F-18-fluorodeoxyglucose positron emission tomography combined with CT in critically ill patients with suspected infection View Full Text


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Article Info

DATE

2010-03

AUTHORS

Koen S. Simons, Peter Pickkers, Chantal P. Bleeker-Rovers, Wim J. G. Oyen, Johannes G. van der Hoeven

ABSTRACT

PURPOSE: To assess the value of F-18-fluorodeoxyglucose positron emission tomography (FDG-PET) combined with CT in critically ill patients suspected of having an infection. METHODS: FDG-PET CT scans requested for evaluation of a suspected infection or inflammatory process in critically ill, mechanically ventilated patients were analyzed (blinded for the final clinical diagnosis) and compared with clinical follow-up. RESULTS: Thirty-five FDG-PET/CT scans performed in 33 ICU patients (28 adults and 5 children), median age 58 years (range 1 month-72 years), were analyzed. Twenty-one FDG-PET/CT scans were true positive. Three FDG-PET/CT scans were considered false positive, in one case leading to additional diagnostic procedures (specificity 79%). Additionally, 11 true negatives were found (sensitivity 100%), leading to an overall accuracy of 91%. CONCLUSIONS: FDG-PET/CT scanning is of additional value in the evaluation of suspected infection in critically ill patients in whom conventional diagnostics did not lead to a diagnosis. Apart from the high accuracy, in this study it appeared that, in addition to conventional diagnostic techniques that were routinely performed, a normal FDG-PET/CT ruled out important infections requiring prolonged antibiotic therapy or drainage. Since sensitivity is lower in highly metabolic active tissues (e.g., endocarditis, meningitis), the FDG-PET/CT scan is not suited to detect infections in these tissues. More... »

PAGES

504-511

References to SciGraph publications

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00134-009-1697-8

    DOI

    http://dx.doi.org/10.1007/s00134-009-1697-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1035552618

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/19847397


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