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Table 1 Summarised ceCT results in discordant cases with incremental PET/CT abnormalities that were likely true positive

From: Does addition of a diagnostic contrast-enhanced CT to a contemporaneous PET/CT provide incremental value in patients for restaging of colorectal carcinoma?

Case

PET/CT finding

ceCT finding

Followup

Anticipated impact of ceCT on management

1.1 (Fig. 1)

Bony FDG avid lesions

No metastases

False negative. (Repeat PET/CT scan 5 months later showed progressive bone metastases)

No change

1.2

Common iliac nodal FDG uptake

No metastases

False negative.

(Repeat PET/CT 13 months later showed progression of nodal disease)

No change

1.3

Peritumoural nodal FDG uptake

No metastases

False negative. (N2 metastatic disease on histology at primary resection).

No change

1.4

FDG avid peritoneal nodule

No metastases

False negative. (Metastasis confirmed at surgery)

No change

1.5

FDG avid bone metastasis

No metastases

False negative.

(Excisional biopsy positive for metastatic disease).

No change

1.6

FDG avid liver metastases

No metastases

False negative.

(MRI 2 months later showed further liver metastases)

No change