Detection of lymph node metastases of squamous-cell cancer of the head and neck with FDG-PET and MRI

  • J W Braams
  • , J Pruim
  • , N J Freling
  • , P G Nikkels
  • , J L Roodenburg
  • , G Boering
  • , W Vaalburg
  • , A Vermey

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

UNLABELLED: The uptake of 2-deoxy-2-[18F]fluoro-D-glucose (FDG) in neck lymph nodes of twelve patients with a squamous-cell carcinoma of the oral cavity was studied with PET in order to detect and locate lymphogenic metastases.

METHODS: The results of FDG-PET imaging were compared with clinical, MRI and histopathologic findings. Standardized uptake values (SUV) were also calculated.

RESULTS: A sensitivity of 91% and a specificity of 88% were calculated for FDG-PET. In contrast, a sensitivity of 36% and a specificity of 94% were calculated for MRI. Calculated SUVs for reactive lymph nodes, metastatic lymph nodes and the primary tumor were undifferentiated.

CONCLUSION: Using FDG-PET, lymph node metastases of squamous-cell carcinomas of the oral cavity can be visualized with a high sensitivity and specificity. FDG-PET can be an improvement in the evaluation of the neck.

Original languageEnglish
Pages (from-to)211-6
Number of pages6
JournalJournal of Nuclear Medicine
Volume36
Issue number2
Publication statusPublished - Feb 1995

Keywords

  • Aged
  • Aged, 80 and over
  • Carcinoma, Squamous Cell
  • Deoxyglucose
  • Female
  • Fluorine Radioisotopes
  • Fluorodeoxyglucose F18
  • Head and Neck Neoplasms
  • Humans
  • Lymph Nodes
  • Lymphatic Metastasis
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Mouth Neoplasms

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