{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T20:41:16Z","timestamp":1792442476766,"version":"4.5.0"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Fluorodeoxyglucose positron emission tomography (<jats:styled-content style=\"fixed-case\">FDG PET<\/jats:styled-content>) is not recommended in early stage melanoma; however, a significant number of cases are referred to our institution for <jats:styled-content style=\"fixed-case\">FDG PET<\/jats:styled-content>. We refer to early stage disease as <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>oint <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ommittee on <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ancer (<jats:styled-content style=\"fixed-case\">AJCC<\/jats:styled-content>) stage <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>, which includes all cases without metastases. A retrospective review was undertaken to determine the clinical utility of <jats:styled-content style=\"fixed-case\">FDG PET<\/jats:styled-content> in this patient group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study of <jats:styled-content style=\"fixed-case\">FDG<\/jats:styled-content> scans on all patients presenting to the <jats:styled-content style=\"fixed-case\">WA PET<\/jats:styled-content> Centre with early stage melanoma over a 5\u00bd year period was undertaken. The positivity rate of the initial study for detection of malignant melanoma was determined. In patients with an initially negative <jats:styled-content style=\"fixed-case\">FDG PET<\/jats:styled-content>, the time from initial diagnosis to a positive surveillance study was determined. Both the initial positivity rate and time to a positive study were correlated with <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>reslow staging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred twenty\u2010two patients were included in the study, of which 74 had initial positive <jats:styled-content style=\"fixed-case\">FDG PET<\/jats:styled-content> scans (23%). Adequate follow\u2010up was available in 51 patients with the <jats:styled-content style=\"fixed-case\">PET<\/jats:styled-content> result confirmed as true positive in 37 (positive predictive value 73%). One hundred eight of 248 patients initially negative had follow\u2010up scans during the follow\u2010up period, of which 48 became positive. The 73% of recurrences were over 12 months post\u2010diagnosis. No correlation with Breslow thickness was demonstrated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite <jats:styled-content style=\"fixed-case\">FDG PET<\/jats:styled-content> not being recommended for early cutaneous malignant melanoma, 27% of melanoma cases referred for <jats:styled-content style=\"fixed-case\">FDG PET<\/jats:styled-content> during the study period were <jats:styled-content style=\"fixed-case\">AJCC<\/jats:styled-content> stage <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>. Our results suggest <jats:styled-content style=\"fixed-case\">FDG PET<\/jats:styled-content> in early stage melanoma demonstrates occult disease in 17% of cases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.12173","type":"journal-article","created":{"date-parts":[[2014,4,2]],"date-time":"2014-04-02T01:54:19Z","timestamp":1396403659000},"page":"149-154","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["<scp>FDG PET<\/scp> in early stage cutaneous malignant melanoma"],"prefix":"10.1111","volume":"58","author":[{"given":"Jody","family":"McIvor","sequence":"first","affiliation":[{"name":"Department of Nuclear Medicine Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teck","family":"Siew","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine Royal Perth Hospital  Perth Western Australia Australia"},{"name":"Department of Diagnostic and Interventional Radiology Royal Perth Hospital  Perth Western Australia Australia"},{"name":"Nuclear Medicine and PET service Sir Charles Gairdner Hospital  Perth Western Australia Australia"},{"name":"Fremantle Medical School University of Notre Dame  Perth Western Australia Australia"},{"name":"University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Medical Engineering &amp; Physics Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine Royal Perth Hospital  Perth Western Australia Australia"},{"name":"Nuclear Medicine and PET service Sir Charles Gairdner Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Australian Cancer Council.Melanoma. 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