TABLE 6

Summary of Recommendations

DiseaseObjectiveRecommended?Net benefits?Overall quality
Breast cancer
 DiagnosisNoUncertainModerate
 StagingLocal (axillary lymph node) stagingNoNoModerate
 RecurrenceDetection of metastasesYes, for patients clinically suspected of metastasis/recurrenceYesModerate
Colorectal cancer
 DiagnosisNoNoLow
 StagingLiver metastasis stagingYesYesModerate
 RecurrenceDetection of metastases or local recurrenceYesYesModerate
Esophageal cancer
 DiagnosisNo*
 StagingPretreatment stagingYes, especially to detect distant metastasesYesModerate
 RecurrenceNo*
Head and neck cancer
 DiagnosisDiagnosis of unknown primary tumorYesYesModerate
Diagnosis of head and neck tumorsNoUncertainLow
 StagingYesYesModerate
 RecurrenceYesYesModerate
Lymphoma
 DiagnosisNo*
 StagingGeneral stagingSuggestedYesLow
Bone marrow stagingYesYesModerate
 RecurrenceYes, for HD and NHL after completion of initial treatmentYesModerate
YesLow
No, for general follow-up of asymptomatic HD or NHLNoLow
Lung cancer
 DiagnosisSNP: yesYesModerate
 StagingNCLC: yesYesHigh
SCLC: no recommendation is possibleUncertainLow
 RecurrenceNo*
Melanoma
 DiagnosisNo*
 StagingYes, for distant metastasesYesModerate
 RecurrenceNo*
Pancreatic cancer
 DiagnosisYes, for cases in which CT is inconclusiveYesModerate
 StagingNo*
 RecurrenceNo*
Sarcoma
 DiagnosisNo recommendation is possibleUncertainLow
 StagingNo recommendation is possibleUncertainLow
 RecurrenceNo*
Thyroid cancer
 DiagnosisNo*
 StagingNo*
 RecurrenceYes, if 131I whole-body findings are negative and thyroglobulin is elevatedYesLow
No, if 131I whole-body findings are negative and thyroglobulin is normal (surveillance)NoLow
Unknown primary tumor
 DiagnosisYesYesLow
 StagingNo*
 RecurrenceNo*
  • * Synthesis of research data has not been performed.

  • Restaging/detection of relapse; assessment of residual mass or progression after completion of initial treatment.