Diagnostic accuracy of , javax.xml.bind.JAXBElement@1bc32ff0, F-FDG PET/CT and MR imaging in patients with adenoid cystic carcinoma.

V. Ruhlmann, T. Poeppel, J. Veit, J. Nagarajah, L. Umutlu, T. Hoffmann, A. Bockisch, K. Herrmann and W. Sauerwein




The aim of this study was to evaluate the value of 18F-FDG PET/CT (PET/CT) and MRI for local and/or whole-body restaging of adenoid cystic carcinoma of the head and neck (ACC). Thirty-six patients with ACC underwent conventional MRI of the head and neck and a whole-body PET/CT and were analysed with regards to detection of a local tumor recurrence, lymph node or distant metastases. A consensus interpretation of all available imaging data was used as reference standard. Sensitivity, specificity, diagnostic accuracy, positive and negative predictive values were calculated for MRI and PET/CT. The sensitivity of PET/CT and MRI was 96% (89%), specificity 89% (89%), PPV 96% (96%), NPV 89% (73%) and accuracy 94% (89%) for detection of local tumors. Additionally, PET/CT revealed lymph node metastases in one patient and distant metastases in 9/36 patients. In three patients secondary primaries were found. Whole-body PET/CT in addition to MRI of the head and neck improves detection of local tumour and metastastic spread in ACC.