A comparative diagnostic study of head and neck nodal metastases using positron emission tomography
A prospective study was conducted to compare the accuracy of clinical examination, computed tomography (CT), and positron emission tomography (PET) in identifying head and neck squamous cell carcinoma metastatic to cervical lymph nodes. The findings in the necks of 49 patients evaluated by clinical...
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Veröffentlicht in: | The Laryngoscope 1995-04, Vol.105 (4), p.373-375 |
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creator | McGuirt, W. Frederick Williams III, Daniel W. Keyes Jr, John W. Greven, Kathryn M. Watson Jr, Nat E. Geisinger, Kim R. Cappellari, James O. |
description | A prospective study was conducted to compare the accuracy of clinical examination, computed tomography (CT), and positron emission tomography (PET) in identifying head and neck squamous cell carcinoma metastatic to cervical lymph nodes. The findings in the necks of 49 patients evaluated by clinical examination and CT were compared to the findings in the same necks by PET, a newly available metabolic imaging modality. Pathology specimens were available for 45 of the necks. The findings of PET and CT correlated in 84% of cases. In the cases that did not correlate, CT proved correct in four of five cases. PET (82%) and CT (84%) were comparable and were both better than clinical examination (71%) in correctly identifying the presence or absence of metastatic disease. |
doi_str_mv | 10.1288/00005537-199504000-00006 |
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PET (82%) and CT (84%) were comparable and were both better than clinical examination (71%) in correctly identifying the presence or absence of metastatic disease.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1288/00005537-199504000-00006</identifier><identifier>PMID: 7715380</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Biological and medical sciences ; Carcinoma, Squamous Cell - diagnostic imaging ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - secondary ; Deoxyglucose - analogs & derivatives ; Ent. Stomatology ; Fluorine Radioisotopes ; Fluorodeoxyglucose F18 ; Head and Neck Neoplasms - diagnostic imaging ; Head and Neck Neoplasms - pathology ; Head and Neck Neoplasms - secondary ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laryngeal Neoplasms - pathology ; Lymphatic Metastasis - diagnostic imaging ; Lymphatic Metastasis - pathology ; Medical sciences ; Neck ; Neoplasm Staging ; Pharyngeal Neoplasms - pathology ; Prospective Studies ; Radionuclide investigations ; Sensitivity and Specificity ; Tomography, Emission-Computed ; Tomography, X-Ray Computed</subject><ispartof>The Laryngoscope, 1995-04, Vol.105 (4), p.373-375</ispartof><rights>Copyright © 1995 The Triological Society</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4886-18d7abf5c40e51f8916ef6d7f21c3def31aa1346757d68599db3eda1413a176c3</citedby><cites>FETCH-LOGICAL-c4886-18d7abf5c40e51f8916ef6d7f21c3def31aa1346757d68599db3eda1413a176c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3655637$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7715380$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGuirt, W. Frederick</creatorcontrib><creatorcontrib>Williams III, Daniel W.</creatorcontrib><creatorcontrib>Keyes Jr, John W.</creatorcontrib><creatorcontrib>Greven, Kathryn M.</creatorcontrib><creatorcontrib>Watson Jr, Nat E.</creatorcontrib><creatorcontrib>Geisinger, Kim R.</creatorcontrib><creatorcontrib>Cappellari, James O.</creatorcontrib><title>A comparative diagnostic study of head and neck nodal metastases using positron emission tomography</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>A prospective study was conducted to compare the accuracy of clinical examination, computed tomography (CT), and positron emission tomography (PET) in identifying head and neck squamous cell carcinoma metastatic to cervical lymph nodes. The findings in the necks of 49 patients evaluated by clinical examination and CT were compared to the findings in the same necks by PET, a newly available metabolic imaging modality. Pathology specimens were available for 45 of the necks. The findings of PET and CT correlated in 84% of cases. In the cases that did not correlate, CT proved correct in four of five cases. PET (82%) and CT (84%) were comparable and were both better than clinical examination (71%) in correctly identifying the presence or absence of metastatic disease.</description><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - diagnostic imaging</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - secondary</subject><subject>Deoxyglucose - analogs & derivatives</subject><subject>Ent. Stomatology</subject><subject>Fluorine Radioisotopes</subject><subject>Fluorodeoxyglucose F18</subject><subject>Head and Neck Neoplasms - diagnostic imaging</subject><subject>Head and Neck Neoplasms - pathology</subject><subject>Head and Neck Neoplasms - secondary</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laryngeal Neoplasms - pathology</subject><subject>Lymphatic Metastasis - diagnostic imaging</subject><subject>Lymphatic Metastasis - pathology</subject><subject>Medical sciences</subject><subject>Neck</subject><subject>Neoplasm Staging</subject><subject>Pharyngeal Neoplasms - pathology</subject><subject>Prospective Studies</subject><subject>Radionuclide investigations</subject><subject>Sensitivity and Specificity</subject><subject>Tomography, Emission-Computed</subject><subject>Tomography, X-Ray Computed</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtuEzEUhi0EKmnhEZC8QOwG7PF1lqFAihRxUxFlZZ3YntR0ZjzYM5S8PQ4JWWNZ8vF_vnPRjxCm5CWttX5FyhGCqYo2jSC8_Kq9JB-gBRWMVrzID9GCkJpVWtQ3j9F5zj8IoYoJcobOlCqYJgtkl9jGfoQEU_jlsQuwHWKegsV5mt0OxxbfenAYBocHb-_wEB10uPcT5HJ9xnMOwxaPMYcpxQH7PuQcSjDFPm4TjLe7J-hRC132T4_vBfr67u315VW1_rh6f7lcV5ZrLSuqnYJNKywnXtBWN1T6VjrV1tQy51tGASjjUgnlpBZN4zbMO6CcMqBKWnaBXhz6jin-nH2eTNnF-q6Dwcc5G6VqypmoC6gPoE0x5-RbM6bQQ9oZSszeX_PPX3Py968kS-mz44x503t3KjwaWvLPj3nIFro2wWBDPmFMCiGZKtibA3YfOr_77_FmvfzyXQhOyV7db1Md2oQ8-d-nNpDujFRMCfPtw8rcrK4_XdX8s3nN_gCPLKW7</recordid><startdate>199504</startdate><enddate>199504</enddate><creator>McGuirt, W. Frederick</creator><creator>Williams III, Daniel W.</creator><creator>Keyes Jr, John W.</creator><creator>Greven, Kathryn M.</creator><creator>Watson Jr, Nat E.</creator><creator>Geisinger, Kim R.</creator><creator>Cappellari, James O.</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><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>7X8</scope><scope>8BM</scope></search><sort><creationdate>199504</creationdate><title>A comparative diagnostic study of head and neck nodal metastases using positron emission tomography</title><author>McGuirt, W. Frederick ; Williams III, Daniel W. ; Keyes Jr, John W. ; Greven, Kathryn M. ; Watson Jr, Nat E. ; Geisinger, Kim R. ; Cappellari, James O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4886-18d7abf5c40e51f8916ef6d7f21c3def31aa1346757d68599db3eda1413a176c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Biological and medical sciences</topic><topic>Carcinoma, Squamous Cell - diagnostic imaging</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - secondary</topic><topic>Deoxyglucose - analogs & derivatives</topic><topic>Ent. Stomatology</topic><topic>Fluorine Radioisotopes</topic><topic>Fluorodeoxyglucose F18</topic><topic>Head and Neck Neoplasms - diagnostic imaging</topic><topic>Head and Neck Neoplasms - pathology</topic><topic>Head and Neck Neoplasms - secondary</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laryngeal Neoplasms - pathology</topic><topic>Lymphatic Metastasis - diagnostic imaging</topic><topic>Lymphatic Metastasis - pathology</topic><topic>Medical sciences</topic><topic>Neck</topic><topic>Neoplasm Staging</topic><topic>Pharyngeal Neoplasms - pathology</topic><topic>Prospective Studies</topic><topic>Radionuclide investigations</topic><topic>Sensitivity and Specificity</topic><topic>Tomography, Emission-Computed</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McGuirt, W. Frederick</creatorcontrib><creatorcontrib>Williams III, Daniel W.</creatorcontrib><creatorcontrib>Keyes Jr, John W.</creatorcontrib><creatorcontrib>Greven, Kathryn M.</creatorcontrib><creatorcontrib>Watson Jr, Nat E.</creatorcontrib><creatorcontrib>Geisinger, Kim R.</creatorcontrib><creatorcontrib>Cappellari, James O.</creatorcontrib><collection>Istex</collection><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>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McGuirt, W. Frederick</au><au>Williams III, Daniel W.</au><au>Keyes Jr, John W.</au><au>Greven, Kathryn M.</au><au>Watson Jr, Nat E.</au><au>Geisinger, Kim R.</au><au>Cappellari, James O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparative diagnostic study of head and neck nodal metastases using positron emission tomography</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1995-04</date><risdate>1995</risdate><volume>105</volume><issue>4</issue><spage>373</spage><epage>375</epage><pages>373-375</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>A prospective study was conducted to compare the accuracy of clinical examination, computed tomography (CT), and positron emission tomography (PET) in identifying head and neck squamous cell carcinoma metastatic to cervical lymph nodes. The findings in the necks of 49 patients evaluated by clinical examination and CT were compared to the findings in the same necks by PET, a newly available metabolic imaging modality. Pathology specimens were available for 45 of the necks. The findings of PET and CT correlated in 84% of cases. In the cases that did not correlate, CT proved correct in four of five cases. PET (82%) and CT (84%) were comparable and were both better than clinical examination (71%) in correctly identifying the presence or absence of metastatic disease.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>7715380</pmid><doi>10.1288/00005537-199504000-00006</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Biological and medical sciences Carcinoma, Squamous Cell - diagnostic imaging Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - secondary Deoxyglucose - analogs & derivatives Ent. Stomatology Fluorine Radioisotopes Fluorodeoxyglucose F18 Head and Neck Neoplasms - diagnostic imaging Head and Neck Neoplasms - pathology Head and Neck Neoplasms - secondary Humans Investigative techniques, diagnostic techniques (general aspects) Laryngeal Neoplasms - pathology Lymphatic Metastasis - diagnostic imaging Lymphatic Metastasis - pathology Medical sciences Neck Neoplasm Staging Pharyngeal Neoplasms - pathology Prospective Studies Radionuclide investigations Sensitivity and Specificity Tomography, Emission-Computed Tomography, X-Ray Computed |
title | A comparative diagnostic study of head and neck nodal metastases using positron emission tomography |
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