TY - JOUR
T1 - Utility of positron emission tomography-computed tomography scan in detecting residual hepatocellular carcinoma post treatment
T2 - Series of case reports
AU - Cheng, Jason T.
AU - Tan, Nelly E.
AU - Volk, Michael L.
N1 - Publisher Copyright:
© The Author(s) 2020.
PY - 2020
Y1 - 2020
N2 - BACKGROUND Multi-phase computed tomography (CT) or magnetic resonance imaging (MRI) has been the standard of care for hepatocellular carcinoma (HCC) diagnosis for years. CASE SUMMARY We report a case series of four patients in whom positron emission tomographycomputed tomography (PET-CT) scan complemented the conventional CT/MRI scans in evaluating treatment response. In these four cases the conventional multi-phase CT and MRI failed to identify residual HCC disease post-treatment, while PET-CT complemented and aided in treatment response evaluation. In each case, the addition of PET-CT identified and located residual HCC disease, allowed retreatment, and altered medical management. CONCLUSION This case series suggests that PET-CT should perhaps play a role in the HCC management algorithm, in addition to the conventional contrast-enhanced multiphase scans.
AB - BACKGROUND Multi-phase computed tomography (CT) or magnetic resonance imaging (MRI) has been the standard of care for hepatocellular carcinoma (HCC) diagnosis for years. CASE SUMMARY We report a case series of four patients in whom positron emission tomographycomputed tomography (PET-CT) scan complemented the conventional CT/MRI scans in evaluating treatment response. In these four cases the conventional multi-phase CT and MRI failed to identify residual HCC disease post-treatment, while PET-CT complemented and aided in treatment response evaluation. In each case, the addition of PET-CT identified and located residual HCC disease, allowed retreatment, and altered medical management. CONCLUSION This case series suggests that PET-CT should perhaps play a role in the HCC management algorithm, in addition to the conventional contrast-enhanced multiphase scans.
KW - Case series
KW - Cirrhosis
KW - Contrast-enhanced multiphase scan
KW - Hepatocellular carcinoma
KW - Positron emission tomography
KW - Residual cancer
KW - Treatment response evaluation
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U2 - 10.4251/WJGO.V12.I3.358
DO - 10.4251/WJGO.V12.I3.358
M3 - Article
SN - 1948-5204
VL - 12
SP - 358
EP - 364
JO - World Journal of Gastrointestinal Oncology
JF - World Journal of Gastrointestinal Oncology
IS - 3
ER -