The Additional Value of SPECT/CT in Lymphatic Mapping in Breast Cancer and Melanoma
The recently introduced SPECT/CT integrates the physiologic data of SPECT with the anatomic data of CT into a single image. The purpose of this pilot study was to explore the additional value of SPECT/CT in breast cancer patients and melanoma patients with inconclusive planar image findings. Thirty-...
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| Veröffentlicht in: | The Journal of nuclear medicine (1978) 2007-11, Vol.48 (11), p.1756-1760 |
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| container_title | The Journal of nuclear medicine (1978) |
| container_volume | 48 |
| creator | van der Ploeg, Iris M.C Valdes Olmos, Renato A Nieweg, Omgo E Rutgers, Emiel J.Th Kroon, Bin B.R Hoefnagel, Cornelis A |
| description | The recently introduced SPECT/CT integrates the physiologic data of SPECT with the anatomic data of CT into a single image. The purpose of this pilot study was to explore the additional value of SPECT/CT in breast cancer patients and melanoma patients with inconclusive planar image findings.
Thirty-one patients had planar lymphoscintigrams showing unexpected lymphatic drainage, 6 had lymphoscintigrams that were difficult to interpret, and 3 showed no drainage on planar imaging. SPECT/CT was performed immediately after delayed planar imaging.
In 4 patients, SPECT/CT showed 6 additional sentinel nodes, of which 2 were tumor-positive and led to upstaging and tailored management in 5% of patients. SPECT/CT depicted sentinel nodes in 3 patients whose delayed planar imaging had shown no drainage.
SPECT/CT was of additional value in finding the exact anatomic location of sentinel nodes in patients with inconclusive planar image findings. SPECT/CT also detected sentinel nodes in addition to those found on planar images, and SPECT/CT detected sentinel nodes in patients whose planar images had shown none. |
| doi_str_mv | 10.2967/jnumed.107.043372 |
| format | Article |
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Thirty-one patients had planar lymphoscintigrams showing unexpected lymphatic drainage, 6 had lymphoscintigrams that were difficult to interpret, and 3 showed no drainage on planar imaging. SPECT/CT was performed immediately after delayed planar imaging.
In 4 patients, SPECT/CT showed 6 additional sentinel nodes, of which 2 were tumor-positive and led to upstaging and tailored management in 5% of patients. SPECT/CT depicted sentinel nodes in 3 patients whose delayed planar imaging had shown no drainage.
SPECT/CT was of additional value in finding the exact anatomic location of sentinel nodes in patients with inconclusive planar image findings. SPECT/CT also detected sentinel nodes in addition to those found on planar images, and SPECT/CT detected sentinel nodes in patients whose planar images had shown none.</description><identifier>ISSN: 0161-5505</identifier><identifier>EISSN: 1535-5667</identifier><identifier>DOI: 10.2967/jnumed.107.043372</identifier><identifier>PMID: 17942802</identifier><identifier>CODEN: JNMEAQ</identifier><language>eng</language><publisher>United States: Soc Nuclear Med</publisher><subject>Breast cancer ; Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - pathology ; Female ; Humans ; Lymph Nodes - diagnostic imaging ; Lymph Nodes - pathology ; Lymphatic Metastasis - diagnostic imaging ; Male ; Melanoma - diagnostic imaging ; Melanoma - secondary ; Middle Aged ; Nuclear medicine ; Radiopharmaceuticals ; Skin Neoplasms - diagnostic imaging ; Skin Neoplasms - pathology ; Studies ; Technetium Tc 99m Aggregated Albumin ; Tomography, Emission-Computed, Single-Photon ; Tomography, X-Ray Computed</subject><ispartof>The Journal of nuclear medicine (1978), 2007-11, Vol.48 (11), p.1756-1760</ispartof><rights>Copyright Society of Nuclear Medicine Nov 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-1cbcbb83c4b51430a062ae026d7d15a3882d923bc3381a3bb9f2800f2eebea63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17942802$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van der Ploeg, Iris M.C</creatorcontrib><creatorcontrib>Valdes Olmos, Renato A</creatorcontrib><creatorcontrib>Nieweg, Omgo E</creatorcontrib><creatorcontrib>Rutgers, Emiel J.Th</creatorcontrib><creatorcontrib>Kroon, Bin B.R</creatorcontrib><creatorcontrib>Hoefnagel, Cornelis A</creatorcontrib><title>The Additional Value of SPECT/CT in Lymphatic Mapping in Breast Cancer and Melanoma</title><title>The Journal of nuclear medicine (1978)</title><addtitle>J Nucl Med</addtitle><description>The recently introduced SPECT/CT integrates the physiologic data of SPECT with the anatomic data of CT into a single image. The purpose of this pilot study was to explore the additional value of SPECT/CT in breast cancer patients and melanoma patients with inconclusive planar image findings.
Thirty-one patients had planar lymphoscintigrams showing unexpected lymphatic drainage, 6 had lymphoscintigrams that were difficult to interpret, and 3 showed no drainage on planar imaging. SPECT/CT was performed immediately after delayed planar imaging.
In 4 patients, SPECT/CT showed 6 additional sentinel nodes, of which 2 were tumor-positive and led to upstaging and tailored management in 5% of patients. SPECT/CT depicted sentinel nodes in 3 patients whose delayed planar imaging had shown no drainage.
SPECT/CT was of additional value in finding the exact anatomic location of sentinel nodes in patients with inconclusive planar image findings. SPECT/CT also detected sentinel nodes in addition to those found on planar images, and SPECT/CT detected sentinel nodes in patients whose planar images had shown none.</description><subject>Breast cancer</subject><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Neoplasms - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphatic Metastasis - diagnostic imaging</subject><subject>Male</subject><subject>Melanoma - diagnostic imaging</subject><subject>Melanoma - secondary</subject><subject>Middle Aged</subject><subject>Nuclear medicine</subject><subject>Radiopharmaceuticals</subject><subject>Skin Neoplasms - diagnostic imaging</subject><subject>Skin Neoplasms - pathology</subject><subject>Studies</subject><subject>Technetium Tc 99m Aggregated Albumin</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><subject>Tomography, X-Ray Computed</subject><issn>0161-5505</issn><issn>1535-5667</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkE1r3DAQhkVpaTZpfkAuQfRQcvFGH9aHj4lJm8CGFmJyFZIsZ7XYsivZlPz7avHSQ0_DzDzv8M4LwBVGW1JxcXsIy-DaLUZii0pKBfkANphRVjDOxUewQZjjgjHEzsB5SgeEEJdSfgZnWFQlkYhswEuzd_Cubf3sx6B7-Kr7xcGxgy-_Hurmtm6gD3D3Pkx7PXsLn_U0-fB2HN5Hp9MMax2si1CHFj67Xodx0F_Ap073yV2e6gVovj809WOx-_njqb7bFbbkci6wNdYYSW1pGC4p0ogT7RDhrWgx01RK0laEGkupxJoaU3XZM-qIc8ZpTi_At_XsFMffi0uzGnyyrs8m3LgkxWUpCCU0g1__Aw_jEvO3SRFcYSY4ZxnCK2TjmFJ0nZqiH3R8VxipY9pqTTu3Qq1pZ8316fBijqt_ilO8GbhZgb1_2__x0amw2N7peKQPYSilwjjjjNO_2saIKg</recordid><startdate>20071101</startdate><enddate>20071101</enddate><creator>van der Ploeg, Iris M.C</creator><creator>Valdes Olmos, Renato A</creator><creator>Nieweg, Omgo E</creator><creator>Rutgers, Emiel J.Th</creator><creator>Kroon, Bin B.R</creator><creator>Hoefnagel, Cornelis A</creator><general>Soc Nuclear Med</general><general>Society of Nuclear Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20071101</creationdate><title>The Additional Value of SPECT/CT in Lymphatic Mapping in Breast Cancer and Melanoma</title><author>van der Ploeg, Iris M.C ; Valdes Olmos, Renato A ; Nieweg, Omgo E ; Rutgers, Emiel J.Th ; Kroon, Bin B.R ; Hoefnagel, Cornelis A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-1cbcbb83c4b51430a062ae026d7d15a3882d923bc3381a3bb9f2800f2eebea63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Breast cancer</topic><topic>Breast Neoplasms - diagnostic imaging</topic><topic>Breast Neoplasms - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymph Nodes - pathology</topic><topic>Lymphatic Metastasis - diagnostic imaging</topic><topic>Male</topic><topic>Melanoma - diagnostic imaging</topic><topic>Melanoma - secondary</topic><topic>Middle Aged</topic><topic>Nuclear medicine</topic><topic>Radiopharmaceuticals</topic><topic>Skin Neoplasms - diagnostic imaging</topic><topic>Skin Neoplasms - pathology</topic><topic>Studies</topic><topic>Technetium Tc 99m Aggregated Albumin</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van der Ploeg, Iris M.C</creatorcontrib><creatorcontrib>Valdes Olmos, Renato A</creatorcontrib><creatorcontrib>Nieweg, Omgo E</creatorcontrib><creatorcontrib>Rutgers, Emiel J.Th</creatorcontrib><creatorcontrib>Kroon, Bin B.R</creatorcontrib><creatorcontrib>Hoefnagel, Cornelis A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nuclear medicine (1978)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van der Ploeg, Iris M.C</au><au>Valdes Olmos, Renato A</au><au>Nieweg, Omgo E</au><au>Rutgers, Emiel J.Th</au><au>Kroon, Bin B.R</au><au>Hoefnagel, Cornelis A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Additional Value of SPECT/CT in Lymphatic Mapping in Breast Cancer and Melanoma</atitle><jtitle>The Journal of nuclear medicine (1978)</jtitle><addtitle>J Nucl Med</addtitle><date>2007-11-01</date><risdate>2007</risdate><volume>48</volume><issue>11</issue><spage>1756</spage><epage>1760</epage><pages>1756-1760</pages><issn>0161-5505</issn><eissn>1535-5667</eissn><coden>JNMEAQ</coden><abstract>The recently introduced SPECT/CT integrates the physiologic data of SPECT with the anatomic data of CT into a single image. The purpose of this pilot study was to explore the additional value of SPECT/CT in breast cancer patients and melanoma patients with inconclusive planar image findings.
Thirty-one patients had planar lymphoscintigrams showing unexpected lymphatic drainage, 6 had lymphoscintigrams that were difficult to interpret, and 3 showed no drainage on planar imaging. SPECT/CT was performed immediately after delayed planar imaging.
In 4 patients, SPECT/CT showed 6 additional sentinel nodes, of which 2 were tumor-positive and led to upstaging and tailored management in 5% of patients. SPECT/CT depicted sentinel nodes in 3 patients whose delayed planar imaging had shown no drainage.
SPECT/CT was of additional value in finding the exact anatomic location of sentinel nodes in patients with inconclusive planar image findings. SPECT/CT also detected sentinel nodes in addition to those found on planar images, and SPECT/CT detected sentinel nodes in patients whose planar images had shown none.</abstract><cop>United States</cop><pub>Soc Nuclear Med</pub><pmid>17942802</pmid><doi>10.2967/jnumed.107.043372</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Journal of nuclear medicine (1978), 2007-11, Vol.48 (11), p.1756-1760 |
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| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Breast cancer Breast Neoplasms - diagnostic imaging Breast Neoplasms - pathology Female Humans Lymph Nodes - diagnostic imaging Lymph Nodes - pathology Lymphatic Metastasis - diagnostic imaging Male Melanoma - diagnostic imaging Melanoma - secondary Middle Aged Nuclear medicine Radiopharmaceuticals Skin Neoplasms - diagnostic imaging Skin Neoplasms - pathology Studies Technetium Tc 99m Aggregated Albumin Tomography, Emission-Computed, Single-Photon Tomography, X-Ray Computed |
| title | The Additional Value of SPECT/CT in Lymphatic Mapping in Breast Cancer and Melanoma |
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