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?

L. Hall, A. Struck, Christopher Guglielmo, C. Jaskowiak, Michael A. Wilson, S. Perlman
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引用次数: 3

摘要

报告目的:评价FDG PET/CT静脉造影剂对头颈癌PET图像临床解释的影响。方法:连续20例患者行PET/CT及头颈部增强CT检查,获得两组PET图像。一组使用标准低剂量CT进行衰减校正,另一组使用IV对比增强诊断质量CT进行衰减校正。两位盲眼核医学医生解释了结果。结果:两组PET影像的临床解释差异无统计学意义。注意到PET扫描衰减与IV对比ct校正后出现异常病变的发生率更高(P<0.01)。结论:应用增强CT对头颈部肿瘤PET/CT进行衰减校正是合理的。这样可以减少给病人的辐射剂量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.
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