Retrospective Study
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World J Gastroenterol. Jun 7, 2014; 20(21): 6608-6614
Published online Jun 7, 2014. doi: 10.3748/wjg.v20.i21.6608
Value of 18F-FDG PET-CT in surveillance of postoperative colorectal cancer patients with various carcinoembryonic antigen concentrations
Yan Zhang, Bin Feng, Guo-Li Zhang, Man Hu, Zheng Fu, Fen Zhao, Xiao-Li Zhang, Li Kong, Jin-Ming Yu
Yan Zhang, Jin-Ming Yu, Graduate school of Tianjin Medical University, Tianjin 300070, China
Yan Zhang, Guo-Li Zhang, Man Hu, Li Kong, Jin-Ming Yu, Department of Radiation Oncology, Shandong Tumor Hospital and Institute (Shandong Academy of Medical Sciences), Jinan 250117, Shandong Province, China
Zheng Fu, Jin-Ming Yu, Department of Nuclear Medicine, Shandong Tumor Hospital and Institute (Shandong Academy of Medical Sciences), Jinan 250117, Shandong Province, China
Fen Zhao, Jin-Ming Yu, Medical College, Shandong University, Jinan 250012, Shandong Province, China
Bin Feng, Affiliated Hospital of Shandong Academy of Medical Sciences, Jinan 250031, Shandong Province, China
Xiao-Li Zhang, School of Medicine and Life Sciences, University of Jinan, Jinan 250022, Shandong Province, China
Author contributions: Zhang Y, Kong L and Yu JM designed the study; Feng B, Zhang GL, Fu Z, Zhao F and Zhang XL collected the data and performed data analysis; Zhang Y wrote the paper; Hu M revised the paper.
Correspondence to: Jin-Ming Yu, MD, Department of Radiation Oncology, Shandong Tumor Hospital and Institute (Shandong Academy of Medical Sciences), 440# Jiyan Road, Jinan 250117, Shandong Province, China. sdyujinming@126.com
Telephone: +86-531-67626782 Fax: +86-531-67623817
Received: November 5, 2013
Revised: February 20, 2014
Accepted: March 12, 2014
Published online: June 7, 2014
Core Tip

Core tip: In this paper, fluorodeoxyglucose (FDG) positron emission tomography (PET)/computerized tomography (CT) showed an excellent diagnostic performance and its sensitivity and accuracy were significantly superior to those of CT. FDG PET/CT changed the management in some metastatic patients who might obtain the chance for a second remission. The study also showed that FDG PET/CT was effective similarly in the patients with normal and abnormal carcinoembryonic antigen (CEA) levels but had a tendency to increase with the CEA level. FDG PET/CT was an advisable option for surveillance of postoperative colorectal cancer (CRC) patients with a vague diagnosis and should be recommended in surveillance of post-operative CRC patients even with normal CEA.