Cancer type | No. of scans | % of cases with change in management† | 95% CI | Odds ratio for change in management compared with that for other cancers‡ | 95% CI | Frequency of other imaging as plan before PET (%) | Imaging-adjusted impact (%)§ | 95% CI |
---|---|---|---|---|---|---|---|---|
Prostate | 5,309 | 35.1 | 33.8–36.4 | 0.86‖ | 0.81–0.92 | 39.9 | 15.0 | 14.1–16.0 |
Ovary | 4,509 | 41.4 | 40.0–42.9 | 1.17‖ | 1.10–1.25 | 52.1 | 16.2 | 15.1–17.3 |
Bladder | 3,578 | 37.9 | 36.3–39.5 | 0.99¶ | 0.93–1.07 | 45.1 | 15.4 | 14.2–16.6 |
Pancreas | 3,314 | 39.0 | 37.3–40.6 | 1.04¶ | 0.97–1.12 | 42.7 | 14.8 | 13.6–16.1 |
Stomach | 3,025 | 36.9 | 35.2–38.6 | 0.95¶ | 0.88–1.03 | 45.2 | 14.5 | 13.2–15.7 |
Small cell lung | 2,983 | 41.2 | 39.5–43.0 | 1.16# | 1.07–1.25 | 49.7 | 13.1 | 11.9–14.3 |
Kidney | 2,877 | 35.8 | 34.0–37.6 | 0.90¶ | 0.83–0.98 | 48.9 | 16.0 | 14.7–17.4 |
Uterus | 2,869 | 36.5 | 34.7–38.2 | 0.93¶ | 0.86–1.01 | 47.6 | 15.1 | 13.8–16.4 |
Myeloma | 1,784 | 48.7 | 46.3–51.0 | 1.58‖ | 1.43–1.73 | 61.3 | 11.5 | 10.0–13.0 |
Connective tissue | 1,350 | 36.4 | 33.8–38.9 | 0.93¶ | 0.83–1.04 | 49.9 | 13.6 | 11.8–15.5 |
Nonmelanoma skin | 1,057 | 31.4 | 28.6–34.2 | 0.74# | 0.65–0.84 | 49.8 | 9.6 | 7.9–11.4 |
Liver and intrahepatic bile ducts | 1,038 | 42.9 | 39.9–45.9 | 1.23¶ | 1.08–1.39 | 44.3 | 15.8 | 13.6–18.0 |
Cervix | 984 | 32.7 | 29.8–35.7 | 0.79# | 0.69–0.90 | 48.4 | 11.9 | 9.9–13.9 |
Gallbladder | 806 | 39.7 | 36.3–43.1 | 1.07¶ | 0.93–1.24 | 43.8 | 15.4 | 12.9–17.9 |
Other female genital | 709 | 37.1 | 33.5–40.7 | 0.96¶ | 0.82–1.12 | 41.9 | 13.0 | 10.5–15.4 |
Thyroid | 629 | 35.6 | 31.9–39.4 | 0.90¶ | 0.76–1.06 | 53.6 | 13.4 | 10.7–16.0 |
All other | 4,042 | 36.6 | 35.1–38.1 | 0.93¶ | 0.87–1.00 | 49.2 | 15.7 | 14.5–16.8 |
Total | 40,863 | 38.0 | 37.6–38.5 | NA | NA | 47.3 | 14.7 | 14.3–15.0 |
↵* Specific cancer types are listed when there were at least 500 cases for initial staging, restaging, and detection of suspected recurrence combined.
↵† Defined as change from treatment to nontreatment or as change from nontreatment to treatment.
↵‡ Odds ratio of 1 implies that chance of changing management is equal between an individual cancer and all other cancer groups. Odds ratio <1 implies that chance of changing management is lower for the individual cancer than for all the others. Odds ratio >1 implies that chance of changing management is higher for an individual cancer than for all the others. NA = not applicable.
↵§ No benefit from PET was assumed for cases with imaging plan before PET.
↵‖ Bonferroni-adjusted χ2 P value for chance of change in management was <10−4.
↵¶ Bonferroni-adjusted χ2 P value for chance of change in management was between 0.01 and 1.0.
↵# Bonferroni-adjusted χ2 P value for chance of change in management was between 0.0001 and 0.01.