Clinical application of <sup>18</sup>F-FDG PET/CT in the staging of esophageal carcinoma

WANG Lijuan WU Hubing WANG Quanshi WANG Mingfang ZHOU Wenlan LI Hongsheng

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Clinical application of ¹⁸F-FDG PET/CT in the staging of esophageal carcinoma

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- Clinical application of ¹⁸F-FDG PET/CT in the staging of esophageal carcinoma
- NUCLEAR TECHNIQUES Vol. 32, Issue 11, (2009)
- 作者机构：
  
  南方医科大学南方医院PET中心
- 作者简介：
- 基金信息：
  
  国家自然科学基金(30870731)资助
- DOI：
  CLC： R735.1
- Published：01 November 2009
- 稿件说明：
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[1]王丽娟,吴湖炳,王全师,王明芳,周文兰,李洪生.~(18)F-FDG PET/CT显像在食管癌分期中的应用[J].核技术,2009,32(11):849-853.

WANG Lijuan WU Hubing WANG Quanshi WANG Mingfang ZHOU Wenlan LI Hongsheng. Clinical application of ¹⁸F-FDG PET/CT in the staging of esophageal carcinoma[J]. Nuclear techniques, 2009, 32(11): 849-853.
[1]王丽娟,吴湖炳,王全师,王明芳,周文兰,李洪生.~(18)F-FDG PET/CT显像在食管癌分期中的应用[J].核技术,2009,32(11):849-853. DOI：

WANG Lijuan WU Hubing WANG Quanshi WANG Mingfang ZHOU Wenlan LI Hongsheng. Clinical application of ¹⁸F-FDG PET/CT in the staging of esophageal carcinoma[J]. Nuclear techniques, 2009, 32(11): 849-853. DOI：

摘要

对30例食管癌初诊患者于手术或放化疗前一周内进行18F-FDGPET/CT检查

将15例手术治疗患者的130枚区域淋巴结的PET/CT结果与病理学检查相比较。所有患者的远处转移灶及15例非手术治疗患者的区域淋巴结转移根据活组织病理学检查、多种影像学检查临床随访而定

随访时间均大于6个月。结果显示:30例食管癌患者

原发病灶18F-FDGPET/CT均为高代谢病灶（100%）

病灶界限显示清晰。以患者为单位计算

30例食管癌患者

20例（66.7%）证实有区域淋巴结转移

18F-FDGPET/CT真阳性18例

假阳性2例

假阴性2例

诊断的灵敏度、特异性和准确性分别为90.0%、80.0%、86.7%。以淋巴结为单位计算

在15例手术治疗患者的共130枚淋巴结中

病理学检查证实为淋巴结转移33枚（25.4%）

PET/CT真阳性23枚。18F-FDGPET/CT对区域淋巴结转移诊断的灵敏度、特异性及准确性分别为69.7%、97.9%、90.8%。检出远处转移4例（13.3%）

分布于肝脏、肺及骨骼。30例PET/CT显像后

16例提高了临床分期;1例降低了临床分期;13例与18F-FDGPET/CT显像前的临床分期一致。

Abstract

PET/CT scan was performed for 30 newly diagnosed esophageal carcinoma patients within the week before operation and radio-and/or chemo-therapy.The diagnosis of esophageal carcinoma was established according to the histopathology examination.In 15 patients with operation

the findings of PET/CT of 130 regional lymph nodes were compared with the histopathology examination.The distant metastasis of all patients and the regional lymph node metastasis of 15 patients without operation were diagnosed by the pathological examination

other imaging findings or/and clinical follow up for over 6 months.The results show that all the primary lesions had very intense 18F-FDG uptake.The sensitivity of PET/CT was 100%.The lymph nodes metastasis was proved in 20 patients (66.7%).PET/CT was true positive in 18patients

false positive in 2 patients.The sensitivity

specificity and accuracy of PET/CT were 90.0%

80.0% and 86.7%

respectively

based on the case study.In 130 excised lymph nodes of 15 patients with the operation

23 of 33 lymph nodes metastasis were detected by PET/CT.The sensitivity

specificity and accuracy of PET/CT were 69.7%

97.9% and 90.8%

respectively

based on the lesion study.PET/CT detected the distant metastasis in the liver

lung and bone in 4 cases.After PET/CT imaging

the staging of tumor in 16 patients was improved

1 was lowered

and 13 was concord with pre-staging.18F-FDG PET/CT plays an important role in the diagnosis and staging for esophageal cancer.

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Related Author

WU Hubing

ZUO Wei

DONG Ye

ZHOU Wenlan

WANG Quanshi

LI Hongsheng

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Related Institution

Department of PET Center, Nanfang Hospital, Southern Medical University

PET Center, Nanfang Hospital, Southern Medical University

Department of Nuclear Medicine,the Baoan Hospital Affiliated to Nangfang Medical University,Shenzhen 518101,China) 2

广州军区广州总医院核医学科

Department of Nuclear Medicine,The First Affiliated Hospital of Soochow University,Suzhou 215006,China) 2

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Clinical application of 18F-FDG PET/CT in the staging of esophageal carcinoma

DOI：

摘要

Abstract

关键词

Keywords

references

Clinical application of ¹⁸F-FDG PET/CT in the staging of esophageal carcinoma