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Accuracy of FDG-PET/CT in Colorectal Peritoneal Carcinomatosis: Potential Tool for Evaluation of Chemotherapeutic Response

Neoadjuvant chemotherapy may be administered to patients with peritoneal carcinomatosis (PC) of colorectal cancer (CRC) origin. This study evaluated the performance of fluorodeoxyglucose positron-emission tomography (FDG-PET)/computed tomography (CT) in detection of PC from CRC and correlated the mo...

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Published in:Anticancer research 2017-02, Vol.37 (2), p.929-934
Main Authors: Liberale, Gabriel, Lecocq, Céline, Garcia, Camilo, Muylle, Kristof, Covas, Angélique, Deleporte, Amélie, Hendlisz, Alain, Bouazza, Fikri, El Nakadi, Issam, Flamen, Patrick
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container_issue 2
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container_title Anticancer research
container_volume 37
creator Liberale, Gabriel
Lecocq, Céline
Garcia, Camilo
Muylle, Kristof
Covas, Angélique
Deleporte, Amélie
Hendlisz, Alain
Bouazza, Fikri
El Nakadi, Issam
Flamen, Patrick
description Neoadjuvant chemotherapy may be administered to patients with peritoneal carcinomatosis (PC) of colorectal cancer (CRC) origin. This study evaluated the performance of fluorodeoxyglucose positron-emission tomography (FDG-PET)/computed tomography (CT) in detection of PC from CRC and correlated the most metabolically active quadrant with the most affected peritoneal area determined during surgery. This retrospective study compared the performance of FDG-PET/CT for PC diagnosis in 26 patients with CRC with histopathologically-confirmed PC with a control group of 26 patients. An FDG-PET/CT score established for each patient diagnosed with PC was compared with the peritoneal cancer index (PCI) performed during surgery. The sensitivity and specificity of FDG-PET/CT for PC detection were 85% (22/26) and 88% (23/26), respectively. The most scored quadrant by FDG-PET/CT corresponded to the most scored quadrant at surgery in 77.3%. FDG-PET/CT may represent a useful tool for evaluating response to neoadjuvant chemotherapy in patients with PC of CRC origin.
doi_str_mv 10.21873/anticanres.11401
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subjects Adult
Aged
Aged, 80 and over
Colorectal Neoplasms - diagnostic imaging
Colorectal Neoplasms - pathology
Colorectal Neoplasms - surgery
Drug Therapy
Female
Fluorodeoxyglucose F18
Humans
Male
Middle Aged
Neoadjuvant Therapy
Outcome Assessment (Health Care) - methods
Peritoneal Neoplasms - diagnostic imaging
Peritoneal Neoplasms - secondary
Positron Emission Tomography Computed Tomography - methods
Reproducibility of Results
Retrospective Studies
Sensitivity and Specificity
title Accuracy of FDG-PET/CT in Colorectal Peritoneal Carcinomatosis: Potential Tool for Evaluation of Chemotherapeutic Response
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