PET/CT without capacity limitations: a Danish experience from a European perspective
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Poul Flemming Hّilund-Carlsen & Oke Gerke & Mie Holm Vilstrup & Anne Lerberg Nielsen & Anders Thomassen & Sّren Hess & Mette Hّilund-Carlsen & Werner
- چاپ و سال / کشور: 2011
Description
Objectives We report the 3-year clinical experience of a large new Danish PET/CT centre without capacity limitations in relation to national and European developments. Methods The use of PET/CT in cancer was registered from early 2006 to early 2009 to judge the impact on patient management and to compare it with national and European trends. Results 6056 PET/CT examinations were performed in 4327 patients. Activity increased by 86 examinations per month compared with the same month the year before. Referrals came primarily from oncology (23.0%), haematology (21.6%), surgery (12.6%), internal medicine (12.7%) and gynaecology (5.5%). Referral indications were diagnosis (31.3%), staging (22.3%), recurrence detection (21.2%), response evaluation (17.0%) and other (8.2%). Response from nearly 60% of users showed that PET/CT caused a change in diagnosis and/or staging and/or treatment plan in 36.0% of cases. During the study period, there was a steep increase in the national use of FDG and in the European use of PET/CT. Conclusions We recorded a constantly increasing use of PET/CT that caused a change in diagnosis and/or staging and/or treatment plan in 36.0% of cases. In line with national and European trends this may suggest a shift in favour of functional rather than anatomical imaging.
Eur Radiol (2011) 21:1277–1285 DOI 10.1007/s00330-010-2025-y Received: 24 July 2010 / Revised: 7 October 2010 / Accepted: 12 October 2010 / Published online: 28 January 2011
