Wf. Mcguirt et al., LARYNGEAL RADIONECROSIS VERSUS RECURRENT CANCER - A CLINICAL APPROACH, The Annals of otology, rhinology & laryngology, 107(4), 1998, pp. 293-296
A group of 38 patients was studied by positron emission tomography uti
lizing fluorine(18)-labeled deoxyglucose (FDG-PET) scanning to examine
the ability to differentiate postirradiation laryngeal recurrent canc
er from radionecrosis. The resulting 79% correct diagnosis showed the
technique to be far superior to conventional computed tomography scann
ing (61%) and clinical examination (13%). An algorithmic approach to e
valuating and treating patients with radionecrosis and/or recurrent ca
ncer by utilizing FDG-PET scanning is presented.