Patient dose and preparation | 1. Administered dose of 18F-FDG: |
| 2. Uptake period in minutes: |
| 3. Is CT contrast used during the transmission scan? |
| 4. Fraction of patients who have a separate diagnostic CT acquisition: |
| 5. How often bladder catheterization is performed: |
| 6. How often sedation is used: |
| 7. Percentage of cases with intravenous contrast: |
| 8. Minimum duration of fasting before 18F-FDG injection: |
| 9. Is a low-carbohydrate diet recommended one or more days before PET study? |
| 10. Estimated frequency of different strategies used for preparation of diabetic patients: |
| 11. Is the blood glucose measured before 18F-FDG injection? |
| 12. Blood glucose cutoff: |
Scanner, acquisition, and reconstruction parameters | 13. PET scanner manufacturer and model: 14. PET scanner software version number: |
| 15. Emission scan acquisition mode (2D vs. 3D for whole body and brain): |
| 16. Scan extent (top of head to toes, base of brain to thighs, arms up, arms down, etc.): |
| 17. For whole-body scan, duration of emission scan per bed position: |
| 18. Nature of transmission scan (CT, 68Ge rod source, 133Cs): |
Display, review, and archiving | 19. CT technique used for the average adult patient: |
| 20. PET reconstruction algorithm used: |
| 21. Postreconstruction filter(s) used for reconstruction: |
| 22. PET voxel dimensions: |
| 23. Software used for image interpretation by radiologist/nuclear medicine physician: |
| 24. Are PET/CT images archived to PACS and available for viewing? |
| 25. Can PET/CT images on PACs be viewed as fused images? |
| 26. Quality of PACS PET/CT image display capability: |
| 27. Name of PACS software used by referring physicians for PET/CT: |
| 28. Do you make digital images available on compact disk for referring physicians or patients? |
| 29. Type of display software included on the compact disks you provide: |
| 30. Procedure for reviewing outside images: |