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[SPECT-CT in sentinel node detection in patients with melanoma].

J Mucientes Rasilla1, J Cardona Arboniés, R Delgado Bolton

  • 1Servicio de Medicina Nuclear, Hospital Clínico San Carlos, Madrid, España. jorgemuci@vodafone.es

Revista Espanola De Medicina Nuclear
|November 20, 2009
PubMed
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SPECT-CT imaging improved sentinel lymph node detection in melanoma patients, identifying the node in 100% of cases. This technique offers clinically relevant findings, especially for melanoma on the trunk or head and neck.

Area of Science:

  • Oncology
  • Nuclear Medicine
  • Diagnostic Imaging

Background:

  • Prognosis of cutaneous melanoma is significantly impacted by lymph node metastasis.
  • Sentinel lymph node biopsy (SLNB) is an innovative oncological approach.
  • Accurate sentinel node identification is crucial for melanoma staging and treatment.

Purpose of the Study:

  • To evaluate the contribution of SPECT-CT imaging in locating sentinel nodes for melanoma patients.
  • To assess the added value of SPECT-CT compared to conventional imaging techniques.

Main Methods:

  • A study involving 18 melanoma patients (10 female, 8 male) aged 14-83.
  • Sentinel node search utilized dynamic scintigraphy, planar imaging, and SPECT-CT.
  • Data collected from March 2007 to October 2008 at San Carlos University Hospital.

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Main Results:

  • Conventional imaging located sentinel nodes in 88.88% (16/18) of patients.
  • SPECT-CT successfully identified sentinel nodes in 100% (18/18) of patients.
  • Clinically relevant findings were detected by SPECT-CT in 33.33% (6/18) of cases.

Conclusions:

  • SPECT-CT imaging provides crucial clinical information for sentinel node assessment in melanoma.
  • The technique is particularly valuable for melanoma cases on the trunk and head/neck regions.
  • SPECT-CT enhances the diagnostic accuracy of sentinel lymph node biopsy in melanoma management.