Detection of Reasons for Unresectability with Different Imaging Methods in 27 Patients with Unresectable Disease
| Patient no. | Site | PET | Unenhanced PET/CT | Enhanced PET/CT | Intraoperative* | Operation or intervention |
|---|---|---|---|---|---|---|
| 1 | Liver met | ND | ND | ND | D | Diagnostic LT |
| 3 | Celiac trunk infiltration | ND | ND | D | D | Whipple with arterial graft |
| 4 | PC | ND | D | D | D | Palliative GE |
| 5 | Lung met | ND | D | D | ND | Left resection |
| 7 | PC, supraclavicular LN met | ND | D | D | — | FNP supraclavicular LN |
| 8 | Liver met | D | D | D | — | Transcutaneous liver biopsy |
| 9 | Bone and lung met | Bone met D, lung met ND | D | D | — | — |
| 12 | Liver met | D | D | D | — | Transcutaneous liver biopsy |
| 14 | Lung met | ND | D | D | — | Wedge resection lung |
| 16 | Lung met | D | D | D | — | |
| 17 | Liver met | D | D | D | D | Transcutaneous liver biopsy |
| 18 | Liver met | D | D | D | — | |
| 19 | Liver, lung, and bone met | Bone met D, liver and lung met ND | Bone and lung met D, liver met ND | D | — | |
| 20 | Liver met | ND | ND | D | ND | Left resection |
| 21 | Celiac trunk infiltration, PC | ND | ND | D | — | Transcutaneous ascites puncture |
| 22 | PC, celiac trunk infiltration | D | D | D | — | |
| 23 | Celiac trunk infiltration | ND | ND | D | — | |
| 24 | Liver met | D | D | D | — | |
| 25 | Liver met | ND | ND | D | D | Palliative GE |
| 26 | AMS infiltration | ND | ND | D | — | |
| 27 | Liver met | ND | ND | D | D | Diagnostic LT |
| 28 | Lung and bone met | Lung met ND, bone met D | D | D | — | |
| 40 | Lung met | ND | D | D | ND | Whipple, lung wedge 2 mo later |
| 41 | Liver met | ND | ND | ND | D | Palliative GE |
| 42 | Dorsal infiltration | ND | ND | ND | D | Whipple |
| 43 | Dorsal infiltration | ND | ND | ND | D | Palliative GE |
| 45 | PC | ND | ND | ND | D | Palliative GE |
↵* Intraoperative during abdominal surgery.
met = metastasis or metastases; ND = not detected with this method; D = detected with this method; LT = laparotomy; PC = peritoneal carcinomatosis; GE = gastroenterotomy; LN = lymph node; FNP = fine-needle puncture; AMS = superior mesenteric artery.