CME 10 Session – EANM’12

Head and Neck Cancers: PET/CT and SPECT/CT

Educational objectives:

Two topics will be devoted to PET/CT imaging:

Interactive presentation of real cases of patients

  • referred for staging of a head and neck cancer,
  • referred prior to radiotherapy, for an optimal determination of GTV, and for a possible boost in

Hypoxic zones detected with FMISO or other PET tracers of hypoxia

  • referred for (radio)chemotherapy monitoring
  • referred to characterise residual masses as persistent disease or not
  • suspected or recurrent disease or at high risk of recurrence
  • referred for restaging of a demonstrated recurrence

The 3rd topic will be devoted to SPECT/CT in Head and Neck tumours

  • in particular, the use if hybrid imaging techniques for sentinel lymph node biopsy in cases of various locations of squamous cell carcinoma and melanoma of the head and neck region.

The audience will be equipped with voting systems. The aims are:

  • to favour a better prescription of PET/CT among the diagnostic tools in those cancers where physical examination and endoscopy are of a great importance. The performance of PET/CT depends on the localisation of the primary tumour and on the clinical setting, and the delay between PET/CT and therapeutic intervention is important;
  • to discuss the specific aspect of PET/CT image acquisition in head and neck cancer;
  • to improve interpretation of PET/CT imaging by the attendees (avoiding pitfalls);
  • to document the impact on patient management of a skilled interpretation of PET/CT integrating the imaging patterns and the clinical context;
  • to interpret sentinel lymph node imaging in head & neck tumours, and
  • to understand the impact of hybrid imaging on detection and localisation of sentinel nodes and subsequently on the surgical management.

This session will also be an opportunity to test the skills for attendees of the current scientific sessions and previous CME on this topic, held during the 2008 EANM congress in Munich, interactive ESNM session10, slides available on line at:

The presentations will cover the current and potential role of nuclear medicine in the head and neck cancers. With a significant performance of physical examination and endoscopy, the indications and the imaging protocol of PET/CT need to be optimal. With a great number of small anatomical structures and the presence of physiologic lymphoid tissue, head and neck cancers request the most skilled FDG PET/CT interpretation of all malignancies. The session will also address the particularities and main results of sentinel node detection in head and neck cancers including cervical melanomas. Voting systems will allow the attendees to express their opinions and to evaluate their experience and skills in this field.

Key Words:
Interaction, Head and Neck Cancer, PET/CT, FDG, FMISO, Sentinel Node Detection, SPECT/CT, Radiotherapy, Chemotherapy


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