Alternative imaging strategy of solitary pulmonary nodule by FDG PET/CT: Can be imagined a tailored PET?

Eur J Radiol. 2017 May:90:188-191. doi: 10.1016/j.ejrad.2017.03.001. Epub 2017 Mar 7.

Abstract

Objective: Patients with solitary pulmonary nodule (SPN) are usually sent to total-body positron emission tomography/computed tomography (PET/CT) examination with 18F-fluorodeoxyglucose (FDG). However, a segmental scan strategy may improve cost/effectiveness in this category of patients.

Conclusion: A segmental PET/CT scan only at the chest level could be performed in patients with indeterminate SPN. Limiting the PET/CT field to the thoracic region would greatly affect on radiobiology, department organization and health-care costs.

Keywords: Cost-effectiveness; FDG PET/CT; Lung nodules; Radioprotection; Segmental scan.

MeSH terms

  • Cost-Benefit Analysis / economics*
  • Female
  • Fluorodeoxyglucose F18*
  • Health Care Costs
  • Humans
  • Lung / diagnostic imaging
  • Lung Neoplasms / diagnostic imaging*
  • Lung Neoplasms / economics
  • Male
  • Positron Emission Tomography Computed Tomography / economics
  • Positron Emission Tomography Computed Tomography / methods*
  • Radiopharmaceuticals*
  • Solitary Pulmonary Nodule / diagnostic imaging*
  • Solitary Pulmonary Nodule / economics

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18