Pretreatment evaluation of distant-site status in patients with nasopharyngeal carcinoma: Accuracy of whole-body MRI at 3-Tesla and FDG-PET-CT

Shu Hang Ng*, Sheng Chieh Chan, Tzu Chen Yen, Joseph Tung Chieh Chang, Chun Ta Liao, Sheung Fat Ko, Hung Ming Wang, Yau Yau Wai, Jiun Jie Wang, Min Chi Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

35 Scopus citations

Abstract

We sought to prospectively evaluate the accuracy of 3.0-Tesla whole-body magnetic resonance imaging (WB-MRI) and integrated fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) (FDG-PET-CT), and their combined interpretation for the assessment of distant-site status in 150 patients with untreated nasopharyngeal carcinoma (NPC). Eighteen (12%) patients were diagnosed as having distant malignancies (15 patients had distant metastases, and three distant synchronous tumours). On a patient-based analysis, WB-MRI and FDG-PET-CT showed similar sensitivity (77.8% vs 72.2%, P>0.999), specificity (98.5% vs 97.7%, P>0.999) and diagnostic capability (0.905 vs 0.878, P=0.669). Combined interpretation of WB-MRI and FDG-PET-CT showed no significant benefit over either technique alone. In conclusion, 3.0-Tesla WB-MRI is a feasible, non-ionising technique that showed similar diagnostic capacity to FDG-PET-CT in assessing distant-site status in patients with untreated NPC and can be recommended as the first-line imaging technique for comprehensive evaluation of such patients.

Original languageEnglish
Pages (from-to)2965-2976
Number of pages12
JournalEuropean Radiology
Volume19
Issue number12
DOIs
StatePublished - 12 2009

Keywords

  • Computed tomography
  • Magnetic resonance imaging
  • Nasopharyngeal carcinoma
  • Positron emission tomography
  • Whole body

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