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Your Article Summary
Limitations of PET/CT in determining need for neck dissection after primary chemoradiation for advanced head and neck squamous cell carcinoma
Journal for Oto-Rhino-Laryngology, 09/16/09
Lyford-Pike S et al. – PET/CT is neither highly sensitive nor highly specific for identifying residual nodal metastases after CRT for advanced-stage HNSCC.
Methods- Retrospective study
- 38 patients received primary CRT for HNSCC with N2 or greater disease, PET/CT after treatment and neck dissection
- PET/CT results were correlated with pathology results from neck dissection specimens for each respective side
- 46 neck regions were analyzed
- 9 were determined to have either PET/CT result reports (n = 5) or pathology reports (n = 4) that were indeterminate
- PET/CT demonstrated a sensitivity and specificity of 57.1% and 73.9%, respectively, an accuracy of 67.5%, a positive predictive value of 57.1% and a negative predictive value of 73.9% when compared to the final pathology
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