Integrated PET/CT: Current Applications and Future Directions

Published Online:Feb 1 2006https://doi.org/10.1148/radiol.2382041977

Abstract

For the past 5 years, combined positron emission tomography (PET) and computed tomography (CT), or PET/CT, has grown because the PET portion provides information that is very different from that obtainable with other imaging modalities. However, the paucity of anatomic landmarks on PET images makes a consistent “hardware fusion” to anatomic cross-sectional data extremely useful. Clinical experience indicates a single direction: Addition of CT to PET improves specificity foremost, but also sensitivity, and the addition of PET to CT adds sensitivity and specificity in tumor imaging. Thus, PET/CT is a more accurate test than either of its individual components and is probably also better than side-by-side viewing of images from both modalities. The synergistic advantage of adding CT is that the attenuation correction needed for PET can also be derived from the CT data, an advantage not obtainable by integrating PET and magnetic resonance imaging. This makes PET/CT 25%–30% faster than PET alone with standard attenuation-correction methods, leading to higher patient throughput and a more comfortable examination, which typically last 30 minutes or less. Fluorodeoxyglucose (FDG) PET/CT appears to provide relevant information in the staging and therapy monitoring of many tumors, including lung carcinoma, mesothelioma, colorectal cancer, lymphoma, melanoma, and many others, with the notable exception of prostatic cancer. For prostatic cancer, choline derivatives may become useful radiopharmaceuticals. The published literature on the applications of FDG PET/CT in oncology is still limited, but several well-designed studies have demonstrated the benefits of PET/CT.

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  2010 | EMC - Radiologie et imagerie médicale - Cardiovasculaire - Thoracique - Cervicale, Vol. 5, No. 2
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  2007 | PET Clinics, Vol. 2, No. 4
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  A.Devaraj, G.J.R.Cook, D.M.Hansell
  2007 | Clinical Radiology, Vol. 62, No. 2
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  RadioGraphics2019
  Volume: 39Issue: 1pp. 186-212
- Revisions to the TNM Staging of Lung Cancer: Rationale, Significance, and Clinical Application
  RadioGraphics2018
  Volume: 38Issue: 2pp. 374-391
- Assessing Immunotherapy with Functional and Molecular Imaging and Radiomics
  RadioGraphics2020
  Volume: 40Issue: 7pp. 1987-2010
See More
RSNA Education Exhibits
- PET Imaging in Oncology: An Updated Review of Evidence-based Indications
  Digital Posters2020
- "What Goes Around Comes Round" To The Lungs - A Pictorial Review Of The Different Radiological Presentations Of Pulmonary Metastases.
  Digital Posters2021
- PET CT Simply Makes It Accurate: PSMA What You Need To Know, Pearls And Pitfalls
  Digital Posters2021
RSNA Case Collection
- Bronchial Carcinoid
  RSNA Case Collection2020
- Carcinoid tumor of the lung
  RSNA Case Collection2020
- Mucoepidermoid carcinoma
  RSNA Case Collection2020

Vol. 238, No. 2

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