[Diagnostic value of (18)F-labeled NaF positron emission tomography-computed tomography imaging in the detection of bone metastases in patients with lung cancer before treatment]

Zhonghua Yi Xue Za Zhi. 2012 Sep 18;92(35):2495-8.
[Article in Chinese]

Abstract

Objective: To evaluate the diagnostic values of (18)F-sodium fluoride ((18)F-NaF) positron emission tomography/computed tomography (PET/CT) imaging in the detection of bone metastases of lung cancer.

Methods: A total of 107 lung cancer patients were diagnosed by histopathology and undergone (18)F-NaF PET-CT imaging.

Results: Among them, the histopathologically diagnosed tumors included adenocarcinoma (n = 47), squamous cell carcinoma (n = 19), small cell lung cancer (n = 4) and other malignant types (n = 34). Bone metastases occurred in adenocarcinoma (n = 19) and squamous cell carcinoma (n = 4).(18)F-NaF PET/CT imaging had a high sensitivity of 100% in the diagnosis of bone metastases with malignant lung tumors. And its specificity was 98.7%, accuracy 99% and positive predictive value 97.0%.

Conclusion: (18)F-NaF PET-CT imaging can detect the bone metastases of lung cancer preoperatively with a high level of sensitivity and accuracy.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Bone Neoplasms / diagnosis
  • Bone Neoplasms / diagnostic imaging*
  • Bone Neoplasms / secondary
  • Female
  • Fluorodeoxyglucose F18
  • Humans
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / diagnostic imaging*
  • Lung Neoplasms / pathology
  • Male
  • Middle Aged
  • Multimodal Imaging / methods*
  • Positron-Emission Tomography*
  • Predictive Value of Tests
  • Retrospective Studies
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed*

Substances

  • Fluorodeoxyglucose F18