TABLE 4

Changes in Treatment Management Attributable to 18F-FDG PET and Its Associated Clinical Impact

Scan findingsFinal diagnosisManagement planFollow-up time (mo)Final status*
Patient(s)GroupCWUPETBefore PETAfter PETImpactRemarks*
1ACRLRFLRFiFUCST16NEDP
2ACRRFRFiFUCST27NEDP
3ASFCRCRBiopsyiFU28NEDP
4ACRLFCRiFUMore iFU35NEDN
5ACRRFCRiFUBiopsy32AWDNLocoregional recurrence 30 mo later
6–9ACRSFCRiFUMore iFU16–28NEDNPulmonary inflammation
10ACRSFCRiFUMore iFU15NEDNInflammatory lumbar spine disease
11ACRSecond primaryCRiFUMore iFU21NEDNRib fracture
12BCRLFLFiFUCST6DWDP
13BCRRFRFiFUCST10DWDP
14BCRSFSFiFUPT20AWDPSolitary hepatic metastasis
15BCRSFSFiFUPT24NEDPSolitary bony metastasis at sacrum
16–32BEL or sLFCRCRiFULess iFU12–38NEDP
33BSFCRCRPTiFU15NEDP
34BCRSecond primarySecond primaryiFUThyroidectomy17NEDPPapillary thyroid carcinoma
35BCRLFCRiFUMore iFU27NEDNOsteoradionecrosis
36BCRRFCRiFUMore iFU32AWDNSolitary rib metastasis 18 mo later
37BCRSFCRiFUMore iFU27NEDNPulmonary 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).