TABLE 2.

Clinical Studies Exploring Low-Dose Injection Activity of 18F-FDG Using Total-Body PET/CT

YearAuthorPatients (n)PopulationDiseaseInjection doseConclusion
2022Chen et al. (12)100Pediatric patientsOncologyHalf dose (1.85 MBq/kg)Sufficient image quality and lesion conspicuity could be maintained at fast acquisition time of 1 min with half-dose activity of 18F-FDG
2022He et al. (17)46AdultsOncologyHalf dose (1.85 MBq/kg)Half dose of 18F-FDG with acquisition times ≥ 5 min could be applied in clinical practice
2021Tan et al. (13)56AdultsLung cancerHalf dose (1.85 MBq/kg)Total-body PET/CT with half dose of 18F-FDG in 2 and 4 min achieved comparable image quality to conventional PET/CT
2022Hu et al. (18)30AdultsOncologyUltralow dose (0.37 MBq/kg)Ultralow 18F-FDG activity with 8-min acquisition in total-body PET/CT can achieve acceptable image quality equivalent to that in full-activity group after 2-min acquisition
2022Abdelhafez et al. (54)30AdultsAIAUltralow dose (78.1 ± 4.7 MBq)Systemic joint evaluation in AIA (and non-AIA) is feasible with total-body PET/CT and ultra-low-dose 18F-FDG protocol
2022Tan et al. (55)62AdultsCRCUltralow dose (0.37 MBq/kg)Total-body PET/CT with ultralow dose of 18F-FDG can maintain satisfactory image quality and lesion detectability in CRC
2023Tan et al. (56)30AdultsOncologyUltralow dose (0.37 MBq/kg) vs. half dose (1.85 MBq/kg)Total-body PET/CT with ultra-low-dose activity of 18F-FDG, corresponding acquisition time of 8 min, provides acceptable image quality and lesion detection
  • AIA = autoimmune inflammatory arthritis; CRC = colorectal cancer.