Usefulness of 99mTc-MIBI SPECT and CT in the Evaluation of Cervical Lymph Node Metastasis.
- Author:
Jun Young KIM
1
;
Soo Geun WANG
;
Byung Joo LEE
;
Hwan Jung ROH
;
Jin Choon LEE
;
Eui Kyung GOH
;
In Ju KIM
;
Yong Ki KIM
;
Hak Jin KIM
Author Information
1. Department of Otolaryngology, College of Medicine, Pusan National University, Busan, Korea. wangsg@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Tc-MIBI;
Computed tomography;
Head and neck cancer
- MeSH:
Head and Neck Neoplasms;
Humans;
Lymph Nodes*;
Neck;
Neoplasm Metastasis*;
Sensitivity and Specificity;
Tomography, Emission-Computed, Single-Photon*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2004;47(3):263-267
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: The aim of this study was to compare the effectivenss of 99mTc-MIBI SPECT and CT in evaluating cervical lymph node (LN) metastasis of head and neck cancer. MATERIALS AND METHOD: Histopathologic results of 138 cervical lymph node levels in 26 neck dissected patients were compared with preoperative CT and 99mTc-MIBI SPECT findings about cervical lymph node metastasis. RESULTS: Sensitivity, specificity and predictability of CT and 99mTc-MIBI SPECT were 63.2, 91.6, 87.7% and 52.6, 84.9, 80.4%, respectively. When analyzing CT and 99mTc-MIBI SPECT together, sensitivity and specificity was 78.9, 99.2%, respectively. CONCLUSION: The combined use of 99mTc-MIBI SPECT and CT could increase the accuracy, compared with the single use of either 99mTc-MIBI SPECT or CT, to detect cervical LN metastases.
