PET-CT without capacity limitations: a Danish experience from a European perspectiveReport as inadecuate




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European Radiology

, Volume 21, Issue 6, pp 1277–1285

First Online: 28 January 2011Received: 24 July 2010Revised: 07 October 2010Accepted: 12 October 2010

Abstract

ObjectivesWe report the 3-year clinical experience of a large new Danish PET-CT centre without capacity limitations in relation to national and European developments.

MethodsThe use of PET-CT in cancer was registered from early 2006 to early 2009 to judge the impact on patient management and to compare it with national and European trends.

Results6056 PET-CT examinations were performed in 4327 patients. Activity increased by 86 examinations per month compared with the same month the year before. Referrals came primarily from oncology 23.0%, haematology 21.6%, surgery 12.6%, internal medicine 12.7% and gynaecology 5.5%. Referral indications were diagnosis 31.3%, staging 22.3%, recurrence detection 21.2%, response evaluation 17.0% and other 8.2%. Response from nearly 60% of users showed that PET-CT caused a change in diagnosis and-or staging and-or treatment plan in 36.0% of cases. During the study period, there was a steep increase in the national use of FDG and in the European use of PET-CT.

ConclusionsWe recorded a constantly increasing use of PET-CT that caused a change in diagnosis and-or staging and-or treatment plan in 36.0% of cases. In line with national and European trends this may suggest a shift in favour of functional rather than anatomical imaging.

KeywordsRadionuclide imaging PET-CT Referral pattern Indications Clinical impact  Download fulltext PDF



Author: Poul Flemming Høilund-Carlsen - Oke Gerke - Mie Holm Vilstrup - Anne Lerberg Nielsen - Anders Thomassen - Søren Hess -

Source: https://link.springer.com/







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