18F-FDG PET/CT in Gastric Cancer (StomachCancer)

April 7, 2026 updated by: Sara Saber Ahmed, Sohag University

Role of 18F-FDG in Gastric Cancer

PET and PET/CT imaging remains promising, and with current and further improvements, PET and PET/CT imaging may make the diagnosis and evaluation of gastric cancer more standardized and accurate.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Detailed Description

This retrospective and prospective study was conducted to evaluate the effectiveness of 18 F-FDG PET/CT imaging in diagnosis of gastric cancer in correlation to other imaging modalities and clinical follow up.

This study included 50 patient pathologically proved gastric cancer. After obtaining written consent from the participants, detailed history was obtained from participants with the help of their data sheets, revision of pathology report (confirmed diagnosis of primary GC), the referral report from the treating physician and any imaging modalities patients were done, FDG PET/CT study was done using dedicated PET/CT scanner, and PET analysis was performed qualitatively and semi qualitatively, tissue biopsy was obtained from patients whenever it was possible.

Results of the current study demonstrate that FDG PET/CT was more accurate and more sensitive than CT in detection of occult distant metastases in advanced or equivocal cases, detection of metabolically active LNs that are morphologically normal on CT, helpful for recurrence detection, and informative for early metabolic response in FDG-avid tumors using standardized criteria (PERCIST),that may not be apparent using other modalities, and may have prognostic value that can change patient management.

PET/CT was more accurate than CT in Detection of Distant metastasis of gastric cancer (liver metastasis, lung metastasis, bone metastasis).

¹⁸F-FDG PET/CT is not a stand-alone staging tool for gastric cancer, but used selectively it meaningfully improves detection of distant metastasis, refines patient selection for radical treatment, and reduces futile surgery.

Clinicians must interpret PET/CT results in light of histologic subtype and complementary diagnostic procedures (endoscopy, laparoscopy, CT). Future work should validate FAPI tracers and define precise clinical pathways where PET/CT adds cost-effective benefit.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Observational

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
50

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
      • Sohag, Egypt, 82524
        • Sara Saber Ahmed

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

The Current Retrospective and Prospective study was conducted among 50 histologically confirmed Gastric Cancer patients ,mean age of the studied cases was 57.58 ± 10.26 years and ranged between (35-77) years. Moreover, the study included 29 males (58%) and 21 females (42%).

Description

Inclusion Criteria:

  1. Patients diagnosed as Gastric Cancer on surgically resected specimens.
  2. Patients with gastric and extragastric metastasis.
  3. Patients with gastric cancer either operated or not

Exclusion Criteria:

  1. Patients with second malignancy (Double primary).
  2. Patient without proven pathology of Cancer Stomach.
  3. Severely ill patient (patient with disturbed conscious level, or couldn't lay supine during the imaging).
  4. Uncontrolled diabetic patient with blood glucose level more than 200mg\dl.
  5. Pregnant women.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
diagnosis ,staging ,assessment of treatment response and assessment of recurrence
Time Frame: 12months
assess the value of SUVmax in every detected lesion in relation to the liver uptake and compare if this lesion deteced in other investigation
12months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Sohag University

Collaborators

Collaborators

An organization other than the sponsor that provides support for a clinical study. This support may include activities related to funding, design, implementation, data analysis, or reporting.
Assiut University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
September 22, 2023

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
September 22, 2024

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
September 22, 2024

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
April 7, 2026

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
April 7, 2026

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
April 14, 2026

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
April 14, 2026

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
April 7, 2026

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
April 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • stomach cancer

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

the individual participant data will not be made available to other researchers to maintain patient confidentiality.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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