Research Article

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

Table 2

Diagnostic performance of serial 18F-FDG PET-CT studies 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.

TPFPFNTNSensitivitySpecificityPPVNPVAccuracy

First posttreatment PET-CT (156 ± 125 d., median 122 d.)
15325 (16.3%)8 (5.2%)0 (0%)120 (78.5%)100.0%93.8%75.8%100.0%94.8%

Second posttreatment PET-CT (445 ± 332 d., median 333 d.)
10119 (18.8%)3 (3.0%)0 (0%)79 (78.2%)100.0%96.3%86.4%100.0%97.0%

Third posttreatment PET-CT (551 ± 354 d., median 462 d.)
6011 (18.3%)1 (1.7%)0 (0%)48 (80%)100.0%98.0%91.7%100.0%98.3%

Fourth posttreatment PET-CT (891 ± 415 d., median 846 d.)
223 (13.6%)0 (0%)0 (0%)19 (86.4%)100.0%100.0%100.0%100.0%100.0%