Detection of residual tumor after radiofrequency ablation of liver metastasis with dual-modality PET/CT: initial results

The aim of this study was to determine the accuracy of dual-modality positron emission tomography(PET)/computed tomography (CT) in the detection of residual tumor after radiofrequency ablation (RFA) of liver metastasis of colorectal cancer. Eleven patients with 16 hepatic metastases (mean size 2.9 c...

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Veröffentlicht in:European radiology 2006-01, Vol.16 (1), p.80-87
Hauptverfasser: Veit, Patrick, Antoch, Gerald, Stergar, Hrvoje, Bockisch, Andreas, Forsting, Michael, Kuehl, Hilmar
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creator Veit, Patrick
Antoch, Gerald
Stergar, Hrvoje
Bockisch, Andreas
Forsting, Michael
Kuehl, Hilmar
description The aim of this study was to determine the accuracy of dual-modality positron emission tomography(PET)/computed tomography (CT) in the detection of residual tumor after radiofrequency ablation (RFA) of liver metastasis of colorectal cancer. Eleven patients with 16 hepatic metastases (mean size 2.9 cm) from colorectal cancer were enrolled in this study, and 19 RFA procedures and 32 PET/CT examinations were performed. The patients had PET/CT before and after RFA using [18F]-2-fluoro-2-deoxy-D: -glucose. CT images alone were read by two radiologists, PET images alone were evaluated by two nuclear physicians. Fused images were read by one physician of each speciality in consensus. The accuracy for detection of residual tumor by the different imaging modalities following RFA was assessed. Eleven patients with a mean age of 63 (range 55-71) years were evaluated. The mean follow-up period was 393 days. The overall procedure-based sensitivity for detection of residual tumor was 65% for PET and PET/CT and 44% for CT alone. The accuracies were 68% and 47%, respectively. Four patients had residual tumor after RFA, six patients total developed local recurrence. PET/CT therefore possibly proved superior to CT alone when assessing the liver for residual tumor after RFA.
doi_str_mv 10.1007/s00330-005-2767-0
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Eleven patients with 16 hepatic metastases (mean size 2.9 cm) from colorectal cancer were enrolled in this study, and 19 RFA procedures and 32 PET/CT examinations were performed. The patients had PET/CT before and after RFA using [18F]-2-fluoro-2-deoxy-D: -glucose. CT images alone were read by two radiologists, PET images alone were evaluated by two nuclear physicians. Fused images were read by one physician of each speciality in consensus. The accuracy for detection of residual tumor by the different imaging modalities following RFA was assessed. Eleven patients with a mean age of 63 (range 55-71) years were evaluated. The mean follow-up period was 393 days. The overall procedure-based sensitivity for detection of residual tumor was 65% for PET and PET/CT and 44% for CT alone. The accuracies were 68% and 47%, respectively. Four patients had residual tumor after RFA, six patients total developed local recurrence. PET/CT therefore possibly proved superior to CT alone when assessing the liver for residual tumor after RFA.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>15868122</pmid><doi>10.1007/s00330-005-2767-0</doi><tpages>8</tpages></addata></record>
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subjects Ablation
Aged
Cancer
Catheter Ablation - methods
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - pathology
Computed tomography
Contrast Media - administration & dosage
Evaluation
Female
Fluorodeoxyglucose F18
Follow-Up Studies
Glucose
Humans
Iohexol - analogs & derivatives
Liver
Liver - diagnostic imaging
Liver cancer
Liver Neoplasms - radiotherapy
Liver Neoplasms - secondary
Male
Medical imaging
Metastases
Metastasis
Middle Aged
Neoplasm Recurrence, Local - diagnosis
Neoplasm, Residual - diagnosis
Observer Variation
Patients
Physicians
Positron emission
Positron emission tomography
Positron-Emission Tomography - methods
Radio frequency
Radiofrequency ablation
Radiopharmaceuticals
Reproducibility of Results
Sensitivity and Specificity
Tomography
Tomography, X-Ray Computed - methods
Tumors
title Detection of residual tumor after radiofrequency ablation of liver metastasis with dual-modality PET/CT: initial results
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