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Staging of mediastinal non-small cell lung cancer with FDG PET, CT, and fusion images: preliminary prospective evaluation.
Abstract
PURPOSE: To evaluate use of positron emission tomography (PET) with 2-[fluorine-18]-fluoro-2-deoxy-D-glucose (FDG) in detection of mediastinal lymph node metastases from non-small cell lung cancer. MATERIALS AND METHODS: A prospective trial to compare FDG PET and computed tomography (CT) of the thorax was performed in 23 patients with newly diagnosed or suspected non-small cell lung cancer. Blinded interpretations of CT alone, PET alone, CT and PET together, and fusion images were performed, and the results were compared with pathologic results. RESULTS: Nineteen of 23 patients had non-small cell lung cancer. Prevalence of mediastinal involvement was 41%. In staging disease in the mediastinum, CT alone was 64% sensitive, 44% specific, and 52% accurate, whereas PET alone and fusion images were 82% sensitive, 81% specific, and 81% accurate (P < .05). CONCLUSIONS: FDG PET was more accurate than CT in staging disease in the mediastinum in patients with lung cancer and appears to be the preferred imaging method in this clinical setting.
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Cited by
(2001) · PubMed · Cited by 943
Shim, S. S., Lee, K. S., Kim, B.-T., Chung, M. J., Lee, E. J., Han, J., Choi, J. Y., Kwon, O. J., Shim, Y. M., & Kim, S. (2005) · Radiology · doi:10.1148/radiol.2363041310 · Cited by 444
Evaluation of Benign vs Malignant Hepatic Lesions With Positron Emission Tomography
Delbeke, D. (1998) · Archives of Surgery · doi:10.1001/archsurg.133.5.510 · Cited by 312
PET and [18F]-FDG in oncology: A clinical update
Conti, P. S., Lilien, D. L., Hawley, K., Keppler, J., Grafton, S. T., & Bading, J. R. (1996) · Nuclear Medicine and Biology · doi:10.1016/0969-8051(96)00074-1 · Cited by 259
Marom, E. M., Aloia, T. A., Moore, M.-B., Hara, M., Herndon, J. E., Harpole, D. H., Goodman, P. C., & Patz, E. F. (2001) · Lung Cancer · doi:10.1016/s0169-5002(00)00250-6 · Cited by 69
Metadata
- Authors
- Wahl, R. L., Quint, L. E., Greenough, R. L., Meyer, C. R., White, R. I., & Orringer, M. B.
- Venue
- Radiology
- Published
- 1994-05
- Volume
- 191
- Issue
- 2
- Pages
- 371-377
- ISSN
- 0033-8419 (ISSN-L)
- 1527-1315
- OpenAlex
- W1981097495
- Cited by
- 430
- References
- 0
- FWCI
- 24.69
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Staging of mediastinal non-small cell lung cancer with FDG PET, CT, and fusion images: preliminary prospective evaluation. https://app.cochat.ai/papers/10.1148/radiology.191.2.8153308
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- Wahl, R. L., Quint, L. E., Greenough, R. L., Meyer, C. R., White, R. I., & Orringer, M. B. (1994). Staging of mediastinal non-small cell lung cancer with FDG PET, CT, and fusion images: preliminary prospective evaluation. Radiology. https://doi.org/10.1148/radiology.191.2.8153308
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