An update on the role of PET/CT and PET/MRI in ovarian cancer

B Khiewvan, DA Torigian, S Emamzadehfard… - European journal of …, 2017 - Springer
B Khiewvan, DA Torigian, S Emamzadehfard, K Paydary, A Salavati, S Houshmand
European journal of nuclear medicine and molecular imaging, 2017Springer
This review article summarizes the role of PET/CT and PET/MRI in ovarian cancer. With
regard to the diagnosis of ovarian cancer, the presence of FDG uptake within the ovary of a
postmenopausal woman raises the concern for ovarian cancer. Multiple studies show that
FDG PET/CT can detect lymph node and distant metastasis in ovarian cancer with high
accuracy and may, therefore, alter the management to obtain better clinical outcomes.
Although PET/CT staging is superior for N and M staging of ovarian cancer, its role is limited …
Abstract
This review article summarizes the role of PET/CT and PET/MRI in ovarian cancer. With regard to the diagnosis of ovarian cancer, the presence of FDG uptake within the ovary of a postmenopausal woman raises the concern for ovarian cancer. Multiple studies show that FDG PET/CT can detect lymph node and distant metastasis in ovarian cancer with high accuracy and may, therefore, alter the management to obtain better clinical outcomes. Although PET/CT staging is superior for N and M staging of ovarian cancer, its role is limited for T staging. Additionally, FDG PET/CT is of great benefit in evaluating treatment response and has prognostic value in patients with ovarian cancer. FDG PET/CT also has value to detect recurrent disease, particularly in patients with elevated serum CA-125 levels and negative or inconclusive conventional imaging test results. PET/MRI may beneficial for tumor staging because MRI has higher soft tissue contrast and no ionizing radiation exposure compared to CT. Some non-FDG PET radiotracers such as 18F-fluorothymidine (FLT) or 11C-methionine (MET) have been studied in preclinical and clinical studies as well and may play a role in the evaluation of patients with ovarian cancer.
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