The role of 18F-FDG-PET and PET/CT in patients with colorectal liver metastases undergoing selective internal radiation therapy with yttrium-90: a first evidence-based review

ScientificWorldJournal. 2014 Feb 2:2014:879469. doi: 10.1155/2014/879469. eCollection 2014.

Abstract

Purpose: To provide a first evidence-based review of the literature on the role of fluorine-18-fluorodeoxyglucose positron emission tomography and positron emission tomography/computed tomography (FDG-PET and PET/CT) in patients with colorectal liver metastases (CRLM) undergoing selective internal radiation therapy (SIRT) with yttrium-90 ((90)Y) microspheres.

Methods: A comprehensive computer literature search was conducted to find relevant published articles on whole-body FDG-PET or PET/CT in patients with CRLM undergoing SIRT.

Results: We identified 19 studies including 833 patients with CRLM undergoing SIRT. The role of FDG-PET or PET/CT was analysed in treatment planning, treatment response evaluation, and as prognostic tool.

Conclusion: FDG-PET and PET/CT provide additional information in treatment evaluation of CRLM patients treated with SIRT and may have a role in treatment planning and patient selection. FDG-PET/CT is emerging as good prognostic tool in these patients.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Colorectal Neoplasms / pathology*
  • Fluorodeoxyglucose F18*
  • Humans
  • Liver Neoplasms / diagnosis*
  • Liver Neoplasms / mortality
  • Liver Neoplasms / radiotherapy
  • Liver Neoplasms / secondary*
  • Positron-Emission Tomography*
  • Prognosis
  • Tomography, X-Ray Computed*
  • Treatment Outcome
  • Yttrium Radioisotopes

Substances

  • Yttrium Radioisotopes
  • Fluorodeoxyglucose F18