The role of 3D fusion imaging in sentinel lymphadenectomy for vulvar cancer

Beneder, C; Fuechsel, F G; Krause, Th; Kuhn, A; Mueller, M D (2008). The role of 3D fusion imaging in sentinel lymphadenectomy for vulvar cancer. Gynecologic oncology, 109(1), pp. 76-80. Orlando, Fla.: Elsevier 10.1016/j.ygyno.2007.11.045

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OBJECTIVES: To evaluate the feasibility of fusion imaging compound tomography (FICT) of CT/MRI and single photon emission tomography (SPECT) versus planar scintigraphy only (plSc) in pre-surgical staging for vulvar cancer. MATERIALS AND METHODS: Analysis of consecutive patients with vulvar cancer who preoperatively underwent sentinel scintigraphy (planar and 3D-SPECT imaging) and CT or MRI. Body markers were used for exact anatomical co-registration and fusion datasets were reconstructed using SPECT and CT/MRI. The number and localisation of all intraoperatively identified and resected sentinel lymph nodes (SLN) were compared between planar and 3D fusion imaging. RESULTS: Twenty six SLN were localized on planar scintigraphy. Twelve additional SLN were identified after SPECT and CT/MRI reconstruction, all of them were confirmed intraoperatively. In seven cases where single foci were identified at plSc, fusion imaging revealed grouped individual nodes and five additional localisations were discovered at fusion imaging. In seven patients both methods identified SLN contra lateral to the primary tumor site, but only fusion imaging allowed to localise iliac SLN in four patients. All SLN predicted on fusion imaging could be localised and resected during surgery. CONCLUSIONS: Fusion imaging using SPECT and CT/MRI can detect SLN in vulvar cancer more precisely than planar imaging regarding number and anatomical localisation. FICT revealed additional information in seven out of ten cases (70%).

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Clinic of Nuclear Medicine

UniBE Contributor:

Beneder, Christine; Krause, Thomas Michael; Kuhn, Annette and Mueller, Michael

ISSN:

0090-8258

ISBN:

18215758

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:04

Last Modified:

06 Dec 2013 13:53

Publisher DOI:

10.1016/j.ygyno.2007.11.045

PubMed ID:

18215758

Web of Science ID:

000255014100015

URI:

https://boris.unibe.ch/id/eprint/27854 (FactScience: 112938)

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