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Assessment of Mediastinal Involvement in Lung Cancer with [99mTc]-SESTAMIBI SPET

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Radioactive Isotopes in Clinical Medicine and Research

Part of the book series: Advances in Pharmacological Sciences ((APS))

Summary

We evaluated the role of [99mTc]-hexakis-2-methoxy-isobutyl-isonitrile (MIBI) SPET in lung cancer staging. 47 patients (mean age 63.3 years) with clinical and radiological suspicion of lung cancer, were enrolled in this study. All patients underwent, among the other staging procedures, CT scan and MIBI SPET of the thorax. In 36 patients a histological diagnosis was made and mediastinal lymph node involvement was demonstrated in 11. Using pathology staging as the standard MIEI SPET showed a sensitivity of 91% and a specificity of 84% while CT scan gave a sensitivity of 73% and a specificity of 60%. The MIBI SPET results were better than those of CT scan also when considering positive and negative predictive values and accuracy.

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Reference

  1. Libschitz HI, McKenna RJ. Mediastinal lymph node size in lung cancer. Am JRoentgenol 1984; 143: 715–718.

    Google Scholar 

  2. Genereux GP, Howie JL. Normal mediastinal lymph node size and number. CT and anatomic study. Am JRoentgenol 1984; 142: 1095–1100.

    CAS  Google Scholar 

  3. Ginsberg RJ, Kris MG, Armstrong JG. Non-small cell lung cancer. In: De Vita VT, Hellman S, Rosenberg SA eds. Cancer: principles and practice of oncology, 4th edition. Philadelphia: JB Lippincott Co; 1993: 673–723.

    Google Scholar 

  4. Kayser K, Buzelbruk H, Probst G, et al. Retrospective and prospective tumor staging evaluating prognostic factors in operated bronchus carcinoma patients. Cancer 1987; 59: 355361.

    Google Scholar 

  5. Laurent F, Drouillard J, Dorcier F, et al. Bronchogenic carcinoma staging: CT vs MR imaging. Assessment with surgery. EurJCardiothorac Surg 1988; 2: 31–36.

    Article  CAS  Google Scholar 

  6. McCloud TC, Bourgouin PM, Greenberg RW, et al. Bronchogenic carcinoma: analysis of staging in the mediastinum with CT by correlative lymph node mapping and sampling. Radiology 1992; 182: 319–323.

    Google Scholar 

  7. Rubin E, Sanders C, Harvey JC, Beattie EJ. Diagnostic imaging and staging of primary lung cancer. Seminars in Surgical Oncology 1993; 9: 85–91.

    Article  PubMed  CAS  Google Scholar 

  8. Hassan IM, Sahweil A, Constantinides C, et al. Uptake and kinetics of Tc-99m-hexakis 2methoxy isobutyl isonitrile in benign and malignant lesions in the lungs. Clin Nucl Med 1989; 14: 333–340.

    Article  PubMed  CAS  Google Scholar 

  9. Muller ST, Reiner C, Paas M, et al. Tc-99m-MIBI and Tl-201 uptake in bronchial carcinoma. J Nucl Med 1989; 30: 845.

    Google Scholar 

  10. Muller ST, Guth-Taugelides B, Creutzig H. Imaging of malignant tumors with Tc-99m-MIBI SPECT. JNucl Med 1987; 28: 562.

    Google Scholar 

  11. LeBouthillier G, Taillefer R, Lambert R, et al. Detection of primary lung cancer with Tc-99mSestaMIBI. J Nucl Med 1993; 34: 140 p

    Google Scholar 

  12. Aktolun C, Bayhan H, Pabuccu Y, Bilgic H, Acar H, Koylu R. Assessment of tumor necrosis and detection of mediastinal lymph node metastasis in bronchial carcinoma with technetium-99m sestamibi imaging: comparison with CT scan. Eur J Nucl Med 1994; 21: 973–979.

    PubMed  CAS  Google Scholar 

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© 1997 Springer Basel AG

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Chiti, A., Grasselli, G., Maffioli, L., Infante, M., Incarbone, M., Bombardieri, E. (1997). Assessment of Mediastinal Involvement in Lung Cancer with [99mTc]-SESTAMIBI SPET. In: Bergmann, H., Kroiss, A., Sinzinger, H. (eds) Radioactive Isotopes in Clinical Medicine and Research. Advances in Pharmacological Sciences. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-7772-5_38

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  • DOI: https://doi.org/10.1007/978-3-0348-7772-5_38

  • Publisher Name: Birkhäuser, Basel

  • Print ISBN: 978-3-0348-7774-9

  • Online ISBN: 978-3-0348-7772-5

  • eBook Packages: Springer Book Archive

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