Does FDG PETCT Scan has Role in Urinary Bladder Urothelial Carcinoma. | ||||
Egyptian Journal Nuclear Medicine | ||||
Volume 30, Issue 1, June 2025, Page 1-5 PDF (324.12 K) | ||||
Document Type: Editorial | ||||
DOI: 10.21608/egyjnm.2025.431902 | ||||
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Authors | ||||
Hosna Mohamed Moustafa ![]() | ||||
1Professor of Nuclear Medicine, Faculty of Medicine, Cairo University. | ||||
2Nuclear medicine department , national cancer institute , Cairo university , Egypt | ||||
Abstract | ||||
Bladder Cancer is a widespread common disease in EGYPT, that is ranked as the 10th most commonly, diagnosed form of cancer globally. In standard clinical practice, preoperative staging of muscle-invasive urinary bladder cancer, performing computed tomography (CT) scan of the chest, abdomen, and pelvis as a part of pre-operative assessment. Also, pelvic MRI can also be done. FDG-PET scan in comparison to computed tomography (CT) scan in patients with urothelial carcinoma may help in improving staging and hence better prognosticate and change of therapy. FDG PET/CT could detect extra-pelvic metastatic lesions with higher sensitivity as compared to CT. FDG-PET/CT can help to determine the response of primary tumor bladder Cancer in patients with muscle-invasive bladder cancer and thus can more accurately predict prognosis. F-FDG PET/CT using SUVmax of LNs is a useful tool for preoperative evaluation of pelvic LN metastases from invasive bladder cancer and may contributes for the selection of patients treatment management. PET/CT had higher sensitivity and specificity in identifying complete pathologic response and detection of chemo-sensitive tumors. Also FDG-PET/CT can help determine the response of primary tumor to NAC in patients with muscle-invasive bladder cancer and thus can more accurately predict prognosis. Conclusion: PET/CT may help in improving staging and detection of extra-pelvic metastatic lesions with higher sensitivity as compared to CT also may help in evaluation of pelvic LN metastases from invasive bladder cancer. | ||||
Keywords | ||||
bladder Cancer; PET/CT; CT | ||||
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