Evaluation of fluorine-18-fluorodeoxyglucose whole body positron emission tomography imaging in the staging of lung cancer Catherine A.B Saunders, Julian.

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Presentation transcript:

Evaluation of fluorine-18-fluorodeoxyglucose whole body positron emission tomography imaging in the staging of lung cancer Catherine A.B Saunders, Julian E Dussek, Michael J O’Doherty, MD, Michael N Maisey, MD The Annals of Thoracic Surgery Volume 67, Issue 3, Pages 790-797 (March 1999) DOI: 10.1016/S0003-4975(98)01257-0

Fig 1 Fluoride-18-fluorodeoxyglucose study detected the right mid-zone primary with further foci in the right paratracheal region (A), and in a mid-thoracic vertebral body (B). Transaxial computed tomographic scan (C) demonstrated a large right hilar mass involving the right upper lobe bronchus with a plane of cleavage between the tumor and the ascending aorta, the superior vena cava, and the pericardium. This image (C) demonstrates small lymph nodes in the mediastinum, which are less than 1 cm, and by computed tomographic criteria are negative for malignancy. No other abnormality was seen on the computed tomographic scan. The Annals of Thoracic Surgery 1999 67, 790-797DOI: (10.1016/S0003-4975(98)01257-0)

Fig 2 Fluoride-18-fluorodeoxyglucose study with uptake in the primary right lung carcinoma and right adrenal bed in the coronal section (A). Fine needle biopsy of the right adrenal was negative and the patient underwent thoracotomy and excision of the primary. A follow-up positron emission tomographic study 3.5 months later demonstrates growth of the right adrenal metastasis and local recurrence (B). Computed tomographic scan showed no abnormality in the right adrenal but confirmed a right lung primary. The Annals of Thoracic Surgery 1999 67, 790-797DOI: (10.1016/S0003-4975(98)01257-0)

Fig 3 Fluoride-18-fluorodeoxyglucose study demonstrating uptake in the right lower lobe primary malignancy with no evidence of mediastinal or distant metastases. Coronal (A) and sagittal (B) slices. The Annals of Thoracic Surgery 1999 67, 790-797DOI: (10.1016/S0003-4975(98)01257-0)

Fig 4 Proposed algorithm for the use of positron emission tomography in patients with proved lung cancer. Note: Computed tomographic scan is not necessary before positron emission tomogram if the patient has an intrapulmonary lesion. Computed tomographic scan is nessary to assess lesions close to the mediastinum or chest wall to assess local invasion. The Annals of Thoracic Surgery 1999 67, 790-797DOI: (10.1016/S0003-4975(98)01257-0)