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Volume 16, Number 5, 2011

Comparison of positron emission tomography/computed tomography imaging and ultrasound in surveillance of head and neck cancer – The 3-year experience of the ENT Department in Poznan

Małgorzata Wierzbicka, Mariola Popko, Karolina Piskadło, Rafał Czepczyński, Aleksandra Stankowska, Tomasz Piętka, Mirosław Dziuk, Witold Szyfter


Background: Posttreatment surveillance for the local and regional recurrence of the head and
neck squamous cell carcinoma often requires a multimodality techniques that include PET
combined with CT, MRI, US.
Aim: The purpose of this study is to compare the diagnostic performance of two imaging
techniques (PET/CT and US), and their combined use for the detection of a subclinical
regional recurrence in patients after HNSCC treatment.
Materials and methods: 83 patients after completion of the HNSCC treatment underwent both
US and PET/CT on the mean follow-up of 14 months after initial treatment.
Results: The sensitivity and specificity of PET/CT were 86% and 82%, respectively; US values
reached 81% and 87%, respectively. PPVwas 79% for PET/CT, and 83% for US. NPVwas 89% for
PET/CT, and 85% for US. The overall accuracy for PET/CT and US was 84% for both methods.
Conclusion: US could be regarded as complementary to PET/CT as the procedures with highest
sensitivity, specificity and NPV for detecting subclinical regional recurrences after HNSCC

Signature: Rep Pract Oncol Radiother, 2011; 16(5) : 184-188

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