TABLE 2

Impact of PET on Intended Management by Cancer Type*

Cancer typeNo. of scans% of cases with change in management95% CIOdds ratio for change in management compared with that for other cancers95% CIFrequency of other imaging as plan before PET (%)Imaging-adjusted impact (%)§95% CI
Prostate5,30935.133.8–36.40.860.81–0.9239.915.014.1–16.0
Ovary4,50941.440.0–42.91.171.10–1.2552.116.215.1–17.3
Bladder3,57837.936.3–39.50.990.93–1.0745.115.414.2–16.6
Pancreas3,31439.037.3–40.61.040.97–1.1242.714.813.6–16.1
Stomach3,02536.935.2–38.60.950.88–1.0345.214.513.2–15.7
Small cell lung2,98341.239.5–43.01.16#1.07–1.2549.713.111.9–14.3
Kidney2,87735.834.0–37.60.900.83–0.9848.916.014.7–17.4
Uterus2,86936.534.7–38.20.930.86–1.0147.615.113.8–16.4
Myeloma1,78448.746.3–51.01.581.43–1.7361.311.510.0–13.0
Connective tissue1,35036.433.8–38.90.930.83–1.0449.913.611.8–15.5
Nonmelanoma skin1,05731.428.6–34.20.74#0.65–0.8449.89.67.9–11.4
Liver and intrahepatic bile ducts1,03842.939.9–45.91.231.08–1.3944.315.813.6–18.0
Cervix98432.729.8–35.70.79#0.69–0.9048.411.99.9–13.9
Gallbladder80639.736.3–43.11.070.93–1.2443.815.412.9–17.9
Other female genital70937.133.5–40.70.960.82–1.1241.913.010.5–15.4
Thyroid62935.631.9–39.40.900.76–1.0653.613.410.7–16.0
All other4,04236.635.1–38.10.930.87–1.0049.215.714.5–16.8
Total40,86338.037.6–38.5NANA47.314.714.3–15.0
  • * 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.