Changes in Treatment Management Attributable to 18F-FDG PET and Its Associated Clinical Impact
Scan findings | Final diagnosis | Management plan | Follow-up time (mo) | Final status* | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Patient(s) | Group | CWU | PET | Before PET | After PET | Impact | Remarks* | |||
1 | A | CR | LRF | LRF | iFU | CST | 16 | NED | P | |
2 | A | CR | RF | RF | iFU | CST | 27 | NED | P | |
3 | A | SF | CR | CR | Biopsy | iFU | 28 | NED | P | |
4 | A | CR | LF | CR | iFU | More iFU | 35 | NED | N | |
5 | A | CR | RF | CR | iFU | Biopsy | 32 | AWD | N | Locoregional recurrence 30 mo later |
6–9 | A | CR | SF | CR | iFU | More iFU | 16–28 | NED | N | Pulmonary inflammation |
10 | A | CR | SF | CR | iFU | More iFU | 15 | NED | N | Inflammatory lumbar spine disease |
11 | A | CR | Second primary | CR | iFU | More iFU | 21 | NED | N | Rib fracture |
12 | B | CR | LF | LF | iFU | CST | 6 | DWD | P | |
13 | B | CR | RF | RF | iFU | CST | 10 | DWD | P | |
14 | B | CR | SF | SF | iFU | PT | 20 | AWD | P | Solitary hepatic metastasis |
15 | B | CR | SF | SF | iFU | PT | 24 | NED | P | Solitary bony metastasis at sacrum |
16–32 | B | EL or sLF | CR | CR | iFU | Less iFU | 12–38 | NED | P | |
33 | B | SF | CR | CR | PT | iFU | 15 | NED | P | |
34 | B | CR | Second primary | Second primary | iFU | Thyroidectomy | 17 | NED | P | Papillary thyroid carcinoma |
35 | B | CR | LF | CR | iFU | More iFU | 27 | NED | N | Osteoradionecrosis |
36 | B | CR | RF | CR | iFU | More iFU | 32 | AWD | N | Solitary rib metastasis 18 mo later |
37 | B | CR | SF | CR | iFU | More iFU | 27 | NED | N | Pulmonary inflammation |
↵* See text for details.
CR = complete remission; CST = curative salvage treatment; EL = equivocal local lesion (score of 2); iFU = imaging follow-up; LF = local failure; LRF = locoregional failure; N = negative; P = positive; PT = palliative treatment; RF = regional failure; SF = systemic failure; sLF = suspected local failure (score of 3).