Hybrid 18F-FDG PET with low- and high-dose CT for malignancy screening.
- Author:
Bautista Patricia A.
- Publication Type:Clinical Trial
- MeSH: Human; Male; Female; Aged 80 and over; Aged; Middle Aged; Adult; Young Adult; Adolescent; Child; Positron-Emission Tomography; Tomography Scanners, X-Ray Computed; neoplasms-diagnosis; False Positive Reactions; False Negative Reactions
- From: The Philippine Journal of Nuclear Medicine 2015;10(2):38-43
- CountryPhilippines
- Language:English
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Abstract:
The primary objectives of this retrospective study were to determine the cancer detection rate of PET/CT in this institution and to compare the sensitivity and specificity of low-dose PET/CT to that of PET with high-dose CT. Three hundred sixty-seven (367) patients with unremarkable history, family history of cancer, symptoms or abnormal diagnostic tests, and with follow-up studies were included. PET/CT and histopathology results were noted. Individual and overall cancer detection rates, as well as sensitivities and specificities for each subgroup, were computed. Overall cancer detection rates was 22.3%, for low-dose PET/CT was 17.9%, and for high-dose PET/CT was 24.4%. Using the chi squared test of independence, no statistically significant difference was found between the calculated sensitivities and specificities of low- and high-dose PET/CT across all patient groups. Using the Mantel-Haeaszel chi squared test, a statistically significant association between the subindication for malignancy screening and PET/CT results was established with subindications pointing to a higher suspicion for malignancy having a higher probability of detecting a malignancy. Therefore, high-dose PET/CT as a screening test would be advised for high-risk patients and low-dose PET/CT would be recommended because of its similar accuracy but lower radiation exposure.