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- W2277040789 abstract "1617 Objectives: Most oncology PET imaging protocols scan from the skull base to upper-mid thigh. However, isolated metastases above the mid neck level or below the pubis level without concurrent metastases/recurrence between these two levels are rare. The aim of this retrospective study was to assess if omitting bed positions above the mid neck and below the pubis level would affect the efficacy of PET in non- lymphoma, melanoma, or head/neck cancer patients. Methods: FDG PET scans in 385 patients without lymphoma, melanoma, and head/neck cancer, were reviewed (125 lung, 49 pulmonary nodules, 44 esophageal, 47 colorectal, 33 breast, and 87 various other cancers). Location of abnormal lesions were divided into Region A: above the mid neck; Region B: mid neck to pubis; and Region C: below the pubis. Results: Of the 385 patients, 83 patients had negative PET scans. 87 patients had 1 lesion in Region B; none of them had lesions in Region A or C. The remaining 215 patients had 2 or more lesions in Region B; 4 of them had lesions in Region A and/or C. Of these 4 patients, one had a cervical focus which appeared to represent DJD, and 2 other lesions in the chest. Two patients had lesions below the pubis level (femur), but also had multiple lesions in the body. The remaining one patient had a frontal lobe metastasis that was imaged as it was already suspected. With exception of this patient with brain lesion which would otherwise have also missed by conventional imaging field-of-view that does not include above the skull base, omitting Regions A & C in other 3 patients would not have resulted in any change in patient management. Conclusions: The yield of including above the mid neck level and below the pubis level appears to be quite low, and it appears safe to conclude that omitting these regions does not significantly affect the efficacy of PET imaging in patients with cancers other than lymphoma, melanoma, and head/neck cancer. At least one or possibly two bed positions can be reduced, which can result in either increased patient through-put or increased imaging time per patient." @default.
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- W2277040789 date "2007-05-01" @default.
- W2277040789 modified "2023-09-23" @default.
- W2277040789 title "Reducing FDG-PET bed positions in selected oncology patients does not compromise study efficacy" @default.
- W2277040789 hasPublicationYear "2007" @default.
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