Positron emission tomography-computed tomography in the management of lung cancer: An update

This communication presents an update on the current role of positron emission tomography-computed tomography (PET-CT) in the various clinical decision-making steps in lung carcinoma. The modality has been reported to be useful in characterizing solitary pulmonary nodules, improving lung cancer stag...

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Main Authors: Punit Sharma, Harmandeep Singh, Sandip Basu, Rakesh Kumar
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2013-01-01
Series:South Asian Journal of Cancer
Subjects:
Online Access:http://journal.sajc.org/article.asp?issn=2278-330X;year=2013;volume=2;issue=3;spage=171;epage=178;aulast=Sharma
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author Punit Sharma
Harmandeep Singh
Sandip Basu
Rakesh Kumar
author_facet Punit Sharma
Harmandeep Singh
Sandip Basu
Rakesh Kumar
author_sort Punit Sharma
collection DOAJ
description This communication presents an update on the current role of positron emission tomography-computed tomography (PET-CT) in the various clinical decision-making steps in lung carcinoma. The modality has been reported to be useful in characterizing solitary pulmonary nodules, improving lung cancer staging, especially for the detection of nodal and metastatic site involvement, guiding therapy, monitoring treatment response, and predicting outcome in non-small cell lung carcinoma (NSCLC). Its role has been more extensively evaluated in NSCLC than small cell lung carcinoma (SCLC). Limitations in FDG PET-CT are encountered in cases of tumor histotypes characterized by low glucose uptake (mucinous forms, bronchioalveolar carcinoma, neuroendocrine tumors), in the assessment of brain metastases (high physiologic 18F-FDG uptake in the brain) and in cases presenting with associated inflammation. The future potentials of newer PET tracers beyond FDG are enumerated. An evolving area is PET-guided assessment of targeted therapy (e.g., EGFR and EGFR tyrosine kinase overexpression) in tumors which have significant potential for drug development.
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spelling doaj.art-a547e8c15168431f8c02fbefa010a72a2022-12-21T19:00:47ZengThieme Medical and Scientific Publishers Pvt. Ltd.South Asian Journal of Cancer2278-330X2278-43062013-01-012317117810.4103/2278-330X.114148Positron emission tomography-computed tomography in the management of lung cancer: An updatePunit SharmaHarmandeep SinghSandip BasuRakesh KumarThis communication presents an update on the current role of positron emission tomography-computed tomography (PET-CT) in the various clinical decision-making steps in lung carcinoma. The modality has been reported to be useful in characterizing solitary pulmonary nodules, improving lung cancer staging, especially for the detection of nodal and metastatic site involvement, guiding therapy, monitoring treatment response, and predicting outcome in non-small cell lung carcinoma (NSCLC). Its role has been more extensively evaluated in NSCLC than small cell lung carcinoma (SCLC). Limitations in FDG PET-CT are encountered in cases of tumor histotypes characterized by low glucose uptake (mucinous forms, bronchioalveolar carcinoma, neuroendocrine tumors), in the assessment of brain metastases (high physiologic 18F-FDG uptake in the brain) and in cases presenting with associated inflammation. The future potentials of newer PET tracers beyond FDG are enumerated. An evolving area is PET-guided assessment of targeted therapy (e.g., EGFR and EGFR tyrosine kinase overexpression) in tumors which have significant potential for drug development.http://journal.sajc.org/article.asp?issn=2278-330X;year=2013;volume=2;issue=3;spage=171;epage=178;aulast=SharmaLung cancerPET-CTstagingrestagingsolitary pulmonary nodule
spellingShingle Punit Sharma
Harmandeep Singh
Sandip Basu
Rakesh Kumar
Positron emission tomography-computed tomography in the management of lung cancer: An update
South Asian Journal of Cancer
Lung cancer
PET-CT
staging
restaging
solitary pulmonary nodule
title Positron emission tomography-computed tomography in the management of lung cancer: An update
title_full Positron emission tomography-computed tomography in the management of lung cancer: An update
title_fullStr Positron emission tomography-computed tomography in the management of lung cancer: An update
title_full_unstemmed Positron emission tomography-computed tomography in the management of lung cancer: An update
title_short Positron emission tomography-computed tomography in the management of lung cancer: An update
title_sort positron emission tomography computed tomography in the management of lung cancer an update
topic Lung cancer
PET-CT
staging
restaging
solitary pulmonary nodule
url http://journal.sajc.org/article.asp?issn=2278-330X;year=2013;volume=2;issue=3;spage=171;epage=178;aulast=Sharma
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AT harmandeepsingh positronemissiontomographycomputedtomographyinthemanagementoflungcanceranupdate
AT sandipbasu positronemissiontomographycomputedtomographyinthemanagementoflungcanceranupdate
AT rakeshkumar positronemissiontomographycomputedtomographyinthemanagementoflungcanceranupdate