The current status of an FDG-PET cancer screening program in Japan, based on a 4-year (2006–2009) nationwide survey View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-01

AUTHORS

Ryogo Minamimoto, Michio Senda, Seishi Jinnouchi, Takashi Terauchi, Tsuyoshi Yoshida, Takeshi Murano, Hiroshi Fukuda, Takeshi Iinuma, Kimiichi Uno, Sadahiko Nishizawa, Eriko Tsukamoto, Hiroshi Iwata, Takeshi Inoue, Kazuhiro Oguchi, Rumi Nakashima, Tomio Inoue

ABSTRACT

OBJECTIVE: The aim of this study was to survey the 18F-fluorodeoxyglucose-positron emission tomography (FDG-PET) cancer screening program conducted in Japan. METHODS: The "FDG-PET cancer screening program" included both FDG-PET and positron emission tomography with computed tomography (PET/CT) with or without other combined screening tests that were performed for cancer screening in asymptomatic subjects. A total of 155,456 subjects who underwent the FDG-PET cancer screening program during 2006-2009 were analyzed. RESULTS: Of the 155,456 subjects, positive findings suggesting possible cancer were noted in 16,955 (10.9 %). The number of cases with detected cancer was 1,912 (1.23 % of the total screened cases, annual range 1.14-1.30 %). Of the 1,912 cases of detected cancer, positive findings on FDG-PET were present in 1,491 cases (0.96 % of the total number of screened cases). According to the results of further examinations, the true positive rate for subjects with suggested possible cancer (positive predictive value) was 32.3 % with FDG-PET. Cancers of the colon/rectum, thyroid, lung, and breast were most frequently found (396, 353, 319, and 163 cases, respectively) with high PET sensitivity (85.9, 90.7, 86.8, 84.0 %, respectively). Prostate cancer and gastric cancer (165 and 124 cases, respectively) had low PET sensitivity (37.0 and 37.9 %, respectively). The Union for International Cancer Control (UICC) clinical stage of cancer found with the FDG-PET cancer screening program was mainly Stage I. CONCLUSIONS: The FDG-PET screening program in Japan has detected a variety of cancers at an early stage. However, several cancers were found in repeated FDG-PET cancer screening program, indicating the limitation of a one-time FDG-PET cancer screening program. The value of the FDG-PET cancer screening program is left to the judgment of individuals with regard to its potentials and limitations. More... »

PAGES

46-57

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    http://scigraph.springernature.com/pub.10.1007/s12149-012-0660-x

    DOI

    http://dx.doi.org/10.1007/s12149-012-0660-x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1028841920

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/23086544


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