Diagnosis of Recurrent Uterine Cervical Cancer: Computed Tomography versus Positron Emission Tomography.
- Author:
Dong Hee PARK
1
;
Kie Hwan KIM
;
Sang Yoon PARK
;
Byung Hee LEE
;
Chang Woon CHOI
;
Soo Yil CHIN
Author Information
- Publication Type:Original Article ; Comparative Study
- Keywords: Uterine neoplasms, CT; Uterine neoplasms, radionuclide studies; Positron emission tomography (PET), comparative studies
- MeSH: Adult; Cervix Neoplasms/*radiography/*radionuclide imaging; Comparative Study; Contrast Media; Female; Fludeoxyglucose F 18/diagnostic use; Human; Middle Age; Neoplasm Recurrence, Local/*radiography/*radionuclide imaging; Radiopharmaceuticals/diagnostic use; Sensitivity and Specificity; *Tomography, Emission-Computed; *Tomography, X-Ray Computed
- From:Korean Journal of Radiology 2000;1(1):51-55
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: To determine the accuracy of CT and positron emission tomography (PET) in the diagnosis of recurrent uterine cervical cancer. MATERIALS AND METHODS: Imaging findings of CT and PET in 36 patients (mean age, 53 years) in whom recurrent uterine cervical cancer was suspected were analyzed retrospectively. Between October 1997 and May 1998, they had undergone surgery and/or radiation therapy. Tumor recurrence was confirmed by pathologic examination or follow-up studies. RESULTS: In detecting recurrent uterine cervical cancer, the sensitivity, specificity, and accuracy of CT were 77.8%, 83.3%, and 80.5%, respectively, while for PET, the corresponding figures were 100%, 94.4%, and 97.2%. The Chisquare test revealed no significant difference in specificity (p = .2888), but significant differences in sensitivity (p = .0339) and accuracy (p = .0244). CONCLUSION: PET proved to be a reliable screening method for detecting recurrent uterine cervical cancer, but to determine the anatomical localization of recurrent tumors, and thus decide an adequate treatment plan, CT was eventually needed.
