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Published in: European Journal of Nuclear Medicine and Molecular Imaging 12/2006

01-12-2006 | Original article

Value of PET/CT versus PET and CT performed as separate investigations in patients with Hodgkin’s disease and non-Hodgkin’s lymphoma

Authors: Christian la Fougère, Walter Hundt, Nicole Bröckel, Thomas Pfluger, Alexander Haug, Bernhard Scher, Marcus Hacker, Klaus Hahn, Maximilan Reiser, Reinhold Tiling

Published in: European Journal of Nuclear Medicine and Molecular Imaging | Issue 12/2006

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Abstract

Purpose

The aim of this study was to assess the clinical benefit of combined [18F]FDG PET/CT in patients with malignant lymphoma as compared to separately performed PET and CT.

Methods

Overall, 100 patients with Hodgkin’s disease (HD) or non-Hodgkin’s lymphoma (NHL) were included in this study. Co-registered PET/CT with [18F]FDG and contrast medium was performed in 50 consecutive patients with NHL (n=38) or HD (n=12) for initial staging (IS) (n=12) or re-treatment staging (RS) (n=38). Another 50 patients with NHL (n=32) or HD (n=18) underwent separate PET and CT investigations within a time frame of 10 days for IS (n=22) or RS (n=28). Lymphoma involvement was separately evaluated for seven different regions in each patient. Each patient had clinical follow-up evaluation for >6 months. PET and CT data were analysed separately as well as side-by-side or in fused mode.

Results

In the PET/CT group, region-based evaluation for lymphoma involvement suggested a sensitivity/specificity of 85%/91% for CT, 98%/99% for PET and 98%/99% for PET/CT. In the PET and CT group, region-based evaluation showed a sensitivity/specificity of 87%/80% for CT, 98%/99% for PET and 98%/100% for PET and CT read side by side.

Conclusion

PET was superior to CT alone and was improved further by side-by-side reading of both examinations. However, no significant difference was observed between PET/CT and separate PET and CT imaging in patients with lymphoma.
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Metadata
Title
Value of PET/CT versus PET and CT performed as separate investigations in patients with Hodgkin’s disease and non-Hodgkin’s lymphoma
Authors
Christian la Fougère
Walter Hundt
Nicole Bröckel
Thomas Pfluger
Alexander Haug
Bernhard Scher
Marcus Hacker
Klaus Hahn
Maximilan Reiser
Reinhold Tiling
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
European Journal of Nuclear Medicine and Molecular Imaging / Issue 12/2006
Print ISSN: 1619-7070
Electronic ISSN: 1619-7089
DOI
https://doi.org/10.1007/s00259-006-0171-x

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