FLUOR-18-FLUORODEOXYGLUCOSE POSITRON EMISSION TOMOGRAPHY (FDG-PET) IN MALIGNANT MELANOMA: Diagnostic comparison with conventional imaging methods

AbstractPurpose: To assess the diagnostic value of fluor-18-fluorodeoxyglucose positron emission tomography (FDG-PET) in screening for melanoma metastases.Material and Methods: The case records of 94 melanoma patients who had been examined by whole-body FDG-PET between 1995 and 1999 were evaluated r...

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Veröffentlicht in:Acta radiologica (1987) 2000-09, Vol.41 (5), p.446-452
Hauptverfasser: Krug, B., Dietlein, M., Groth, W., Stützer, H., Psaras, T., Gossmann, A., Scheidhauer, K., Schicha, H., Lackner, K.
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container_end_page 452
container_issue 5
container_start_page 446
container_title Acta radiologica (1987)
container_volume 41
creator Krug, B.
Dietlein, M.
Groth, W.
Stützer, H.
Psaras, T.
Gossmann, A.
Scheidhauer, K.
Schicha, H.
Lackner, K.
description AbstractPurpose: To assess the diagnostic value of fluor-18-fluorodeoxyglucose positron emission tomography (FDG-PET) in screening for melanoma metastases.Material and Methods: The case records of 94 melanoma patients who had been examined by whole-body FDG-PET between 1995 and 1999 were evaluated retrospectively. Forty patients showed evidence of lymphogenous and 42 of hematogenous metastasis. The maximal interval between PET and the diagnostic procedure under comparison was 2 weeks. Confirmation of the findings was based on histology or the clinical or radiological course.Results: In 24 patients, all diagnostic examinations including CT had been performed within 2 weeks from PET. In no case did PET change the staging. In 13 patients, PET agreed with morphological diagnosis in the number of metastatically invaded organs. This included 3 patients without metastases. The estimated number of organs invaded by metastases was higher with PET in 5 patients and higher with morphological imaging techniques in 6 patients. Among the PET findings with higher or equivocal counts of organs with metastases there were 2 confirmed false-positive findings.Conclusion: In a selected patient population, FDG-PET was found to be inferior to CT for diagnosing lung and liver metastases. The supplementary use of FDG-PET is not generally of value once metastasis has been established.
doi_str_mv 10.1080/028418500127345668
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Forty patients showed evidence of lymphogenous and 42 of hematogenous metastasis. The maximal interval between PET and the diagnostic procedure under comparison was 2 weeks. Confirmation of the findings was based on histology or the clinical or radiological course.Results: In 24 patients, all diagnostic examinations including CT had been performed within 2 weeks from PET. In no case did PET change the staging. In 13 patients, PET agreed with morphological diagnosis in the number of metastatically invaded organs. This included 3 patients without metastases. The estimated number of organs invaded by metastases was higher with PET in 5 patients and higher with morphological imaging techniques in 6 patients. Among the PET findings with higher or equivocal counts of organs with metastases there were 2 confirmed false-positive findings.Conclusion: In a selected patient population, FDG-PET was found to be inferior to CT for diagnosing lung and liver metastases. The supplementary use of FDG-PET is not generally of value once metastasis has been established.</description><identifier>ISSN: 0284-1851</identifier><identifier>EISSN: 1600-0455</identifier><identifier>DOI: 10.1080/028418500127345668</identifier><identifier>PMID: 11016764</identifier><identifier>CODEN: ACRAE3</identifier><language>eng</language><publisher>London, England: Informa UK Ltd</publisher><subject>Abdomen - diagnostic imaging ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Dermatology ; Diagnostic Imaging ; False Positive Reactions ; Female ; Fluorodeoxyglucose F18 ; Follow-Up Studies ; Humans ; Liver Neoplasms - diagnostic imaging ; Liver Neoplasms - pathology ; Liver Neoplasms - secondary ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - pathology ; Lung Neoplasms - secondary ; Lymphatic Metastasis - diagnostic imaging ; Magnetic Resonance Imaging ; Male ; Mass Screening ; Medical sciences ; Melanoma - diagnostic imaging ; Melanoma - pathology ; Melanoma - secondary ; Middle Aged ; Neoplasm Staging ; Neoplastic Cells, Circulating - pathology ; Radiopharmaceuticals ; Retrospective Studies ; Skin Neoplasms - diagnostic imaging ; Tomography, Emission-Computed ; Tomography, X-Ray Computed ; Tumors of the skin and soft tissue. Premalignant lesions ; Ultrasonography ; Whole-Body Irradiation</subject><ispartof>Acta radiologica (1987), 2000-09, Vol.41 (5), p.446-452</ispartof><rights>2000 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2000</rights><rights>Acta Radiologica</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-b515a9fe0886d6a6998782a069aa772600fe533fa1c67a6b5182b3b6462a51713</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/028418500127345668$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/028418500127345668$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,61194,61375</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1461753$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11016764$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krug, B.</creatorcontrib><creatorcontrib>Dietlein, M.</creatorcontrib><creatorcontrib>Groth, W.</creatorcontrib><creatorcontrib>Stützer, H.</creatorcontrib><creatorcontrib>Psaras, T.</creatorcontrib><creatorcontrib>Gossmann, A.</creatorcontrib><creatorcontrib>Scheidhauer, K.</creatorcontrib><creatorcontrib>Schicha, H.</creatorcontrib><creatorcontrib>Lackner, K.</creatorcontrib><title>FLUOR-18-FLUORODEOXYGLUCOSE POSITRON EMISSION TOMOGRAPHY (FDG-PET) IN MALIGNANT MELANOMA: Diagnostic comparison with conventional imaging methods</title><title>Acta radiologica (1987)</title><addtitle>Acta Radiol</addtitle><description>AbstractPurpose: To assess the diagnostic value of fluor-18-fluorodeoxyglucose positron emission tomography (FDG-PET) in screening for melanoma metastases.Material and Methods: The case records of 94 melanoma patients who had been examined by whole-body FDG-PET between 1995 and 1999 were evaluated retrospectively. Forty patients showed evidence of lymphogenous and 42 of hematogenous metastasis. The maximal interval between PET and the diagnostic procedure under comparison was 2 weeks. Confirmation of the findings was based on histology or the clinical or radiological course.Results: In 24 patients, all diagnostic examinations including CT had been performed within 2 weeks from PET. In no case did PET change the staging. In 13 patients, PET agreed with morphological diagnosis in the number of metastatically invaded organs. This included 3 patients without metastases. The estimated number of organs invaded by metastases was higher with PET in 5 patients and higher with morphological imaging techniques in 6 patients. Among the PET findings with higher or equivocal counts of organs with metastases there were 2 confirmed false-positive findings.Conclusion: In a selected patient population, FDG-PET was found to be inferior to CT for diagnosing lung and liver metastases. The supplementary use of FDG-PET is not generally of value once metastasis has been established.</description><subject>Abdomen - diagnostic imaging</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Dermatology</subject><subject>Diagnostic Imaging</subject><subject>False Positive Reactions</subject><subject>Female</subject><subject>Fluorodeoxyglucose F18</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Liver Neoplasms - diagnostic imaging</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver Neoplasms - secondary</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - secondary</subject><subject>Lymphatic Metastasis - diagnostic imaging</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical sciences</subject><subject>Melanoma - diagnostic imaging</subject><subject>Melanoma - pathology</subject><subject>Melanoma - secondary</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Neoplastic Cells, Circulating - pathology</subject><subject>Radiopharmaceuticals</subject><subject>Retrospective Studies</subject><subject>Skin Neoplasms - diagnostic imaging</subject><subject>Tomography, Emission-Computed</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><subject>Ultrasonography</subject><subject>Whole-Body Irradiation</subject><issn>0284-1851</issn><issn>1600-0455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0c2O0zAQB3ALgdhSeAEOyAeE4BDWdmInWXGJ2jQbKR9Vm0rsKZqmTptVPoqdgngM3hjvttIekICTx9Lvb2tmEHpLyWdKPHJNmOdQjxNCmWs7XAjvGZpQQYhFHM6fo8kDsIygV-iV1vePkNOX6IpSQoUrnAn6tUg2-cog67HI52H-9S5KNrN8HeJlvo6LVZ7hMI3X69gURZ7m0SpY3t7hj4t5ZC3D4hOOM5wGSRxlQVbgNEyCLE-DGzxvYN8PemwqXA3dEVSjhx7_aMaDufffZT82Qw8tbjrYN_0ed3I8DDv9Gr2oodXyzeWcos0iLGa3VpJH8SxIrMrhbLS2nHLwa0k8T-wECN_3XI8BET6A6zIzhVpy266BVsIFYbjHtvZWOIIBpy61p-jD-d2jGr6dpB7LrtGVbFvo5XDSpctsM2Tm_RNSX1DGGDGQnWGlBq2VrMujMs2pnyUl5cPGyj83ZkLvLq-ftp3cPUUuKzLg_QWArqCtFfRVo5-cI6hrGp2i6zPTsJfl_XBSZrb67z9_OSeavh5UBwcJ7XioQP1f_DcWL7aR</recordid><startdate>20000901</startdate><enddate>20000901</enddate><creator>Krug, B.</creator><creator>Dietlein, M.</creator><creator>Groth, W.</creator><creator>Stützer, H.</creator><creator>Psaras, T.</creator><creator>Gossmann, A.</creator><creator>Scheidhauer, K.</creator><creator>Schicha, H.</creator><creator>Lackner, K.</creator><general>Informa UK Ltd</general><general>SAGE Publications</general><general>Taylor &amp; Francis</general><scope>IQODW</scope><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>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20000901</creationdate><title>FLUOR-18-FLUORODEOXYGLUCOSE POSITRON EMISSION TOMOGRAPHY (FDG-PET) IN MALIGNANT MELANOMA: Diagnostic comparison with conventional imaging methods</title><author>Krug, B. ; Dietlein, M. ; Groth, W. ; Stützer, H. ; Psaras, T. ; Gossmann, A. ; Scheidhauer, K. ; Schicha, H. ; Lackner, K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-b515a9fe0886d6a6998782a069aa772600fe533fa1c67a6b5182b3b6462a51713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Abdomen - diagnostic imaging</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Dermatology</topic><topic>Diagnostic Imaging</topic><topic>False Positive Reactions</topic><topic>Female</topic><topic>Fluorodeoxyglucose F18</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Liver Neoplasms - diagnostic imaging</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver Neoplasms - secondary</topic><topic>Lung Neoplasms - diagnostic imaging</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - secondary</topic><topic>Lymphatic Metastasis - diagnostic imaging</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Medical sciences</topic><topic>Melanoma - diagnostic imaging</topic><topic>Melanoma - pathology</topic><topic>Melanoma - secondary</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Neoplastic Cells, Circulating - pathology</topic><topic>Radiopharmaceuticals</topic><topic>Retrospective Studies</topic><topic>Skin Neoplasms - diagnostic imaging</topic><topic>Tomography, Emission-Computed</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><topic>Ultrasonography</topic><topic>Whole-Body Irradiation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krug, B.</creatorcontrib><creatorcontrib>Dietlein, M.</creatorcontrib><creatorcontrib>Groth, W.</creatorcontrib><creatorcontrib>Stützer, H.</creatorcontrib><creatorcontrib>Psaras, T.</creatorcontrib><creatorcontrib>Gossmann, A.</creatorcontrib><creatorcontrib>Scheidhauer, K.</creatorcontrib><creatorcontrib>Schicha, H.</creatorcontrib><creatorcontrib>Lackner, K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Acta radiologica (1987)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krug, B.</au><au>Dietlein, M.</au><au>Groth, W.</au><au>Stützer, H.</au><au>Psaras, T.</au><au>Gossmann, A.</au><au>Scheidhauer, K.</au><au>Schicha, H.</au><au>Lackner, K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>FLUOR-18-FLUORODEOXYGLUCOSE POSITRON EMISSION TOMOGRAPHY (FDG-PET) IN MALIGNANT MELANOMA: Diagnostic comparison with conventional imaging methods</atitle><jtitle>Acta radiologica (1987)</jtitle><addtitle>Acta Radiol</addtitle><date>2000-09-01</date><risdate>2000</risdate><volume>41</volume><issue>5</issue><spage>446</spage><epage>452</epage><pages>446-452</pages><issn>0284-1851</issn><eissn>1600-0455</eissn><coden>ACRAE3</coden><abstract>AbstractPurpose: To assess the diagnostic value of fluor-18-fluorodeoxyglucose positron emission tomography (FDG-PET) in screening for melanoma metastases.Material and Methods: The case records of 94 melanoma patients who had been examined by whole-body FDG-PET between 1995 and 1999 were evaluated retrospectively. Forty patients showed evidence of lymphogenous and 42 of hematogenous metastasis. The maximal interval between PET and the diagnostic procedure under comparison was 2 weeks. Confirmation of the findings was based on histology or the clinical or radiological course.Results: In 24 patients, all diagnostic examinations including CT had been performed within 2 weeks from PET. In no case did PET change the staging. In 13 patients, PET agreed with morphological diagnosis in the number of metastatically invaded organs. This included 3 patients without metastases. The estimated number of organs invaded by metastases was higher with PET in 5 patients and higher with morphological imaging techniques in 6 patients. Among the PET findings with higher or equivocal counts of organs with metastases there were 2 confirmed false-positive findings.Conclusion: In a selected patient population, FDG-PET was found to be inferior to CT for diagnosing lung and liver metastases. The supplementary use of FDG-PET is not generally of value once metastasis has been established.</abstract><cop>London, England</cop><pub>Informa UK Ltd</pub><pmid>11016764</pmid><doi>10.1080/028418500127345668</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Taylor & Francis Journals; Wiley Online Library Journals Frontfile Complete
subjects Abdomen - diagnostic imaging
Adolescent
Adult
Aged
Biological and medical sciences
Dermatology
Diagnostic Imaging
False Positive Reactions
Female
Fluorodeoxyglucose F18
Follow-Up Studies
Humans
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - pathology
Liver Neoplasms - secondary
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - pathology
Lung Neoplasms - secondary
Lymphatic Metastasis - diagnostic imaging
Magnetic Resonance Imaging
Male
Mass Screening
Medical sciences
Melanoma - diagnostic imaging
Melanoma - pathology
Melanoma - secondary
Middle Aged
Neoplasm Staging
Neoplastic Cells, Circulating - pathology
Radiopharmaceuticals
Retrospective Studies
Skin Neoplasms - diagnostic imaging
Tomography, Emission-Computed
Tomography, X-Ray Computed
Tumors of the skin and soft tissue. Premalignant lesions
Ultrasonography
Whole-Body Irradiation
title FLUOR-18-FLUORODEOXYGLUCOSE POSITRON EMISSION TOMOGRAPHY (FDG-PET) IN MALIGNANT MELANOMA: Diagnostic comparison with conventional imaging methods
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