Theme |
Frontier of image diagnosis for colorectal carcinoma |
Title |
Clinical utility of colorectal cancer diagnosis through FDG-PET (PET/CT) observation |
Author |
Kazuhiro Kitajima |
Department of Radiology / PET Center, Dokkyo Medical University School of Medicine |
Author |
Koji Murakami |
PET Center, Dokkyo Medical University School of Medicine |
Author |
Erena Yamasaki |
PET Center, Dokkyo Medical University School of Medicine |
Author |
Yasushi Kaji |
Department of Radiology, Dokkyo Medical University School of Medicine |
Author |
Yasushi Domeki |
Department of First Surgery, Dokkyo Medical University School of Medicine |
Author |
Masahiro Tsubaki |
Department of First Surgery, Dokkyo Medical University School of Medicine |
Author |
Masakatsu Sunagawa |
Department of First Surgery, Dokkyo Medical University School of Medicine |
[ Summary ] |
We outline the usefulness and limitations of evaluating colorectal cancer through use of FDG-PET (PET/CT) scanning, in relation to categories such as detection of primary lesions, lymph node metastasis or recurrence, as well as detection of distant metastasis. PET (PET/CT) scanning is effective for detecting metastases and recurrence rather than evaluation of primary tumors. It is especially useful for finding unexpected lesions as compared to other imaging modalities. 3D images reconstructed by fused contrast enhanced CTs and FDG-PET scans are used to produce navigation images. These images may be used to detect hypermetabolic tumors and vascular structures simultaneously. They are useful for preoperative mapping to clarify the correlationship of tumors and blood vessels. |