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
Hauptverfasser: McGuirt, W. Frederick, Williams III, Daniel W., Keyes Jr, John W., Greven, Kathryn M., Watson Jr, Nat E., Geisinger, Kim R., Cappellari, James O.
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container_end_page 375
container_issue 4
container_start_page 373
container_title The Laryngoscope
container_volume 105
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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source Journals@Ovid Ovid Autoload; MEDLINE
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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