Selected Publication:
Dresel, S; Schwenzer, K; Brinkbäumer, K; Schmid, R; Szeimies, U; Pöpperl, G; Hahn, K.
F-18]FDG imaging of head and neck tumors: comparison of hybrid PET, dedicated PET and CT].
Nuklearmedizin. 2001; 40(5):172-178
Doi: 10.1055/s-0038-1623883
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
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Schwenzer-Zimmerer Katja Christine
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- Abstract:
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Aim of the study was to evaluate [F-18]FDG imaging of head and neck tumors using a Hybrid-PET device of the 2nd or 3rd generation. Examinations were compared to dedicated PET and Spiral-CT.
54 patients suffering from head and neck tumors were examined using dedicated PET and Hybrid-PET after injection of 185-350 MBq [F-18]FDG. Examinations were carried out on the dedicated PET first followed by a scan on the Hybrid-PET. Dedicated PET was acquired in 3D mode, Hybrid-PET was performed in list mode using an axial filter. Reconstruction of data was performed iteratively on both, dedicated PET and Hybrid-PET. All patients received a CT scan in multislice technique. All finding have been verified by the goldstandard histology or in case of negative histology by follow up.
Using dedicated PET the primary or recurrent lesion was correctly diagnosed in 47/48 patients, using Hybrid-PET in 46/48 patients and using CT in 25/48 patients. Metastatic disease in cervical lymph nodes was diagnosed in 17/18 patients with dedicated PET, in 16/18 patients with Hybrid-PET and in 15/18 with CT. False positive results with regard to lymph node metastasis were seen with one patient for dedicated PET and Hybrid-PET, respectively, and with 18 patients for CT. In a total of 11 patients unknown metastatic lesions were seen with dedicated PET and with Hybrid-PET elsewhere in the body. Additional malignant disease other than the head and neck tumor was found in 4 patients.
Using Hybrid-PET for [F-18]FDG imaging reveals a loss of sensitivity and specificity of about 1-5% as compared to dedicated PET in head and neck tumors. [F-18]FDG PET with both, dedicated PET and Hybrid-PET is superior to CT in the diagnosis of primary or recurrent lesions as well as in the assessment of lymph node involvement.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult -
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Aged -
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Female -
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Fluorodeoxyglucose F18 - diagnostic use
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Head and Neck Neoplasms - radiography Head and Neck Neoplasms - radionuclide imaging
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Humans -
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Lymphatic Metastasis - radiography Lymphatic Metastasis - radionuclide imaging
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Male -
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Middle Aged -
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Radiopharmaceuticals - diagnostic use
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Recurrence -
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Reproducibility of Results -
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Sensitivity and Specificity -
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Tomography, Emission-Computed -
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Tomography, X-Ray Computed -
- Find related publications in this database (Keywords)
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hybrid-PET
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dedicated PET
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[F-18]FDG
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coincidence imaging
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head and neck tumors