TABLE 1

Whole-Body PET/CT Protocol

StepDetails
Patient preparationAdministration of 1.5 L of negative oral contrast material after intravenous administration of 18F-FDG
Removal of metallic materials from scan area (e.g., zippers, removable bracelets, fashion items, piercings)
Fixation of intravenous access (mostly antecubital vein; central venous catheter or port) and connection to intravenous injector pump
Patient positioningPatient position in scanner: head first, supine
Arms above head, supported by positioning aids (e.g., cushions)
Positioning aids for knee or ankle
CT overview scan (scout or topogram)Covered area: head, neck, chest, abdomen, and middle of thighs
Whole-body CT scanScan direction: caudocranial
Scan delay: 50 s after start of intravenous contrast material injection*
Scan from base of skull to upper thighs
Tube current: 100 mA
Tube voltage: 130 kV
Slice thickness: 5 mm; increment: 2.5 mm
Breathing protocol: instruct patient to breathe in shallow manner until middle of abdomen is reached and then instruct patient to hold breath during expiration; allow shallow breathing after middle of chest is reached
Whole-body PET scanScan direction: caudocranial
Shallow breathing throughout scan
  • * Adjusted to specific scanner capabilities.

  • CT parameters adjusted to specific scanner capabilities.