Research Article

18F-FDG PET-CT in the Management of Patients Receiving Definitive Radiotherapy for Malignancies of the Head and Neck

Table 1

Diagnostic performance of 18F-FDG PET-CT in the identification of residual/recurrent malignancy or second primary cancers following intensity modulated radiation therapy (IMRT) ± combined chemotherapy for treatment of primary cancers of the head and neck, by site.

TPFPFNTNSensitivitySpecificityPPVNPVAccuracy

Overall
33258 (17.5%)12 (3.6%)0 (0%)262 (78.9%)100.0%95.6%82.9%100.0%96.4%

Nasopharynx
336 (18.2%)0 (0%)0 (0%)27 (81.8%)100.0%100.0%100.0%100.0%100.0%

Oropharynx
16126 (16.1%)6 (3.8%)0 (0%)129 (80.1%)100.0%95.6%81.3%100.0%96.3%

Oral cavity
9316 (17.2%)5 (5.4%)0 (0%)72 (77.4%)100.0%93.5%76.2%100.0%94.6%

Larynx and hypopharynx
183 (16.7%)0 (0%)0 (0%)15 (83.3%)100.0%100.0%100.0%100.0%100.0%

Salivary gland
277 (25.9%)1 (3.7%)0 (0%)19 (70.4%)100.0%95.0%87.5%100.0%96.3%