2020
DOI: 10.21203/rs.2.21901/v2
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Utility of FDG PET/CT for Assessment of Lung Nodules Identified During Low Dose Computed Tomography Screening

Abstract: Background: Many clinical guidelines recommend FDG PET/CT for the evaluation of pulmonary nodules ≥ 8mm detected during low dose computed tomography (LDCT) lung cancer screening.However, its added value in this setting requires confirmation. We evaluated the clinical utility of FDG PET/CT, including incidental findings, during the evaluation of lung nodules detected on LDCT screening. Methods: A retrospective cohort study was performed among 75 patients who completed FDG PET/CT between January 2010 and Decembe… Show more

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Cited by 3 publications
(3 citation statements)
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“…Prognostication based on PET may be inherently more difficult than that based on CT imaging alone, since patients sent for FDG-PET/CT often have indeterminate lesions that physicians have deemed difficult to evaluate with sequential CT. 37 Furthermore, the decision to pursue an FDG-PET/CT scan is often dependent on clinical judgement and institutional practices, which may lead to high variability in patient datasets and associated studies. The ComBAT data harmonization algorithm has been shown to remove site bias in imaging and radiomics features and improve prediction results in PET, CT, and MRI imaging for neuroimaging, NSCLC, cervical cancer, among others.…”
Section: Discussionmentioning
confidence: 99%
“…Prognostication based on PET may be inherently more difficult than that based on CT imaging alone, since patients sent for FDG-PET/CT often have indeterminate lesions that physicians have deemed difficult to evaluate with sequential CT. 37 Furthermore, the decision to pursue an FDG-PET/CT scan is often dependent on clinical judgement and institutional practices, which may lead to high variability in patient datasets and associated studies. The ComBAT data harmonization algorithm has been shown to remove site bias in imaging and radiomics features and improve prediction results in PET, CT, and MRI imaging for neuroimaging, NSCLC, cervical cancer, among others.…”
Section: Discussionmentioning
confidence: 99%
“…Coaxial needle biopsy can avoid repeated punctures and reduce complications. As a lung tumor identification method, CT emphasizes that scanning coaxial needle biopsy can significantly improve the positive detection rate of malignant lesions, which is of great value for the clinical decision of early lung cancer and appropriate treatment options [20]. rough the improvement and development of CT devices, and the improvement of puncture needles, CT-enhanced scanning coaxial needle biopsy can safely and effectively diagnose diseases with fewer complications, especially for lesions that cannot be detected by bronchoscopy.…”
Section: Discussionmentioning
confidence: 99%
“…Positive emission tomography may help characterize solid lesions for malignant potential and decrease the number of false positive lesions undergoing unnecessary invasive procedures. 146 Navigational bronchoscopy coupled with cone-beam CT imaging and augmented fluoroscopy may help increase the proportion of diagnosed lesions with less morbidity and mortality. 147…”
Section: Special Considerations Using Lung Cancer Screening In Copd P...mentioning
confidence: 99%