, respectively. The sensitivity of the PET-guided PET/MRI and the MRI-guided PET/MRI was 64% for both. The specificity of the PET-guided PET/MRI and the MRI-guided PET/MRI was 77 and 62%, respectively. The PPV was 75% for PET-guided PET/MRI and 64% for MRI-guided PET/MRI, and the NPV was 67 and 62%, respectively. PET/CT and the virtual PET/MRI exhibited the same low sensitivity (64%). PET/MRI exhibited slightly better results than PET/CT regarding specificity (77 vs. 69%, respectively), PPV (75 vs. 69%, respectively) and NPV (67 vs. 64%, respectively). The results of the present study suggested that PET/CT and MRI are not optimal diagnostic modalities, and that PET/MRI does not necessarily lead to better results than PET/CT, in the pelvic N-staging of CC. Key words: pelvic nodal staging, cervical carcinoma, [.sup.18]F-fludeoxyglucose positron emission tomography/computed tomography, magnetic resonance imaging, positron emission tomography/magnetic resonance imaging</abstract><pub>Spandidos Publications</pub><doi>10.3892/ol.2018.7775</doi></addata></record> |
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subjects | Care and treatment Cervical cancer Diagnosis Magnetic resonance imaging Positron emission tomography |
title | F]FDG-PET/CT and MRI for initial pelvic lymph node staging in patients with cervical carcinoma: The potential usefulness of [[.sup.18]F]FDG-PET/MRI |
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