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PET/CT for radiotherapy planning of head-‐neck cancer

PET/CT for radiotherapy planning of head-‐neck cancer

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ScienAfic evaluaAon<br />

! 112 pa3ents with (chemo)radia3on <strong>for</strong> a N2 <strong>head</strong>neck tumor<br />

! FDG-­‐<strong>PET</strong>/<strong>CT</strong> scan 3 months afer CRT<br />

! Only FDG-­‐posi3ve necks received node dissec3on<br />

! All others wait-­‐and-­‐see<br />

! Average follow-­‐up 2,5 years<br />

Results<br />

! 50 pa3ents with residual nodes on <strong>CT</strong><br />

! 9 posi3ve on <strong>PET</strong>: PPV = 22%<br />

! 41 nega3ve on <strong>PET</strong>: NPV = 100%<br />

Results <strong>of</strong> a prospec3ve study <strong>of</strong> positron emission tomography-­‐directed management <strong>of</strong> residual nodal abnormali3es in node-­‐posi3ve<br />

<strong>head</strong> and neck <strong>cancer</strong> afer defini3ve <strong>radiotherapy</strong> with or without systemic therapy.<br />

Porceddu SV et al., Head Neck 2011. (Aus)<br />

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