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Oncology
Positron Emission Tomography (PET) is a non-invasive diagnostic imaging procedure that can provide unique information for accurate TNM staging. Many cancers exhibit increased glucose metabolic rates which can be identified with PET via the radiopharmaceutical 18F-FDG. Since changes in glucose metabolism often occur before changes in anatomy (e.g. tumor growth), PET can often identify the presence of disease earlier than other anatomic imaging techniques. Early disease identification is particularly critical during the assessment of nodal involvement or the determination of the presence of metastatic disease.

PET technology is primarily used in treating the following types of cancer:
  • Breast Cancer
  • Colorectal Cancer
  • Esophageal Cancer
  • Head & Neck Cancer
  • Lung Cancer
  • Lymphoma
  • Melanoma
  • Thyroid Cancer
  • Cervical Cancer
In general, the diagnostic accuracy of PET is superior to that of other complementary diagnostic exams.
 
Diagnostic Accuracy1
Cancer Type Conventional Imaging PET
Breast 67% 89%
Colorectal 80% 94%
Gastro-Esophageal 68% 83%
Head and Neck 65% 87%
Liver 81% 93%
Lung 68% 82%
Lymphoma 64% 88%
Melanoma 80% 91%
Pancreatic 65% 81%
Testicular 68% 92%
Uterine/Cervical 43% 87%

1
Source: The Journal of Nuclear Medicine Supplement, Volume 42, Number 5, May 2001 and UCLA

In addition, PET often demonstrates a higher sensitivity and specificity as compared to CT alone.
 
 
 
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