TABLE 4

NaF PET Findings, Post-PET Extent of Disease, and Treatments Planned

CharacteristicInitial staging (n = 1,024)Suspected FOM (n = 1,997)Suspected POM (n = 510)
NaF PET findings (%)
 Benign71.052.016.1
 Equivocal8.58.01.6
 Probable6.311.05.9
 Definite13.929.076.5
  Unifocal2.03.43.3
  Multifocal8.719.047.8
  Diffuse3.26.725.3
Avoid diagnostic tests (%)69.375.279.6
Avoid invasive procedures (%)51.358.755.9
Treatment*76.952.271.0
 Local therapies58.610.52.4
 Surgery18.51.80.4§
 Radiotherapy52.210.53.7
Directed at bone10.819.339.2
 Radiotherapy5.37.815.3
 Radiopharmaceutical therapy0.11.12.4
 Bisphosphonates6.711.527.8
Systemic therapies38.041.661.4
 Hormonal35.432.340.8
 Chemotherapy7.913.529.0
 Immunotherapy2.46.2§7.6§
  • * Treatment types are not mutually exclusive.

  • Surgery for presumed impending or pathologic fracture.

  • Suspected incorrect indication since these therapies are inappropriate in hormone-therapy naïve disease.

  • § Immunotherapy should not be used in combination with other systemic therapies.