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Nodal spread of squamous cell carcinoma of the oral cavity detected with PET-tyrosine, MRI and CT

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

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

UNLABELLED: The uptake of L-1-[11C]-tyrosine (TYR) in cervical lymph nodes of eleven patients with squamous-cell carcinoma (SCC) of the oral cavity was studied with PET to detect lymphogenic metastases.

METHODS: The TYR-PET results were compared with clinical, MRI, CT, histopathologic findings and historical data of patients studied with FDG. Sensitivity, specificity, accuracy and the positive and negative predictive values were calculated.

RESULTS: TYR-PET had sensitivity of 83% and a specificity of 95%. In contrast, the sensitivity and specificity for MRI were 33% and 96%, respectively. The sensitivity and specificity for CT were 55% and 91%, respectively. TYR-PET results compared favorably with FDG.

CONCLUSION: With TYR-PET, SCC metastases of the oral cavity can be visualized with high sensitivity and specificity. TYR-PET can be an additional tool for further evaluation of neck malignancies.

Original languageEnglish
Pages (from-to)897-901
Number of pages5
JournalJournal of Nuclear Medicine
Volume37
Issue number6
Publication statusPublished - Jun 1996

Keywords

  • Aged
  • Carbon Radioisotopes
  • Carcinoma, Squamous Cell
  • Female
  • Humans
  • Lymph Nodes
  • Lymphatic Metastasis
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Mouth Neoplasms
  • Predictive Value of Tests
  • Sensitivity and Specificity
  • Tomography, Emission-Computed
  • Tomography, X-Ray Computed
  • Tyrosine

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