In this presentation a brief evidence based application of nuclear medicine in colorectal cancer is given. All recommendations are based on NCCN guideline.

1. R A M I N S A D E G H I , M D
A S S O C I A T E P R O F E S S O R O F N U C L E A R
M E D I C I N E
M A S H H A D U N I V E R S I T Y O F M E D I C A L
S C I E N C E S
Nuclear Medicine Application in
Colorectal Cancers: An Evidence
Based Review

2. Staging

3. Staging

4. Staging

5. Staging

7. Application of F-18FDG PET/CT in colorectal
cancer

13. Example of a sigmoid colon staging with F18 FDG PET/CT
 Primary tumor site

14. Example of a sigmoid colon staging with F18 FDG PET/CT
 Regional lymph node
metastases

15. Example of a sigmoid colon staging with F18 FDG PET/CT
Non regional distant lymph node involvement

16. Response to treatment example
 Primary tumor
response following
neoadjuvant
chemotherapy
(crossbars)

17. Response to treatment example
 Metastatic lymph
node response
following
neoadjuvant
chemotherapy
(crossbars)

18. Colon cancer recurrence example
 Recurrence of a colon
cancer patient with
extensive peritoneal
seeding

19. Colon cancer evaluation of metastatic tumor resection
possibility

21. Example of ex vivo sentinel node mapping in a colon cancer
patient

24. Example of rectal cancer staging with F18-FDG PET/CT
 Rectal cancer staging.
Note regional lymph
node metastasis (cross
bar)