L. Hall, A. Struck, Christopher Guglielmo, C. Jaskowiak, Michael A. Wilson, S. Perlman
{"title":"使用静脉增强CT进行衰减校正会影响头颈部PET/CT的临床解释吗?","authors":"L. Hall, A. Struck, Christopher Guglielmo, C. Jaskowiak, Michael A. Wilson, S. Perlman","doi":"10.2174/1876388X01103010012","DOIUrl":null,"url":null,"abstract":"Purpose of Report: Evaluate the effect of IV contrast use with FDG PET/CT on clinical interpretation of PET images for head and neck cancer. Procedures: 20 consecutive patients referred for PET/CT and contrast enhanced CT of the head and neck had two sets of PET images obtained. One set used standard low dose CT for attenuation correction, and the other used IV contrast enhanced diagnostic quality CT for attenuation correction. Two blinded nuclear medicine physicians interpreted the results. Results: No statistically significant difference in clinical interpretation of the PET images was found. It was noted that PET scans attenuation corrected with IV contrast CTs had greater incidence of abnormal appearing lesions (P<0.01). Conclusion: It is reasonable to use contrast enhanced CT for attenuation correction in PET/CT of head and neck cancer. This would allow for a reduction in radiation dose delivered to patient.","PeriodicalId":88754,"journal":{"name":"The open nuclear medicine journal","volume":"3 1","pages":"12-18"},"PeriodicalIF":0.0000,"publicationDate":"2011-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Does the Use of IV Contrast Enhanced CT for Attenuation Correction Affect Clinical Interpretation of Head and Neck PET/CT?\",\"authors\":\"L. Hall, A. Struck, Christopher Guglielmo, C. Jaskowiak, Michael A. Wilson, S. Perlman\",\"doi\":\"10.2174/1876388X01103010012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Purpose of Report: Evaluate the effect of IV contrast use with FDG PET/CT on clinical interpretation of PET images for head and neck cancer. Procedures: 20 consecutive patients referred for PET/CT and contrast enhanced CT of the head and neck had two sets of PET images obtained. One set used standard low dose CT for attenuation correction, and the other used IV contrast enhanced diagnostic quality CT for attenuation correction. Two blinded nuclear medicine physicians interpreted the results. Results: No statistically significant difference in clinical interpretation of the PET images was found. It was noted that PET scans attenuation corrected with IV contrast CTs had greater incidence of abnormal appearing lesions (P<0.01). Conclusion: It is reasonable to use contrast enhanced CT for attenuation correction in PET/CT of head and neck cancer. This would allow for a reduction in radiation dose delivered to patient.\",\"PeriodicalId\":88754,\"journal\":{\"name\":\"The open nuclear medicine journal\",\"volume\":\"3 1\",\"pages\":\"12-18\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2011-09-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The open nuclear medicine journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/1876388X01103010012\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The open nuclear medicine journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/1876388X01103010012","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Does the Use of IV Contrast Enhanced CT for Attenuation Correction Affect Clinical Interpretation of Head and Neck PET/CT?
Purpose of Report: Evaluate the effect of IV contrast use with FDG PET/CT on clinical interpretation of PET images for head and neck cancer. Procedures: 20 consecutive patients referred for PET/CT and contrast enhanced CT of the head and neck had two sets of PET images obtained. One set used standard low dose CT for attenuation correction, and the other used IV contrast enhanced diagnostic quality CT for attenuation correction. Two blinded nuclear medicine physicians interpreted the results. Results: No statistically significant difference in clinical interpretation of the PET images was found. It was noted that PET scans attenuation corrected with IV contrast CTs had greater incidence of abnormal appearing lesions (P<0.01). Conclusion: It is reasonable to use contrast enhanced CT for attenuation correction in PET/CT of head and neck cancer. This would allow for a reduction in radiation dose delivered to patient.