How we read pediatric PET/CT: indications and strategies for image acquisition, interpretation and reporting

被引:12
作者
Colleran, Gabrielle C. [1 ]
Kwatra, Neha [1 ]
Oberg, Leah [1 ]
Grant, Frederick D. [1 ]
Drubach, Laura [1 ]
Callahan, Michael J. [1 ]
MacDougall, Robert D. [1 ]
Fahey, Frederic H. [1 ]
Voss, Stephan D. [1 ]
机构
[1] Harvard Med Sch, Boston Childrens Hosp, Dept Radiol, 300 Longwood Ave, Boston, MA 02115 USA
来源
CANCER IMAGING | 2017年 / 17卷
关键词
PET/CT; Diagnostic CT; Pediatric oncology; Hybrid imaging; Dose reduction; Attenuation correction; Multidisciplinary interpretation; EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY; ATTENUATION CORRECTION; F-18-FDG PET; FDG-PET; CT; CONTRAST; CHILDREN; CANCER;
D O I
10.1186/s40644-017-0130-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
PET/CT plays an important role in the diagnosis, staging and management of many pediatric malignancies. The techniques for performing PET/CT examinations in children have evolved, with increasing attention focused on reducing patient exposure to ionizing radiation dose whenever possible and minimizing scan duration and sedation times, with a goal toward optimizing the overall patient experience. This review outlines our approach to performing PET/CT, including a discussion of the indications for a PET/CT exam, approaches for optimizing the exam protocol, and a review of different approaches for acquiring the CT portion of the PET/CT exam. Strategies for PACS integration, image display, interpretation and reporting are also provided. Most practices will develop a strategy for performing PET/CT that best meets their respective needs. The purpose of this article is to provide a comprehensive overview for radiologists who are new to pediatric PET/CT, and also to provide experienced PET/CT practitioners with an update on state-of-the art CT techniques that we have incorporated into our protocols and that have enabled us to make considerable improvements to our PET/CT practice.
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收藏
页数:15
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