TABLE 1

Essential Elements of 18F-FDG PET/CT Reporting

ElementDescription
Clinical historyIndication for study
Cancer type and site, if applicable
Brief review of treatment history, if applicable
Technique/procedureRadiopharmaceutical name
Radiopharmaceutical dose/activity
Route of radiopharmaceutical administration
Uptake time (i.e., from radiopharmaceutical injection to imaging)
Blood glucose level
Ancillary medications administered, if applicable
Precise body region scanned
CT technique (including whether oral or intravenous contrast was used; if used, name and volume of agent)
Comparison studiesWhether comparison was made with prior PET or PET/CT studies; include dates when available
Whether correlation was made with prior non-PET imaging studies (e.g., CT or MR imaging); include dates when available
FindingsLocation, size/extent, and intensity of sites of abnormal 18F-FDG uptake
Abnormal PET findings correlated with concurrent CT images or correlative imaging studies, if applicable
Incidental PET findings
Incidental CT findings
ImpressionClear identification of study as normal vs. abnormal
Interpretation of findings, rather than just restatement of findings
Succinct differential diagnosis provided, if applicable
Recommendations for follow-up studies, if applicable
Documentation of communication of urgent or emergent findings to referring physician or surrogate