A proposal for combined MRI and PET/CT interpretation criteria for preoperative nodal staging in non-small-cell lung cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-02-26

AUTHORS

Yoo Na Kim, Chin A Yi, Kyung Soo Lee, O Jung Kwon, Ho Yun Lee, Byung-Tae Kim, Joon Young Choi, Seon Woo Kim, Man Pyo Chung, Joungho Han, Tae Sung Kim, Myung Jin Chung, Young Mog Shim

ABSTRACT

ObjectivesTo determine the positive reading criteria for malignant nodes when interpreting combined MRI and PET/CT images for preoperative nodal staging in non-small-cell lung cancer (NSCLC).MethodsForty-nine patients with biopsy-proven NSCLC underwent both PET/CT and thoracic MRI [diffusion weighted imaging (DWI)]. Each nodal station was evaluated for the presence of metastasis by applying either inclusive (positive if either one read positive) or exclusive (positive if both read positive) criteria in the combined interpretation of PET/CT and MRI. Nodal stage was confirmed pathologically. The combined diagnostic accuracy of PET/CT and MRI was determined on per-nodal station and per-patient bases and compared with that of PET/CT alone.ResultsIn 49 patients, 39 (19%) of 206 nodal stations harboured malignant cells. Out of 206 nodal stations, 186 (90%) had concordant readings, while the rest (10%) had discordant readings. Inclusive criteria of combined PET/CT and MRI helped increase sensitivity for detecting nodal metastasis (69%) compared with PET/CT alone (46%; P = 0.003), while specificity was not significantly decreased.ConclusionInclusive criteria in combined MRI and PET/CT readings help improve significantly the sensitivity for detecting nodal metastasis compared with PET/CT alone and may decrease unnecessary open thoracotomy.Key Points• Combined interpretation of MRI and PET/CT enhances the detection of nodal metastasis.• Inclusive criteria of combined MRI/PET/CT improved the sensitivity for detecting nodal metastasis.• Combined interpretation of MRI and PET/CT may reduce unnecessary open thoracotomies. More... »

PAGES

1537-1546

References to SciGraph publications

Journal

TITLE

European Radiology

ISSUE

7

VOLUME

22

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00330-012-2388-3

DOI

http://dx.doi.org/10.1007/s00330-012-2388-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1024346818

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22367469


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72 presence
73 presence of metastases
74 proposal
75 reading
76 reading criteria
77 rest
78 sensitivity
79 specificity
80 stage
81 stations
82 thoracic MRI
83 thoracotomy
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