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Research ArticleThe State of the Art

Consensus Recommendations on the Use of 18F-FDG PET/CT in Lung Disease

Delphine L. Chen, Safia Ballout, Laigao Chen, Joseph Cheriyan, Gourab Choudhury, Ana M. Denis-Bacelar, Elise Emond, Kjell Erlandsson, Marie Fisk, Francesco Fraioli, Ashley M. Groves, Roger N. Gunn, Jun Hatazawa, Beverley F. Holman, Brian F. Hutton, Hidehiro Iida, Sarah Lee, William MacNee, Keiko Matsunaga, Divya Mohan, David Parr, Alaleh Rashidnasab, Gaia Rizzo, Deepak Subramanian, Ruth Tal-Singer, Kris Thielemans, Nicola Tregay, Edwin J.R. van Beek, Laurence Vass, Marcos F. Vidal Melo, Jeremy W. Wellen, Ian Wilkinson, Frederick J. Wilson and Tilo Winkler
Journal of Nuclear Medicine December 2020, 61 (12) 1701-1707; DOI: https://doi.org/10.2967/jnumed.120.244780
Delphine L. Chen
1Department of Radiology, University of Washington, Seattle Cancer Care Alliance, Seattle, Washington
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Safia Ballout
2School of Physics and Astronomy, University of Leeds, Leeds, United Kingdom
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Laigao Chen
3Worldwide Research, Development, and Medical, Pfizer Inc., Cambridge, Massachusetts
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Joseph Cheriyan
4Cambridge University Hospitals, NHS Foundation Trust, Cambridge, United Kingdom
5Department of Medicine, University of Cambridge, Cambridge, United Kingdom
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Gourab Choudhury
6Edinburgh Imaging, Queen’s Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom
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Ana M. Denis-Bacelar
7National Physical Laboratory, Teddington, United Kingdom
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Elise Emond
8Institute of Nuclear Medicine, University College London, London, United Kingdom
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Kjell Erlandsson
8Institute of Nuclear Medicine, University College London, London, United Kingdom
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Marie Fisk
5Department of Medicine, University of Cambridge, Cambridge, United Kingdom
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Francesco Fraioli
8Institute of Nuclear Medicine, University College London, London, United Kingdom
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Ashley M. Groves
8Institute of Nuclear Medicine, University College London, London, United Kingdom
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Roger N. Gunn
9inviCRO, London, United Kingdom
10Department of Medicine, Imperial College London, London, United Kingdom
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Jun Hatazawa
11Department of Nuclear Medicine and Tracer Kinetics, Osaka University, Osaka, Japan
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Beverley F. Holman
12Nuclear Medicine Department, Royal Free Hospital, London, United Kingdom
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Brian F. Hutton
8Institute of Nuclear Medicine, University College London, London, United Kingdom
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Hidehiro Iida
13Faculty of Biomedicine and Turku PET Center, University of Turku, Turku, Finland
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Sarah Lee
14Amallis Consulting Ltd., London, United Kingdom
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William MacNee
6Edinburgh Imaging, Queen’s Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom
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Keiko Matsunaga
11Department of Nuclear Medicine and Tracer Kinetics, Osaka University, Osaka, Japan
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Divya Mohan
15Medical Innovation, Value Evidence, and Outcomes, GlaxoSmithKline R&D, Collegeville, Pennsylvania
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David Parr
16University Hospitals Coventry and Warwickshire, Coventry, United Kingdom
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Alaleh Rashidnasab
8Institute of Nuclear Medicine, University College London, London, United Kingdom
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Gaia Rizzo
9inviCRO, London, United Kingdom
10Department of Medicine, Imperial College London, London, United Kingdom
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Deepak Subramanian
17Derby Teaching Hospitals, NHS Foundation Trust, Derby, United Kingdom
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Ruth Tal-Singer
15Medical Innovation, Value Evidence, and Outcomes, GlaxoSmithKline R&D, Collegeville, Pennsylvania
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Kris Thielemans
8Institute of Nuclear Medicine, University College London, London, United Kingdom
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Nicola Tregay
5Department of Medicine, University of Cambridge, Cambridge, United Kingdom
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Edwin J.R. van Beek
6Edinburgh Imaging, Queen’s Medical Research Institute, University of Edinburgh, Edinburgh, United Kingdom
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Laurence Vass
5Department of Medicine, University of Cambridge, Cambridge, United Kingdom
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Marcos F. Vidal Melo
18Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
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Jeremy W. Wellen
19Research and Early Development, Celgene, Cambridge, Massachusetts; and
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Ian Wilkinson
4Cambridge University Hospitals, NHS Foundation Trust, Cambridge, United Kingdom
5Department of Medicine, University of Cambridge, Cambridge, United Kingdom
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Frederick J. Wilson
20Clinical Imaging, Clinical Pharmacology, and Experimental Medicine, GlaxoSmithKline, Stevenage, United Kingdom
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Tilo Winkler
18Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
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Abstract

PET with 18F-FDG has been increasingly applied, predominantly in the research setting, to study drug effects and pulmonary biology and to monitor disease progression and treatment outcomes in lung diseases that interfere with gas exchange through alterations of the pulmonary parenchyma, airways, or vasculature. To date, however, there are no widely accepted standard acquisition protocols or imaging data analysis methods for pulmonary 18F-FDG PET/CT in these diseases, resulting in disparate approaches. Hence, comparison of data across the literature is challenging. To help harmonize the acquisition and analysis and promote reproducibility, we collated details of acquisition protocols and analysis methods from 7 PET centers. From this information and our discussions, we reached the consensus recommendations given here on patient preparation, choice of dynamic versus static imaging, image reconstruction, and image analysis reporting.

  • pulmonary imaging
  • FDG
  • PET/CT
  • lung disease

Footnotes

  • Published online Sep. 18, 2020.

  • © 2020 by the Society of Nuclear Medicine and Molecular Imaging.
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Journal of Nuclear Medicine: 61 (12)
Journal of Nuclear Medicine
Vol. 61, Issue 12
December 1, 2020
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Consensus Recommendations on the Use of 18F-FDG PET/CT in Lung Disease
Delphine L. Chen, Safia Ballout, Laigao Chen, Joseph Cheriyan, Gourab Choudhury, Ana M. Denis-Bacelar, Elise Emond, Kjell Erlandsson, Marie Fisk, Francesco Fraioli, Ashley M. Groves, Roger N. Gunn, Jun Hatazawa, Beverley F. Holman, Brian F. Hutton, Hidehiro Iida, Sarah Lee, William MacNee, Keiko Matsunaga, Divya Mohan, David Parr, Alaleh Rashidnasab, Gaia Rizzo, Deepak Subramanian, Ruth Tal-Singer, Kris Thielemans, Nicola Tregay, Edwin J.R. van Beek, Laurence Vass, Marcos F. Vidal Melo, Jeremy W. Wellen, Ian Wilkinson, Frederick J. Wilson, Tilo Winkler
Journal of Nuclear Medicine Dec 2020, 61 (12) 1701-1707; DOI: 10.2967/jnumed.120.244780

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Consensus Recommendations on the Use of 18F-FDG PET/CT in Lung Disease
Delphine L. Chen, Safia Ballout, Laigao Chen, Joseph Cheriyan, Gourab Choudhury, Ana M. Denis-Bacelar, Elise Emond, Kjell Erlandsson, Marie Fisk, Francesco Fraioli, Ashley M. Groves, Roger N. Gunn, Jun Hatazawa, Beverley F. Holman, Brian F. Hutton, Hidehiro Iida, Sarah Lee, William MacNee, Keiko Matsunaga, Divya Mohan, David Parr, Alaleh Rashidnasab, Gaia Rizzo, Deepak Subramanian, Ruth Tal-Singer, Kris Thielemans, Nicola Tregay, Edwin J.R. van Beek, Laurence Vass, Marcos F. Vidal Melo, Jeremy W. Wellen, Ian Wilkinson, Frederick J. Wilson, Tilo Winkler
Journal of Nuclear Medicine Dec 2020, 61 (12) 1701-1707; DOI: 10.2967/jnumed.120.244780
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  • Article
    • Abstract
    • PATIENT PREPARATION
    • PATIENT POSITIONING AND COMFORT
    • ADMINISTERED 18F-FDG ACTIVITY
    • IMAGE ACQUISITION
    • IMAGE RECONSTRUCTION
    • IMAGE ANALYSIS REPORTING
    • CONCLUSION
    • DISCLOSURE
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Keywords

  • pulmonary imaging
  • FDG
  • PET/CT
  • lung disease
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