{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:08:33Z","timestamp":1765231713867,"version":"build-2065373602"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3151,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Prospectively evaluate the impact of fluorodeoxy\u2010glucose\u2010fluorine\u201018 positron emission tomography (FDG\u2010PET) in the management of recurrence of advanced head and neck squa\u2010mous cell carcinoma during the first year after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Seventy patients were followed\u2010up every 6 to 8 weeks during the first year after initial combined curative therapy. FDG\u2010PET, together with conventional imaging and en\u2010doscopy were performed systematically at 1 year (group A) or prompted earlier in case of clinically suspicious recurrence (group B). The referring physician evaluated the impact of FDG\u2010PET on the patient's management. Another clinician checked the pertinence of decisions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>FDG\u2010PET had a therapeutic impact in 8 of 43\u00a0group A patients and in 16 of 27\u00a0group B patients; the overall rate was 34%. This change was pertinent in 5 of 8 and 14 of 16 cases, respectively. Overall pertinence rate of decisions was 90% versus 70% without FDG\u2010PET.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>FDG\u2010PET had a significant overall therapeutic impact; the induced decisions were either pertinent or just led to \u201cfutile\u201d noninvasive examinations. 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