FDG PET/CT in cancer: comparison of actual use with literature-based recommendations View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-04

AUTHORS

Henrik Petersen, Paw Christian Holdgaard, Poul Henning Madsen, Lene Meldgaard Knudsen, Dorte Gad, Anders Eggert Gravergaard, Max Rohde, Christian Godballe, Bodil Elisabeth Engelmann, Karsten Bech, Dorte Teilmann-Jørgensen, Ole Mogensen, Jens Karstoft, Jørgen Johansen, Janne Buck Christensen, Allan Johansen, Poul Flemming Høilund-Carlsen, on behalf of the PET/CT Task Force of the Region of Southern Denmark

ABSTRACT

PURPOSE: The Region of Southern Denmark (RSD), covering 1.2 of Denmark's 5.6 million inhabitants, established a task force to (1) retrieve literature evidence for the clinical use of positron emission tomography (PET)/CT and provide consequent recommendations and further to (2) compare the actual use of PET/CT in the RSD with these recommendations. This article summarizes the results. METHODS: A Work Group appointed a professional Subgroup which made Clinician Groups conduct literature reviews on six selected cancers responsible for 5,768 (62.6 %) of 9,213 PET/CT scans in the RSD in 2012. Rapid Evidence Assessment was applied, using the methodology of systematic reviews with predefined limitations to search PubMed, Embase and the Cochrane Library for articles published in English/Danish/Swedish/Norwegian since 2002. PICO questions were defined, data recorded and quality appraised and rated with regard to strength and evidence level. Consequent recommendations for applications of PET/CT were established. The actual use of PET/CT was compared with these, where grades A and B indicated "established" and "useful" and grades C and D "potentially useful" and "non-recommendable" indications, respectively. RESULTS: Of 11,729 citations, 1,729 were considered for review, and 204 were included. The evidence suggested usefulness of PET/CT in lung, lymphoma, melanoma, head and neck, and colorectal cancers, whereas evidence was sparse in gynaecological cancers. The agreement between actual use of PET/CT and literature-based recommendations was high in the first five mentioned cancers in that 96.2 % of scans were made for grade A or B indications versus only 22.2 % in gynaecological cancers. CONCLUSION: Evidence-based usefulness was reported in five of six selected cancers; evidence was sparse in the sixth, gynaecological cancers. Actual use of PET/CT agreed well with recommendations. More... »

PAGES

695-706

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00259-015-3217-0

    DOI

    http://dx.doi.org/10.1007/s00259-015-3217-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1042915726

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26519292


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