Optimal timing of first posttreatment FDG PET/CT in head and neck squamous cell carcinoma

被引：34

作者：

Leung, Alan S. ^{[1
,3
]}

Rath, Tanya J. ^{[1
]}

Hughes, Marion A. ^{[1
]}

Kim, Seungwon ^{[2
]}

Branstetter, Barton F. ^{[1
,2
]}

机构：

[1] Univ Pittsburgh, Sch Med, Dept Radiol, 200 Lothrop St,8619 Presby South Tower,Wing 8N, Pittsburgh, PA 15213 USA

[2] Univ Pittsburgh, Sch Med, Dept Otolaryngol, Pittsburgh, PA 15213 USA

[3] Univ Washington, Sch Med, Dept Radiol, Seattle, WA 98195 USA

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2016年 / 38卷

关键词：

fluorodeoxyglucose (FDG); positron emission tomography (PET)/CT; head and neck squamous cell carcinoma; posttreatment; timing; POSITRON-EMISSION-TOMOGRAPHY; RADIATION-THERAPY; CANCER; SURVEILLANCE; CHEMORADIOTHERAPY; RADIOTHERAPY; RECURRENCE;

D O I：

10.1002/hed.24112

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background. The optimal timing for the initial posttreatment fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT scan after definitive treatment of head and neck squamous cell carcinoma (HNSCC) is unclear. Methods. We conducted a retrospective review of 247 patients with definitively treated nonmetastatic HNSCC. First posttreatment PET/CT scans were grouped into: <7 weeks, 7 to 10 weeks, 11 to 14 weeks, and >= 15 weeks. Scans were categorized as positive or negative and accuracy of scans was calculated for each group using biopsy, subsequent imaging, or clinical follow-up for 1 year after treatment as a reference standard. Results. Sixty-seven of the 247 patients (27.1%) had treatment failure. Scans performed at <7 weeks were less accurate than all other time intervals (p < .05). Scans performed at all other intervals were similar in accuracy. Conclusion. First posttreatment PET/CT can be obtained as early as 2 months after therapy. Scans performed earlier than 2 months have lower accuracy. (C) 2015 Wiley Periodicals, Inc.

引用

页码：E853 / E858

页数：6

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