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Accuracy of 18F-FDG PET/CT in predicting residual disease after neoadjuvant chemoradiotherapy for esophageal cancer

The Journal of Nuclear Medicine Nov 11, 2019

Valkema MJ, Noordman BJ, Wijnhoven BPL, et al. - In this side study of the prospective diagnostic pre-SANO trial, researchers prospectively examined the optimal evaluation of qualitative and quantitative 18F-FDG PET/CT in response assessments 12–14 wk following neoadjuvant chemoradiotherapy (nCRT) in esophageal cancer individuals. In total, 129 of 219 people were examined. Qualitative and quantitative analyses of 18F-FDG PET/CT were unable to correctly identify tumor regression grade 3–4 and to differentiate substantial residual disease from benign inflammation-induced 18F-FDG uptake following nCRT. Nevertheless, for the identification of interval metastases, 18F-FDG PET/CT is beneficial and it might become beneficial in an active surveillance approach with serial 18F-FDG PET/CT scanning.
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