PET-CT-guided interventions in the management of FDG-positive lesions in patients suffering from solid malignancies: initial experiences

Klaeser, Bernd; Mueller, Michel D; Schmid, Ralph A; Guevara, Carlos; Krause, Thomas; Wiskirchen, Jakub (2009). PET-CT-guided interventions in the management of FDG-positive lesions in patients suffering from solid malignancies: initial experiences. European radiology, 19(7), pp. 1780-5. Berlin: Springer-Verlag 10.1007/s00330-009-1338-1

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Positron emission tomography-computed tomography (PET-CT) has gained widespread acceptance as a staging investigation in the diagnostic workup of malignant tumours and may be used to visualize metabolic changes before the evolution of morphological changes. To make histology of PET findings without distinctive structural changes available for treatment decisions, we developed a protocol for multimodal image-guided interventions using an integrated PET-CT machine. We report our first experience in 12 patients admitted for staging and restaging of breast cancer, non-small cell lung cancer, cervical cancer, soft tissue sarcoma, and osteosarcoma. Patients were repositioned according to the findings in PET-CT and intervention was planned based on a subsequent single-bed PET-CT acquisition of the region concerned. The needle was introduced under CT guidance in a step-by-step technique and correct needle position in the centre of the FDG avid lesion was assured by repetition of a single-bed PET-CT acquisition before sampling. The metabolically active part of lesions was accurately targeted in all patients and representative samples were obtained in 92%. No major adverse effects occurred. We conclude that PET-CT guidance for interventions is feasible and may be promising to optimize the diagnostic yield of CT-guided interventions and to make metabolically active lesions without morphological correlate accessible to percutaneous interventions.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Clinic of Nuclear Medicine
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery
04 Faculty of Medicine > Service Sector > Institute of Pathology > Clinical Pathology

UniBE Contributor:

Klaeser, Bernd; Schmid, Ralph and Guevara Pineda, Carlos

ISSN:

0938-7994

Publisher:

Springer-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:13

Last Modified:

22 Jul 2020 11:13

Publisher DOI:

10.1007/s00330-009-1338-1

PubMed ID:

19238391

Web of Science ID:

000266780800030

BORIS DOI:

10.7892/boris.32063

URI:

https://boris.unibe.ch/id/eprint/32063 (FactScience: 196921)

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