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Performance profile of FDG-PET and PET/CT for cancer screening based on a Japanese nationwide survey
Authors:Minamimoto Ryogo  Senda Michio  Uno Kimiichi  Jinnouchi Seishi  Iinuma Takeshi  Ito Kengo  Okuyama Chio  Oguchi Kazuhiro  Kawamoto Masami  Suzuki Yutaka  Tsukamoto Eriko  Terauchi Takashi  Nakashima Rumi  Nishio Masami  Nishizawa Sadahiko  Fukuda Hiroshi  Yoshida Tsuyoshi  Inoue Tomio
Affiliation:Department of Radiology, Graduate School of Medicine, Yokohama City University.
Abstract:
A total of 50,558 healthy subjects underwent an FDG-PET (including PET/CT) scan with or without combination of other tests for cancer screening in 46 PET centers during fiscal year of 2005 in Japan. Thorough examination was indicated for 9.8% of the cases due to positive findings suggesting possible cancer. On analyzing 43,996 cases from 38 PET centers, where detailed information was obtained, 500 cases of cancers (1.14%) were found, of which 0.90% was PET positive and 0.24% was PET negative, resulting in the relative sensitivity of PET being 79.0%. Cancers of thyroid, colon/rectum, lung and breast were most frequently found (107, 102, 79, 35 cases, respectively) with high PET sensitivity (88%, 90%, 80%, 92%). PET showed an overall positive predictive value of 29.0%. PET/CT had better detection rate, sensitivity, and positive predictive value than dedicated PET (p<0.01).
Keywords:
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