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FDG PET/CT in colorectal cancer
M Rodríguez-Fraile1, M P Cózar-Santiago2, A Sabaté-Llobera3
1Servicio de Medicina Nuclear, Clínica Universidad de Navarra, Pamplona, España; Grupo de Trabajo de Oncología de la Sociedad Española de Medicina Nuclear e Imagen Molecular.
Positron emission tomography with 18F-FDG (18F-FDG PET/CT) is a valuable imaging tool for colorectal cancer management. This review highlights its role in diagnosis, treatment decisions, and recurrence detection, aligning with international guidelines.
Area of Science:
- Oncology
- Nuclear Medicine
- Radiology
Background:
- Colorectal cancer is a leading global malignancy with increasing incidence in younger populations.
- Despite rising cases, mortality rates have significantly declined in developed nations due to advancements in prevention, diagnosis, and treatment.
- Diagnostic imaging plays a crucial role in optimizing therapeutic strategies, assessing treatment response, and enabling early detection of cancer recurrence.
Purpose of the Study:
- To comprehensively review the scientific evidence supporting the utility of 18F-FDG PET/CT in colorectal cancer management.
- To emphasize the applications of 18F-FDG PET/CT in colorectal cancer based on current international guidelines and recommendations from major scientific associations.
Main Methods:
- Systematic review of existing scientific literature on 18F-FDG PET/CT in colorectal cancer.
- Analysis of guidelines and recommendations from prominent international oncology and radiology societies.
- Focus on evidence pertaining to diagnostic accuracy, staging, treatment response assessment, and recurrence detection.
Main Results:
- 18F-FDG PET/CT demonstrates significant value in various aspects of colorectal cancer care.
- The technique aids in accurate staging, differentiating benign from malignant lesions, and detecting metastatic disease.
- Evidence supports its use in evaluating treatment response and identifying recurrent colorectal cancer, often earlier than conventional methods.
Conclusions:
- 18F-FDG PET/CT is an important imaging modality for optimizing colorectal cancer patient management.
- Its integration into clinical practice, guided by international recommendations, improves decision-making and patient outcomes.
- Further research may continue to refine the specific indications and applications of 18F-FDG PET/CT in colorectal cancer.
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