Table 2. . Summary of published evidence on surveillance imaging in the detection of melanoma recurrences.
Study and design | Stage | Surveillance imaging regimen | % of total recurrences identified by imaging | % of distant recurrences identified by imaging | Ref. |
---|---|---|---|---|---|
Garbe et al. (2003) prospective, multi-center n = 2008 |
I–III | Abdominal U/S, chest x-ray and nodal basin U/S annually for Stage I–II or bi-annually for Stage III | 47% | N/R | [19] |
Podlipnik et al. (2016) prospective, single center n = 290 |
IIB–III | Whole body CT and brain MRI bi-annually for 5 years, then chest x-ray for years 5–10 | 56.7% | 83.6% | [23] |
Park et al. (2017) retrospective, single center n = 466 |
II–IV (resected) | CT scan at least biannually for 2 years and then annual for 3 years | 59% | 75% | [24] |
Lim et al. (2018) retrospective, single center n = 173 |
IIB–III | CT C/A/P or PET/CT, brain MRI biannually for 3 years and then annual up to 5 years | 66% | N/R | [25] |
Lewin et al. (2018) retrospective, single center n = 170 |
III | Biannual PET/CT at least twice and up to 2 years; brain MRI at 6 and 12 months for Stage IIIC | 70% | N/R | [22] |
Livingstone et al. (2015) prospective, multi-center n = 668 |
0–IV | Quarterly (35%) Bi-annual (40%) Annual (16%) |
77% | 96.5% | [26] |
Leon-Ferre et al. (2017) retrospective, single-center n = 299 |
III–IV (resected) | At least one PET/CT as part of surveillance within 1 year of definitive surgery | 60% | N/R | [21] |
Madu et al. (2017) prospective, single-center n = 18 |
IIIB–IIIC | PET/CT biannually for 2 years | 89% | N/R | [27] |
Romano et al. (2010) retrospective, single-center n = 340 |
III | Typically CT scans at quarterly to biannual clinical visits but no standard regimen | N/R | 53% | [30] |
Lee et al. (2016) retrospective, single-center n = 738 |
II | Imaging performed at discretion of physician | N/R | 47% | [29] |
Berger et al. (2017) retrospective, two centers n = 581 |
II | Imaging performed at discretion of physician | 21% 50% (Stage IIA) |
N/R | [28] |
CT: Computed tomography; MRI: Magnetic resonance imaging; PET: Positron emission tomography; U/S: Ultrasound.