Tailoring the clinical management of colorectal cancer by 18F-FDG PET/CT

Front Oncol. 2022 Dec 22:12:1062704. doi: 10.3389/fonc.2022.1062704. eCollection 2022.

Abstract

Colorectal cancer (CRC) is among the most commonly diagnosed gastrointestinal malignancies worldwide. It is inadequate to handle in terms of staging and restaging only based on morphological imaging modalities and serum surrogate markers. And the correct and timely staging of CRC is imperative to prognosis and management. When compared to established sequential, multimodal conventional diagnostic methods, the molecular and functional imaging 18F-FDG PET/CT shows superiorities for tailoring appropriate treatment maneuvers to each patient. This review aims to summarize the utilities of 18F-FDG PET/CT in CRC, focusing on primary staging, follow-up assessment of tumor responses and diagnostic of recurrence. In addition, we also summarize the technical considerations of PET/CT and the conventional imaging modalities in those patients who are either newly diagnosed with CRC or has already been treated from this cancer.

Keywords: FDG PET/CT; TNM staging; colorectal cancer; restaging; treatment monitoring.

Publication types

  • Review