Warning: fopen(/home/virtual/colon/journal/upload/ip_log/ip_log_2024-11.txt): failed to open stream: Permission denied in /home/virtual/lib/view_data.php on line 95 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 96 Preoperative Staging With Positron Emission Tomography in Patients With Colorectal Cancer
Skip Navigation
Skip to contents

Ann Coloproctol : Annals of Coloproctology

OPEN ACCESS
SEARCH
Search

Articles

Page Path
HOME > Ann Coloproctol > Volume 30(6); 2014 > Article
Editorial
Preoperative Staging With Positron Emission Tomography in Patients With Colorectal Cancer
Young Wan Kim, Ik Yong Kim
Annals of Coloproctology 2014;30(6):247-247.
DOI: https://doi.org/10.3393/ac.2014.30.6.247
Published online: December 31, 2014

Division of Colorectal Surgery, Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.

Correspondence to: Ik Yong Kim, M.D. Division of Colorectal Surgery, Department of Surgery, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju 220-701, Korea. Tel: +82-33-741-0573, Fax: +82-33-744-6604, iykim@yonsei.ac.kr

© 2014 The Korean Society of Coloproctology

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

prev next
  • 2,650 Views
  • 28 Download
See Article on Page [Related article:] 259-265
The current National Comprehensive Cancer Network guideline for colon and rectal cancer designates that positron emission tomography-computed tomography (PET-CT) does not supplant a contrast-enhanced diagnostic CT scan. PET-CT should only be used to evaluate an equivocal finding on a contrast-enhanced CT scan or in patients with strong contraindications to IV contrast [1, 2]. In addition, as of 2015, the Korea Health Insurance Review & Assessment Service will not pay for PET-CT as a routine follow-up test. In this regard, colorectal surgeons should be cautious when planning PET-CT as an initial staging modality in clinical practice.
PET is a promising tool as a preoperative imaging modality for colorectal cancer, but still lacks firm evidence supporting its use as a routine test. In this issue of the Annals of Coloproctology, Yi et al. [3] demonstrated effectively that preoperative PET-CT is useful in detecting regional and distant node metastasis in patients with colon cancer. Previously, Yoo et al. [4] had observed that preoperative PET-CT was useful in the detection of synchronous distant metastases (7.8%) and multiple primary malignancies (5.3%) in patients with colorectal cancer. Lee and Lee [5] also showed that preoperative use of PET-CT had resulted in a change in the treatment plan in 7% of colon-cancer patients when compared to the use of multidetector CT. In a recent meta-analysis, PET-CT showed, on a per patient basis, the highest sensitivity (94.1%) for the initial detection of liver metastases when compared to CT (83.6%) and magnetic resonance imaging (88.2%) [6]. All these retrospective findings are valuable; however, before the preoperative use of PET-CT can be incorporated into clinical practice, such use must be validated through large prospective trials.
  • 1. National Comprehensive Cancer Network. Rectal cancer (Version 1.2015)[Internet]. Fort Washington, PA: National Comprehensive Cancer Network; c2014.cited 2014 Dec 19. Available from: http://www.nccn.org/professionals/physician_gls/pdf/rectal.pdfPubMed
  • 2. National Comprehensive Cancer Network. Colon cancer (Version 2.2015)[Internet]. Fort Washington, PA: National Comprehensive Cancer Network; c2014.cited 2014 Dec 19. Available from: http://www.nccn.org/professionals/physician_gls/pdf/colon.pdfPubMed
  • 3. Yi HJ, Hong KS, Moon N, Chung SS, Lee RA, Kim KH. Reliability of 18F-fluorodeoxyglucose positron emission tomography/computed tomography in the nodal staging of colorectal cancer patients. Ann Coloproctol 2014;30:259–265.ArticlePubMedPMC
  • 4. Yoo JJ, Lee SH, Ahn BK, Baek SU, Lee SM. Positron emission tomography (PET)-computed tomography (CT) for preoperative staging of colorectal cancers. J Korean Soc Coloproctol 2008;24:201–206.Article
  • 5. Lee JH, Lee MR. Positron emission tomography/computed tomography in the staging of colon cancer. Ann Coloproctol 2014;30:23–27. ArticlePubMedPMC
  • 6. Niekel MC, Bipat S, Stoker J. Diagnostic imaging of colorectal liver metastases with CT, MR imaging, FDG PET, and/or FDG PET/CT: a meta-analysis of prospective studies including patients who have not previously undergone treatment. Radiology 2010;257:674–684. ArticlePubMed

Figure & Data

References

    Citations

    Citations to this article as recorded by  

      • PubReader PubReader
      • Cite this Article
        Cite this Article
        export Copy Download
        Close
        Download Citation
        Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

        Format:
        • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
        • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
        Include:
        • Citation for the content below
        Preoperative Staging With Positron Emission Tomography in Patients With Colorectal Cancer
        Ann Coloproctol. 2014;30(6):247-247.   Published online December 31, 2014
        Close
      • XML DownloadXML Download
      Related articles
      Preoperative Staging With Positron Emission Tomography in Patients With Colorectal Cancer
      Preoperative Staging With Positron Emission Tomography in Patients With Colorectal Cancer

      Ann Coloproctol : Annals of Coloproctology Twitter Facebook
      TOP