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Detection of distant metastasis and prognostic prediction of recurrent salivary gland carcinomas using 18F‐FDG PET/CT.
- Source :
- Oral Diseases; Sep2018, Vol. 24 Issue 6, p940-947, 8p, 3 Charts, 1 Graph
- Publication Year :
- 2018
-
Abstract
- Abstract: Objective: To compare the diagnostic accuracy of <superscript>18</superscript>F‐FDG PET/CT and conventional contrast‐enhanced CT for the re‐staging of recurrent salivary gland carcinoma (SGC). Materials and Methods: This study included 58 consecutive patients who underwent recurrent SGCs after definitive treatment. The recurrences were evaluated by <superscript>18</superscript>F‐FDG PET/CT and contrast‐enhanced CT of the neck and chest. McNemar's test was used to compare the diagnostic accuracy of <superscript>18</superscript>F‐FDG PET/CT with standard neck and chest CT imaging, and a Cox proportional hazards model was used to assess the prognostic value of PET/CT. Results: Of 58 patients with recurrent SGCs, 17 (29%) had a local recurrence, 17 (29%) had a regional recurrence, and 38 (66%) had a distant metastasis, with these classifications showing overlap. The sensitivity and accuracy of <superscript>18</superscript>F‐FDG PET/CT for the detection of distant metastases were significantly higher than those of CT (p < 0.05), whereas, for detection of loco‐regional recurrences, they did not differ (p > 0.1). The <superscript>18</superscript>F‐FDG PET/CT‐positive findings at distant sites were predictors of poor progression‐free and overall survival outcome (all p < 0.05). Conclusions: <superscript>18</superscript>F‐FDG PET/CT is a more effective method than CT for detecting distant site recurrences of SGC. This may lead to prognostic prediction for recurrent SGCs. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 1354523X
- Volume :
- 24
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Oral Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 131393890
- Full Text :
- https://doi.org/10.1111/odi.12877