Detection of metastases in patients with cutaneous melanoma using FDG-PET/CT

被引:31
作者
Akcali, C.
Zincirkeser, S.
Erbagcy, Z.
Akcali, A.
Halac, M.
Durak, G.
Sager, S.
Sahin, E.
机构
[1] Gaziantep Univ, Sch Med, Dept Dermatol, Gaziantep, Turkey
[2] Gaziantep Univ, Sch Med, Nucl Med & PET Ctr, Gaziantep, Turkey
[3] Gaziantep Univ, Sch Med, Dept Neurol, Gaziantep, Turkey
[4] Istanbul Univ, Cerrahpasa Med Sch, Nucl Med & PET Ctr, Istanbul, Turkey
关键词
melanoma; metastases; fluorodeoxyglucose (FDG); positron emission tomography (PET); computed tomography (CT);
D O I
10.1177/147323000703500415
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
This study aimed to detect metastases in patients with stage III or IV cutaneous melanoma by F-18-fluorodeoxyglucose positron emission tomography combined with computed tomography (FDG-PET/CT). Thirty-nine patients with clinically evident stage III or IV melanoma underwent whole-body FDG-PET/CT scans for metastatic disease and these results were compared with those of biopsy. Scans for 38 of the patients were evaluated; one patient's scan could not be evaluated. There were 11 true-positive, two false-positive, 24 true-negative and one false-negative scans for the detection of melanoma metastases, with sensitivity 91%, specificity 92%, accuracy 92%, and positive and negative predictive values 84% and 96%, respectively. False-positive FDG-PET/CT scans were due to sarcoidosis in the lung and infected cyst in the liver. It is concluded that FDG-PET/CT scanning has high sensitivity and specificity for detecting stage III or IV metastatic melanoma.
引用
收藏
页码:547 / 553
页数:7
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