18F-FDG-PET/CT interpretation pitfalls in patients with head and neck cancer

被引：11
|
作者：
Tsetsos, Nikolaos [1 ]
Poutoglidis, Alexandros [1 ]
Arsos, Georgios [2 ]
Tsentemeidou, Aikaterini [3 ]
Kilmpasanis, Adamantios [1 ]
Katsampoukas, Dimitrios [2 ]
Fyrmpas, Georgios [4 ]
机构：
[1] G Papanikolaou Gen Hosp, Dept Otorhinolaryngol Head & Neck Surg, Thessaloniki, Greece
[2] Aristotle Univ Thessaloniki, Papageorgiou Hosp, Med Sch, Dept Nucl Med 3, Thessaloniki, Greece
[3] Aristotle Univ Thessaloniki, Sch Med, Dept Dermatol & Venereol 1, Thessaloniki, Greece
[4] Democritus Univ Thrace, Med Sch, Dept Otorhinolaryngol Head & Neck Surg, Alexandroupolis, Greece
来源：
AMERICAN JOURNAL OF OTOLARYNGOLOGY | 2022年 / 43卷 / 01期
关键词：
Head and neck; cancer; Imaging; 18F-FDG PET; CT; Pitfalls; SQUAMOUS-CELL CARCINOMA; POSITRON-EMISSION-TOMOGRAPHY; FDG-PET/CT; METASTASIS; MALIGNANCY; TUMOR; CT;
D O I：
10.1016/j.amjoto.2021.103209
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Aim: The aim of the present study is to raise awareness of ENT Surgeons on the limitations of 18F-FDG PET/CT in head and neck cancer by presenting illustrative cases from our department archives. Materials and methods: A retrospective chart review was conducted for all patients with head and neck cancer treated in our ENT department from 2015 to 2020. Cases with various interpretation pitfalls due to false-positive and false-negative PET/CT results that lead to diagnostic dilemmas and treatment delays either in their pretherapeutic work-up or in their post-therapeutic monitoring were included. Results: Five cases of various image interpretation pitfalls (3 false negative and 2 false positive cases) were identified and are presented in detail. Conclusions: Although 18F-FDG PET/CT has gained in popularity and improved head and neck cancer management, clinicians should be aware of its limitations. The combination of 18F-FDG PET/CT with other imaging modalities can reduce the number of interpretation pitfalls but by no means will substitute sound clinical judgement.
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页数：5
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