Role of FDG PET/CT in staging of recurrent ovarian cancer

Hongju Son, Shahid M. Khan, Jamal Rahaman, Katherine L. Cameron, Monica Prasad-Hayes, Linus Chuang, Josef Machac, Sherif Heiba, Lale Kostakoglu

Research output: Contribution to journalArticlepeer-review

80 Scopus citations

Abstract

Ovarian cancer is the fifth leading cause of cancer death among women in the United States and has a high likelihood of recurrence despite aggressive treatment strategies. Detection and exact localization of recurrent lesions are critical for guiding management and determining the proper therapeutic approach, which may prolong survival. Because of its high sensitivity and specificity compared with those of conventional techniques such as computed tomography (CT) and magnetic resonance (MR) imaging, fluorine 18 fluorodeoxyglucose positron emission tomography (PET) combined with CT is useful for detection of recurrent or residual ovarian cancer and for monitoring response to therapy. However, PET/CT may yield false-negative results in patients with small, necrotic, mucinous, cystic, or low-grade tumors. In addition, in the posttherapy setting, inflammatory and infectious processes may lead to false-positive PET/CT results. Despite these drawbacks, PET/CT is superior to CT and MR imaging for depiction of recurrent disease.

Original languageEnglish
Pages (from-to)569-583
Number of pages15
JournalRadiographics
Volume31
Issue number2
DOIs
StatePublished - Mar 2011

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