Source:http://linkedlifedata.com/resource/pubmed/id/11313174
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2001-4-23
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pubmed:abstractText |
The aim of the study was to evaluate the use of positron emission tomography with [18F]-fluorodeoxyglucose (FDG-PET) in patients with unexplained rising carcinoembryonic antigen (CEA) in the postoperative surveillance of colorectal cancer. 50 consecutive patients with elevated CEA levels and a completely normal (n=31) or equivocal (n=19) conventional diagnostic work-up (CDW) were retrospectively selected. All PET images were reviewed with full knowledge of the CDW. The gold standard consisted of histology, or clinical follow-up of more than 1 year. Recurrent disease was established in 56 lesions in 43 patients. On a patient-based analysis, the sensitivity of FDG-PET was 34/43 (79%), and the positive predictive value 34/38 (89%). In 14/50 patients (28%), the FDG-PET findings led to a surgical resection with curative intent. On a lesion-based analysis, FDG-PET detected 42/56 lesions (sensitivity: 75%), the positive predictive value was 79% (42/53). These results demonstrate that FDG-PET can have a clear impact on patient management in patients with an unexplained elevation in CEA levels.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
862-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:11313174-Adult,
pubmed-meshheading:11313174-Aged,
pubmed-meshheading:11313174-Carcinoembryonic Antigen,
pubmed-meshheading:11313174-Colorectal Neoplasms,
pubmed-meshheading:11313174-False Negative Reactions,
pubmed-meshheading:11313174-Female,
pubmed-meshheading:11313174-Fluorodeoxyglucose F18,
pubmed-meshheading:11313174-Humans,
pubmed-meshheading:11313174-Male,
pubmed-meshheading:11313174-Middle Aged,
pubmed-meshheading:11313174-Neoplasm Recurrence, Local,
pubmed-meshheading:11313174-Postoperative Care,
pubmed-meshheading:11313174-Radiopharmaceuticals,
pubmed-meshheading:11313174-Retrospective Studies,
pubmed-meshheading:11313174-Sensitivity and Specificity,
pubmed-meshheading:11313174-Tomography, Emission-Computed
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pubmed:year |
2001
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pubmed:articleTitle |
Unexplained rising carcinoembryonic antigen (CEA) in the postoperative surveillance of colorectal cancer: the utility of positron emission tomography (PET).
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pubmed:affiliation |
Departments of Nuclear Medicine, Internal Medicine, and Abdominal Surgery, University Hospital Gasthuisberg, Katholieke Universiteit Leuven (KUL), Herestraat 49, 3000, Leuven, Belgium. patrick.flamen@uz.kuleuven.ac.be
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pubmed:publicationType |
Journal Article
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