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Mediastinal lymph node staging of non-small-cell lung cancer: A prospective comparison of computed tomography and positron emission tomography  Walter.

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Presentation on theme: "Mediastinal lymph node staging of non-small-cell lung cancer: A prospective comparison of computed tomography and positron emission tomography  Walter."— Presentation transcript:

1 Mediastinal lymph node staging of non-small-cell lung cancer: A prospective comparison of computed tomography and positron emission tomography  Walter J. Scott, MDa§, Lisa S. Gobar, MDb§, John D. Terry, MDa§, Naresh A. Dewan, MBBSc§, John J. Sunderland, PhDb§  The Journal of Thoracic and Cardiovascular Surgery  Volume 111, Issue 3, Pages (March 1996) DOI: /S (96) Copyright © 1996 Mosby, Inc. Terms and Conditions

2 Fig. 1 CT showing enlarged right paratracheal lymph node (white arrow) in a 65-year-old patient with a primary lung cancer of the right middle lobe. Other CT images showed enlarged lymph nodes along the entire right side of the trachea (extranodal or bulky disease, positive CT results). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (96) ) Copyright © 1996 Mosby, Inc. Terms and Conditions

3 Fig. 2 Coronal FDG-PET image from the same patient showing uptake (SUV = 9.96) in the right middle lobe (lower arrow) and uptake consistent with metastatic cancer (SUV = 4.59) in the right paratracheal lymph node chain (upper arrow). The right paratracheal lymph nodes contained cancer at mediastinoscopy (both PET and CT had true positive results). Uptake at the lower left side of the patient is from the heart. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (96) ) Copyright © 1996 Mosby, Inc. Terms and Conditions

4 Fig. 3 CT of the mediastinum from a 68-year-old man with adenocarcinoma of the right upper lobe showing an enlarged pretracheal lymph node (white arrow). FDG-PET measured a maximum SUV of 3.32 for the mediastinum (negative FDG-PET result). This lymph node and others removed at thoracotomy were negative for cancer (CT, false positive result; FDG-PET, true negative result). The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (96) ) Copyright © 1996 Mosby, Inc. Terms and Conditions

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