World Journal of Surgery

, Volume 36, Issue 8, pp 1898–1905 | Cite as

Diagnostic Value of FDG-PET/CT for Lymph Node Metastasis of Colorectal Cancer

  • Jae Young Kwak
  • Jae Seung Kim
  • Hye Jin Kim
  • Hyun Kwon Ha
  • Chang Sik Yu
  • Jin Cheon Kim



Lymph node metastasis is an important prognostic factor in patients with colorectal cancer. We assessed the ability of 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) to diagnose lymph node metastases in colorectal cancer patients.


We retrospectively analyzed the records of 473 patients who underwent preoperative FDG-PET/CT, followed by curative surgery for colorectal cancer. Lymph node metastases were assessed as proximal or distal, depending on their anatomical location. We analyzed the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of FDG-PET/CT and CT for detecting lymph node metastases.


In detecting proximal lymph nodes, FDG-PET/CT had a sensitivity of 66 %, a specificity of 60 %, a PPV of 63 %, an NPV of 62 %, and an accuracy of 63 %; whereas CT had a sensitivity of 87 %, a specificity of 29 %, a PPV of 57 %, an NPV of 68 %, and an accuracy of 59 % (P = 0.245). FDG-PET/CT and CT also showed similar accuracy in detecting distal lymph nodes (87 vs. 88 %, P = 0.620).


Preoperative FDG-PET/CT and CT have comparable accuracy in detecting lymph node metastases of colorectal cancer.


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Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Jae Young Kwak
    • 1
  • Jae Seung Kim
    • 2
  • Hye Jin Kim
    • 3
  • Hyun Kwon Ha
    • 3
  • Chang Sik Yu
    • 1
  • Jin Cheon Kim
    • 1
    • 4
  1. 1.Department of Colon and Rectal SurgeryUniversity of Ulsan College of Medicine, and Asan Medical CenterSeoulKorea
  2. 2.Department of Nuclear MedicineUniversity of Ulsan College of Medicine, and Asan Medical CenterSeoulKorea
  3. 3.Department of RadiologyUniversity of Ulsan College of Medicine, and Asan Medical CenterSeoulKorea
  4. 4.Department of SurgeryUniversity of Ulsan College of MedicineSeoulKorea

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