Skip to main content
construction release_alert
The Scholars Team is working with OIT to resolve some issues with the Scholars search index
cancel
Journal cover image

Comparison of whole-body FDG-PET to bone scan for detection of bone metastases in patients with a new diagnosis of lung cancer.

Publication ,  Journal Article
Cheran, SK; Herndon, JE; Patz, EF
Published in: Lung Cancer
June 2004

The purpose of this study was to compare the accuracy and agreement of whole-body positron-emission tomography (PET) scan to bone scintigraphy for the detection of bony metastases in staging patients with newly diagnosed lung cancer. The tumor registry and nuclear medicine database at our institution were queried and identified all patients between July 1998 and August 2002 with a new diagnosis of lung cancer, a whole-body 2-deoxy-2-[18F]fluoro-D-glucose (FDG)-PET scan, and a bone scan prior to therapy. All of these patients' radiologic reports were then retrospectively reviewed, and confirmation of bone metastases was determined by consideration of all available clinical information. The sensitivity, specificity, and accuracy for each study were then calculated. Two hundred and fifty-seven patients fulfilled the entrance criteria. One hundred and four patients (40%) presented with stage IV disease, and bone metastases were confirmed in 57 (22%) patients. The accuracies of PET and bone scan were 94 and 85% (P < 0.05), sensitivity values were 91 and 75%, and specificity values were 96 and 95%, respectively. The weighted-kappa statistic suggested moderate agreement between the two modalities KW = 0.510, 95% CI, 0.402-0.618). The use of both whole-body PET and bone scintigraphy as initial staging studies in lung cancer patients provides redundant information about the presence of bony metastases. The improvement in accuracy and sensitivity with PET suggests bone scan can be eliminated from the staging evaluation at presentation. Due to its retrospective nature, the results of this study are subject to several forms of bias including selection bias, verification bias, test review bias, and incorporation bias. A prospective trial with appropriate verification of bony metastases is suggested to confirm the results.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Lung Cancer

DOI

ISSN

0169-5002

Publication Date

June 2004

Volume

44

Issue

3

Start / End Page

317 / 325

Location

Ireland

Related Subject Headings

  • Tomography, Emission-Computed
  • Retrospective Studies
  • Reproducibility of Results
  • Radiopharmaceuticals
  • Radionuclide Imaging
  • Oncology & Carcinogenesis
  • Neoplasm Staging
  • Middle Aged
  • Male
  • Lung Neoplasms
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cheran, S. K., Herndon, J. E., & Patz, E. F. (2004). Comparison of whole-body FDG-PET to bone scan for detection of bone metastases in patients with a new diagnosis of lung cancer. Lung Cancer, 44(3), 317–325. https://doi.org/10.1016/j.lungcan.2003.11.008
Cheran, Sendhil Kumar, James E. Herndon, and Edward F. Patz. “Comparison of whole-body FDG-PET to bone scan for detection of bone metastases in patients with a new diagnosis of lung cancer.Lung Cancer 44, no. 3 (June 2004): 317–25. https://doi.org/10.1016/j.lungcan.2003.11.008.
Cheran, Sendhil Kumar, et al. “Comparison of whole-body FDG-PET to bone scan for detection of bone metastases in patients with a new diagnosis of lung cancer.Lung Cancer, vol. 44, no. 3, June 2004, pp. 317–25. Pubmed, doi:10.1016/j.lungcan.2003.11.008.
Journal cover image

Published In

Lung Cancer

DOI

ISSN

0169-5002

Publication Date

June 2004

Volume

44

Issue

3

Start / End Page

317 / 325

Location

Ireland

Related Subject Headings

  • Tomography, Emission-Computed
  • Retrospective Studies
  • Reproducibility of Results
  • Radiopharmaceuticals
  • Radionuclide Imaging
  • Oncology & Carcinogenesis
  • Neoplasm Staging
  • Middle Aged
  • Male
  • Lung Neoplasms