The usefulness of F-18 FDG PET/CT-mammography for preoperative staging of breast cancer: comparison with conventional PET/CT and MR-mammography
Identifieur interne : 003051 ( Main/Exploration ); précédent : 003050; suivant : 003052The usefulness of F-18 FDG PET/CT-mammography for preoperative staging of breast cancer: comparison with conventional PET/CT and MR-mammography
Auteurs : Eun-Ha Moon [Corée du Sud] ; Seok Tae Lim [Corée du Sud] ; Yeon-Hee Han [Corée du Sud] ; Young Jin Jeong [Corée du Sud] ; Yun-Hee Kang [Corée du Sud] ; Hwan-Jeong Jeong [Corée du Sud] ; Myung-Hee Sohn [Corée du Sud]Source :
- Radiology and Oncology [ 1318-2099 ] ; 2013.
Abstract
The objective of the study was to compare the diagnostic efficacy of an integrated Fluorine-18 fluorodeoxyglucose (F-18 FDG) PET/CT-mammography (mammo-PET/CT) with conventional torso PET/CT (supine-PET/CT) and MR-mammography for initial assessment of breast cancer patients.
Forty women (52.0 ± 12.0 years) with breast cancer who underwent supine-PET/CT, mammo-PET/CT, and MR-mammography from April 2009 to August 2009 were enrolled in the study. We compared the size of the tumour, tumour to chest wall distance, tumour to skin distance, volume of axillary fossa, and number of meta-static axillary lymph nodes between supine-PET/CT and mammo-PET/CT. Next, we assessed the difference of focality of primary breast tumour and tumour size in mammo-PET/CT and MR-mammography. Histopathologic findings served as the standard of reference.
In the comparison between supine-PET/CT and mammo-PET/CT, significant differences were found in the tumour size (supine-PET/CT: 1.3 ± 0.6 cm, mammo-PET/CT: 1.5 ± 0.6 cm, p < 0.001), tumour to thoracic wall distance (1.8 ± 0.9 cm, 2.2 ± 2.1 cm, p < 0.001), and tumour to skin distance (1.5 ± 0.8 cm, 2.1 ± 1.4 cm, p < 0.001). The volume of axillary fossa was significantly wider in mammo-PET/CT than supine-PET/CT (21.7 ± 8.7 cm3
Mammo-PET/CT provided more correct definition of the T-stage and evaluation of axillary fossa may also be delineated more clearly than with supine-PET/CT. The initial assessment of mammo-PET/CT would be more useful than MR-mammography because the mammo-PET/CT indicates similar accuracy with MR-mammography for decision of T-stage of primary breast tumour and more correct than MR-mammography for defining focality of lesion.
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DOI: 10.2478/raon-2013-0031
PubMed: 24294185
PubMed Central: 3814285
Affiliations:
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Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-rado-47-04-390">Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation></author><author><name sortKey="Sohn, Myung Hee" sort="Sohn, Myung Hee" uniqKey="Sohn M" first="Myung-Hee" last="Sohn">Myung-Hee Sohn</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-47-04-390">Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-rado-47-04-390">Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24294185</idno><idno type="pmc">3814285</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3814285</idno><idno type="RBID">PMC:3814285</idno><idno 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PET/CT-mammography for preoperative staging of breast cancer: comparison with conventional PET/CT and MR-mammography</title><author><name sortKey="Moon, Eun Ha" sort="Moon, Eun Ha" uniqKey="Moon E" first="Eun-Ha" last="Moon">Eun-Ha Moon</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-47-04-390">Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-rado-47-04-390">Department of Nuclear Medicine, Presbyterian Medical Center, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Presbyterian Medical Center, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation></author><author><name sortKey="Lim, Seok Tae" sort="Lim, Seok Tae" uniqKey="Lim S" first="Seok Tae" last="Lim">Seok Tae Lim</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-47-04-390">Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-rado-47-04-390">Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation></author><author><name sortKey="Han, Yeon Hee" sort="Han, Yeon Hee" uniqKey="Han Y" first="Yeon-Hee" last="Han">Yeon-Hee Han</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-47-04-390">Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation></author><author><name sortKey="Jeong, Young Jin" sort="Jeong, Young Jin" uniqKey="Jeong Y" first="Young Jin" last="Jeong">Young Jin Jeong</name><affiliation wicri:level="1"><nlm:aff id="af4-rado-47-04-390">Department of Nuclear Medicine, Dong-A University Medical Center, Busan, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Dong-A University Medical Center, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Kang, Yun Hee" sort="Kang, Yun Hee" uniqKey="Kang Y" first="Yun-Hee" last="Kang">Yun-Hee Kang</name><affiliation wicri:level="1"><nlm:aff id="af5-rado-47-04-390">Department of Nuclear Medicine, Eulji University School of Medicine, Daejeon, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Eulji University School of Medicine, Daejeon</wicri:regionArea><wicri:noRegion>Daejeon</wicri:noRegion></affiliation></author><author><name sortKey="Jeong, Hwan Jeong" sort="Jeong, Hwan Jeong" uniqKey="Jeong H" first="Hwan-Jeong" last="Jeong">Hwan-Jeong Jeong</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-47-04-390">Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-rado-47-04-390">Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation></author><author><name sortKey="Sohn, Myung Hee" sort="Sohn, Myung Hee" uniqKey="Sohn M" first="Myung-Hee" last="Sohn">Myung-Hee Sohn</name><affiliation wicri:level="1"><nlm:aff id="af1-rado-47-04-390">Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Nuclear Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-rado-47-04-390">Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital, Jeonju, Jeonbuk</wicri:regionArea><wicri:noRegion>Jeonbuk</wicri:noRegion></affiliation></author></analytic><series><title level="j">Radiology and Oncology</title><idno type="ISSN">1318-2099</idno><idno type="eISSN">1581-3207</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The objective of the study was to compare the diagnostic efficacy of an integrated Fluorine-18 fluorodeoxyglucose (F-18 FDG) PET/CT-mammography (mammo-PET/CT) with conventional torso PET/CT (supine-PET/CT) and MR-mammography for initial assessment of breast cancer patients.</p></sec><sec><title>Patients and methods</title><p>Forty women (52.0 ± 12.0 years) with breast cancer who underwent supine-PET/CT, mammo-PET/CT, and MR-mammography from April 2009 to August 2009 were enrolled in the study. We compared the size of the tumour, tumour to chest wall distance, tumour to skin distance, volume of axillary fossa, and number of meta-static axillary lymph nodes between supine-PET/CT and mammo-PET/CT. Next, we assessed the difference of focality of primary breast tumour and tumour size in mammo-PET/CT and MR-mammography. Histopathologic findings served as the standard of reference.</p></sec><sec><title>Results</title><p>In the comparison between supine-PET/CT and mammo-PET/CT, significant differences were found in the tumour size (supine-PET/CT: 1.3 ± 0.6 cm, mammo-PET/CT: 1.5 ± 0.6 cm, p < 0.001), tumour to thoracic wall distance (1.8 ± 0.9 cm, 2.2 ± 2.1 cm, p < 0.001), and tumour to skin distance (1.5 ± 0.8 cm, 2.1 ± 1.4 cm, p < 0.001). The volume of axillary fossa was significantly wider in mammo-PET/CT than supine-PET/CT (21.7 ± 8.7 cm<sup>3</sup><italic>vs.</italic> 23.4 ± 10.4 cm<sup>3</sup>, p = 0.03). Mammo-PET/CT provided more correct definition of the T-stage of the primary tumour than did supine-PET/CT (72.5% <italic>vs</italic>. 67.5%). No significant difference was found in the number of metastatic axillary lymph nodes. Compared with MR-mammography, mammo-PET/CT provided more correct classification of the focality of lesion than did MR-mammography (95% <italic>vs</italic>. 90%). In the T-stage, 72.5% of cases with mammo-PET/CT and 70% of cases with MR-mammography showed correspondence with pathologic results.</p></sec><sec><title>Conclusions</title><p>Mammo-PET/CT provided more correct definition of the T-stage and evaluation of axillary fossa may also be delineated more clearly than with supine-PET/CT. The initial assessment of mammo-PET/CT would be more useful than MR-mammography because the mammo-PET/CT indicates similar accuracy with MR-mammography for decision of T-stage of primary breast tumour and more correct than MR-mammography for defining focality of lesion.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author><author><name sortKey="Siegel, R" uniqKey="Siegel R">R Siegel</name></author><author><name sortKey="Ward, E" uniqKey="Ward E">E Ward</name></author><author><name sortKey="Murray, T" uniqKey="Murray T">T Murray</name></author><author><name sortKey="Xu, J" uniqKey="Xu J">J Xu</name></author><author><name sortKey="Smigal, C" uniqKey="Smigal C">C Smigal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kopans, Db" uniqKey="Kopans D">DB Kopans</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bird, 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LaTrenta</name></author><author><name sortKey="Menell, Jh" uniqKey="Menell J">JH Menell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heusner, Ta" uniqKey="Heusner T">TA Heusner</name></author><author><name sortKey="Kuemmel, S" uniqKey="Kuemmel S">S Kuemmel</name></author><author><name sortKey="Umutlu, L" uniqKey="Umutlu L">L Umutlu</name></author><author><name sortKey="Koeninger, A" uniqKey="Koeninger A">A Koeninger</name></author><author><name sortKey="Freudenberg, Ls" uniqKey="Freudenberg L">LS Freudenberg</name></author><author><name sortKey="Hauth, Am" uniqKey="Hauth A">AM Hauth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Samson, Dj" uniqKey="Samson D">DJ Samson</name></author><author><name sortKey="Flamm, Cr" uniqKey="Flamm C">CR Flamm</name></author><author><name sortKey="Pisano, Ed" uniqKey="Pisano E">ED Pisano</name></author><author><name sortKey="Aronson, N" uniqKey="Aronson N">N Aronson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Moon, Eun Ha" sort="Moon, Eun Ha" uniqKey="Moon E" first="Eun-Ha" last="Moon">Eun-Ha Moon</name></noRegion><name sortKey="Han, Yeon Hee" sort="Han, Yeon Hee" uniqKey="Han Y" first="Yeon-Hee" last="Han">Yeon-Hee Han</name><name sortKey="Jeong, Hwan Jeong" sort="Jeong, Hwan Jeong" uniqKey="Jeong H" first="Hwan-Jeong" last="Jeong">Hwan-Jeong Jeong</name><name sortKey="Jeong, Hwan Jeong" sort="Jeong, Hwan Jeong" uniqKey="Jeong H" first="Hwan-Jeong" last="Jeong">Hwan-Jeong Jeong</name><name sortKey="Jeong, Young Jin" sort="Jeong, Young Jin" uniqKey="Jeong Y" first="Young Jin" last="Jeong">Young Jin Jeong</name><name sortKey="Kang, Yun Hee" sort="Kang, Yun Hee" uniqKey="Kang Y" first="Yun-Hee" last="Kang">Yun-Hee Kang</name><name sortKey="Lim, Seok Tae" sort="Lim, Seok Tae" uniqKey="Lim S" first="Seok Tae" last="Lim">Seok Tae Lim</name><name sortKey="Lim, Seok Tae" sort="Lim, Seok Tae" uniqKey="Lim S" first="Seok Tae" last="Lim">Seok Tae Lim</name><name sortKey="Moon, Eun Ha" sort="Moon, Eun Ha" uniqKey="Moon E" first="Eun-Ha" last="Moon">Eun-Ha Moon</name><name sortKey="Sohn, Myung Hee" sort="Sohn, Myung Hee" uniqKey="Sohn M" first="Myung-Hee" last="Sohn">Myung-Hee Sohn</name><name sortKey="Sohn, Myung Hee" sort="Sohn, Myung Hee" uniqKey="Sohn M" first="Myung-Hee" last="Sohn">Myung-Hee Sohn</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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