FDG-PET/CT for oral focus assessment in head and neck cancer patients.

Head and neck cancer Oral focus Panoramic radiography Periapical radiography Positron emission tomography–computed tomography Radiochemotherapy

Journal

Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 05 05 2021
accepted: 06 02 2022
pubmed: 8 3 2022
medline: 22 6 2022
entrez: 7 3 2022
Statut: ppublish

Résumé

To compare oral and maxillo-mandibular inflammatory foci on standard oral radiographs (OPT, periapical radiograph) with available fluorine-18-labelled fluoro-2-deoxy-D-glucose-positron emission tomography/computed tomography (FDG-PET/CT) data and to discuss whether additional metabolic information derived from FDG-PET/CT can support oral care specialists when performing oral focus examinations. Data from 23 patients with head and neck cancer who underwent FDG-PET/CT and panoramic and periapical radiography in close succession before first-line radiotherapy and/or chemotherapy were included in this exploratory retrospective study. Periapical lesions and marginal periodontal inflammation on FDG-PET/CT scans and standard oral radiographs were analysed and compared with regard to metabolic activity on FDG-PET/CT in comparison to recorded clinical symptoms and radiological scores. Additionally, inflammatory maxillo-mandibular pathologies were analysed using FDG-PET/CT. The maximum standardised uptake value (SUV FDG-PET/CT provided additional metabolic information that can help clinicians identify lesions with increased inflammatory activity. The incorporation of available oral FDG-PET/CT findings into the primary oral focus assessment may allow for more accurate oral focus treatment. FDG-PET/CT provides valuable metabolic information for oral care specialists. The detection of inflammatory oral processes using FDG-PET/CT facilitates treatment.

Identifiants

pubmed: 35254526
doi: 10.1007/s00784-022-04403-2
pii: 10.1007/s00784-022-04403-2
pmc: PMC9203386
doi:

Substances chimiques

Fluorodeoxyglucose F18 0Z5B2CJX4D

Types de publication

Journal Article

Langues

eng

Pagination

4407-4418

Informations de copyright

© 2022. The Author(s).

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Auteurs

Dominic Raphael Schwaninger (DR)

Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland.

Martin Hüllner (M)

Department of Nuclear Medicine, University Hospital Zurich/University of Zurich, Zurich, Switzerland.

Dominique Bichsel (D)

Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland.

Barbara Giacomelli-Hiestand (B)

Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland.

Nicole Selina Stutzmann (NS)

Statistical Services, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.

Panagiotis Balermpas (P)

Department of Radiation Oncology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Silvio Valdec (S)

Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland.

Bernd Stadlinger (B)

Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland. bernd.stadlinger@zzm.uzh.ch.

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