18F-FDG PET/CT in the assessment of carcinoma of unknown primary origin

PURPOSE: Metastatic cancers of unknown primary origin are characterised by a poor prognosis, with a survival rate from diagnosis of approximately 12 months. Conventional radiological imaging allows detection of 20%-27% of primary cancers, whereas the detection rate with positron emission tomography (PET) is 24%-40%. The aim of this study was to assess the role of 18F-fluorodeoxyglucose (FDG) PET/computed tomography (CT) in the identification of occult primary cancers.

MATERIALS AND METHODS: The study population consisted of 38 consecutive patients with histologically proven metastatic disease and negative or nonconclusive conventional diagnostic procedures. All patients were studied by 18F-FDG PET performed according to the standard procedure (6 h of fasting, intravenous injection of 370 MBq 18F-FDG, and image acquisition with a PET/CT scanner for 4 min per bed position).

RESULTS: 18F-FDG-PET/CT detected the occult primary cancer in 20 cases (53%), showing higher sensitivity than that reported for any other imaging modality, including PET.

CONCLUSIONS: The encouraging results, if validated by larger series, support the use of PET/CT in patients with carcinoma of unknown primary origin and negative conventional imaging results.

Medienart:

Artikel

Erscheinungsjahr:

2006

Erschienen:

2006

Enthalten in:

Zur Gesamtaufnahme - volume:111

Enthalten in:

La Radiologia medica - 111(2006), 8 vom: 15. Dez., Seite 1146-55

Sprache:

Englisch

Beteiligte Personen:

Ambrosini, V [VerfasserIn]
Nanni, C [VerfasserIn]
Rubello, D [VerfasserIn]
Moretti, A [VerfasserIn]
Battista, G [VerfasserIn]
Castellucci, P [VerfasserIn]
Farsad, M [VerfasserIn]
Rampin, L [VerfasserIn]
Fiorentini, G [VerfasserIn]
Franchi, R [VerfasserIn]
Canini, R [VerfasserIn]
Fanti, S [VerfasserIn]

Themen:

0Z5B2CJX4D
Fluorodeoxyglucose F18
Journal Article
Radiopharmaceuticals

Anmerkungen:

Date Completed 14.02.2007

Date Revised 30.03.2022

published: Print-Electronic

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM167211757