The clinical impact of18F-FDG PET in papillary thyroid carcinoma with a negative131I whole body scan: A single-center study of 108 ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2006-10

AUTHORS

Mi-Yeon Choi, June-Key Chung, Ho-Yeong Lee, Young So, Do Joon Park, Jae Min Jeong, Dong Soo Lee, Myung Chul Lee, Bo Youn Cho

ABSTRACT

ObjectiveTo assess whether FDG PET could localize the recurrent or metastatic lesions in papillary thyroid cancer patients with negative radioiodine scan.MethodsWhole body PET was performed after injecting 370-555 MBq of18F-FDG in 108 patients, who were suspected of having recurrence or metastasis and whose131I whole body scans were negative. Recurrence or metastasis occurred in 63 patients by pathology or clinical assessment, whereas 45 patients remained in remission.ResultsFDG PET revealed recurrence or metastases in 59 patients (sensitivity 93.7%), whereas thyroglobulin (Tg) levels were elevated in 41 (sensitivity 65.1%). In 35 of 45 patients in remission, FDG PET was negative (specificity 77.8%). When patients positive for antithyroglobulin antibody were excluded, the sensitivity and specificity of serum Tg became 84.8% and 46.9%, respectively. Compared to Tg measurement, FDG PET detected more metastatic lesions in cervical lymph nodes. Of 40 patients with a negative radioiodine scan showing diffuse hepatic uptake, metastases occurred in 23 patients and remission in 17. FDG PET showed 100% sensitivity and 76.5% specificity in the detection of recurrence in these 40 patients.ConclusionFDG PET is useful for localizing recurrent or metastatic lesions in131I scan-negative thyroid cancer patients. In particular, it is superior to serum Tg measurement for identifying metastases to cervical lymph nodes. We recommend its use in cases of negative radioiodine scan with diffuse hepatic uptake. More... »

PAGES

547-552

References to SciGraph publications

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URI

http://scigraph.springernature.com/pub.10.1007/bf03026819

DOI

http://dx.doi.org/10.1007/bf03026819

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https://app.dimensions.ai/details/publication/pub.1031780250

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17134022


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