Imaging of primary and regionally metastatic lung cancer with Tc-99m SESTAMIBI
- Medical College of Wisconsin, Milwaukee, WI (United States); and others
The significance of pulmonary, hilar, and mediastinal uptake of Tc-99m SESTAMIBI in patients undergoing myocardial perfusion imaging was retrospectively investigated. SPECT myocardial perfusion images for 34 adult patients (ages: 52-to-82 years) with known lung cancer undergoing preoperative assessment of cardiac status and 29 {open_quotes}control{close_quotes} patients with normal chest radiographs and no history of lung cancer were reviewed. For the 29 patients without lung cancer there was no abnormal pulmonary, hilar, or mediastinal uptake of Tc-99m SESTAMIBI. For the 34 patients with histologically proven lung cancer, Tc-99m SESTAMIBI uptake was detected in 27 of 34 primary pulmonary lesions (79% sensitivity), 2 of 4 surgically proven hilar metastases, and 1 of 4 mediastinal metastases. The smallest lesion detected was 1.0 cm in diameter and the largest lesion not detected was 5.5 cm in diameter. For squamous cell carcinoma, 20 of 22 primary lesions were detected (91% sensitivity). Tc-99m SESTAMIBI detected 5 of 34 primary pulmonary lesions, 2 of 4 hilar metasteses, and 1 of 4 mediastinal metastases not identified by conventional chest radiographs. CT was superior to Tc-99m SESTAMIBI for detection of primary pulmonary lesions and was similar to Tc-99m SESTAMIBI in the limited number of cases with hilar and mediastinal metastatic involvement. We conclude that abnormal pulmonary, hilar, or mediastinal uptake of Tc-99m SESTAMIBI may be a clinically significant finding which should be correlated with chest radiography or CT.
- OSTI ID:
- 198089
- Report Number(s):
- CONF-940605--
- Journal Information:
- Journal of Nuclear Medicine, Journal Name: Journal of Nuclear Medicine Journal Issue: Suppl.5 Vol. 35; ISSN JNMEAQ; ISSN 0161-5505
- Country of Publication:
- United States
- Language:
- English
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