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Role of Limited Whole-Body PET/CT in Pediatric Lymphoma.
MedLine Citation:
PMID:  21512070     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: Performing true whole-body FDG PET/CT is standard practice in pediatric lymphoma staging and follow-up. In adults, imaging is typically limited whole-body PET/CT, which has advantages over true whole-body PET/CT, primarily decreased scanning time and decreased radiation. We hypothesize that in pediatric lymphoma, limited whole-body PET/CT is sufficient for routine follow-up when disease on the true whole-body staging study is confined to the limited whole-body field of view (FOV).
MATERIALS AND METHODS: True whole-body PET/CT studies performed for staging and follow-up of pediatric lymphoma patients between November 2004 and July 2009 at two tertiary pediatric referral hospitals were retrospectively reviewed. Abnormalities on the limited whole-body and additional true whole-body FOV were documented.
RESULTS: One hundred seventy patients met the inclusion criteria (752 examinations). At staging, disease involved the limited whole-body FOV without involving the additional true whole-body FOV in 150. Of the 150, 145 had routine follow-up (508 examinations). In these patients, no new (18)F-FDG-avid disease was identified outside of the limited whole-body FOV on routine follow-up (positive predictive value, 0%, 95% CI, 0-0.02).
CONCLUSION: The limited whole-body PET/CT for routine follow-up when disease is confined to the limited whole-body FOV at staging is appropriate. Given its definite advantages over true whole-body PET/CT, it is preferred.
Authors:
Marla B K Sammer; Barry L Shulkin; Adam Alessio; Marguerite T Parisi
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  196     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1047-55     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, University of Washington and Seattle Children's Hospital, 4800 Sand Point Way, R-5417, Seattle, WA 98105.
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