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lüll The role of 18F-FDG PET in assessing therapy response in cancer of the cervix and ovaries Schwarz JK; Grigsby PW; Dehdashti F; Delbeke DJ Nucl Med 2009[May]; 50 Suppl 1 (ä): 64S-73SFor locally advanced cervical cancer, the current literature supports the use of (18)F-FDG PET for assessing treatment response 3 mo after the completion of concurrent chemoradiation. (18)F-FDG PET can provide reliable long-term prognostic information for these patients and, in the future, may be used to guide additional therapy. Investigational areas include the use of (18)F-FDG PET for monitoring response during radiotherapy and chemotherapy in the metastatic and neoadjuvant settings. For ovarian masses, the performance of (18)F-FDG PET in the detection of borderline tumors is limited, and the presence of physiologic (18)F-FDG uptake in normal ovaries of premenopausal women poses another limitation. Preliminary data suggest that the performance of (18)F-FDG PET and (18)F-FDG PET/CT is superior to that of CT alone in initial staging, but the sensitivity of both in the detection of carcinomatosis is limited. Preliminary data also suggest that (18)F-FDG PET may be promising for early prediction of response to chemotherapy and for prediction of response after the completion of chemotherapy. (18)F-FDG PET and (18)F-FDG PET/CT are most helpful in the evaluation of patients with suspected recurrent ovarian carcinoma, especially when CA-125 levels are rising and CT findings are normal or equivocal. PET and CT are complementary, and PET/CT should be used when available. Preliminary data suggest that the addition of (18)F-FDG PET/CT to the evaluation of these patients changes management in approximately a third and reduces overall treatment costs by accurately identifying patients who will or will not benefit from surgery.|*Fluorodeoxyglucose F18[MESH]|Female[MESH]|Humans[MESH]|Ovarian Neoplasms/*diagnosis/*therapy[MESH]|Positron-Emission Tomography/*methods[MESH]|Prognosis[MESH]|Radiopharmaceuticals[MESH]|Subtraction Technique[MESH]|Tomography, X-Ray Computed/*methods[MESH]|Treatment Outcome[MESH]|Uterine Cervical Neoplasms/*diagnosis/*therapy[MESH] |