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Impact of concurrent diagnostic level CT with PET/CT on the utilization of stand-alone CT and MRI in the management of head and neck cancer patients.

Publication ,  Journal Article
Subramaniam, RM; Agarwal, A; Colucci, A; Ferraro, R; Paidpally, V; Mercier, G
Published in: Clin Nucl Med
October 2013

PURPOSE OF THE REPORT: This study aims to determine if the expansion of a PET/CT service to include simultaneous contrast-enhanced CT with PET (PET/DCT) leads to a reduction of supplemental diagnostic CT (sCT) performed within a 6-month period centered around PET/CT for initial treatment planning of patients with head and neck cancers. PATIENTS AND METHODS: There were 91 patients with head and neck cancers who had a non-contrast-enhanced PET/CT with CT (PET/aCT), and 153 patients had a PET/DCT. We compared the utilization of sCT before and after PET/aCT or PET/DCT. Logistic regression analysis, unpaired t test, and analysis of variance were performed. RESULTS: Among the 75 patients who had sCT scans in the 3 months before their PET/CT, 44 (58.7%) scans were performed in patients who had a PET/aCT and 31 (41.3%) scans were performed in patients who had a PET/DCT (P < 0.001). Among the 36 patients who had a CT in the 3 months after their baseline PET/CT, 23 (63.9%) were performed in patients who had a baseline PET/aCT and 13 (36.1%) were performed in patients who had a baseline PET/DCT (P < 0.001). The adjusted odds ratio for performing an sCT within 3 months before and after baseline PET/DCT scan as opposed to a PET/aCT scan was 0.24 (P < 0.001) and 0.31 (P < 0.01), respectively. CONCLUSIONS: The opportunity to order simultaneous diagnostic CT imaging with PET/CT (PET/DCT) reduced the referrals for stand-alone CT neck imaging in the initial treatment plan of head and neck cancer patients when compared to a service that only offered the PET/CT scan with CT for attenuation correction (PET/aCT).

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Published In

Clin Nucl Med

DOI

EISSN

1536-0229

Publication Date

October 2013

Volume

38

Issue

10

Start / End Page

790 / 794

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Positron-Emission Tomography
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Logistic Models
  • Humans
  • Head and Neck Neoplasms
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Subramaniam, R. M., Agarwal, A., Colucci, A., Ferraro, R., Paidpally, V., & Mercier, G. (2013). Impact of concurrent diagnostic level CT with PET/CT on the utilization of stand-alone CT and MRI in the management of head and neck cancer patients. Clin Nucl Med, 38(10), 790–794. https://doi.org/10.1097/RLU.0b013e31829f8ca5
Subramaniam, Rathan M., Ankit Agarwal, Andrew Colucci, Regan Ferraro, Vasavi Paidpally, and Gustavo Mercier. “Impact of concurrent diagnostic level CT with PET/CT on the utilization of stand-alone CT and MRI in the management of head and neck cancer patients.Clin Nucl Med 38, no. 10 (October 2013): 790–94. https://doi.org/10.1097/RLU.0b013e31829f8ca5.
Subramaniam RM, Agarwal A, Colucci A, Ferraro R, Paidpally V, Mercier G. Impact of concurrent diagnostic level CT with PET/CT on the utilization of stand-alone CT and MRI in the management of head and neck cancer patients. Clin Nucl Med. 2013 Oct;38(10):790–4.
Subramaniam, Rathan M., et al. “Impact of concurrent diagnostic level CT with PET/CT on the utilization of stand-alone CT and MRI in the management of head and neck cancer patients.Clin Nucl Med, vol. 38, no. 10, Oct. 2013, pp. 790–94. Pubmed, doi:10.1097/RLU.0b013e31829f8ca5.
Subramaniam RM, Agarwal A, Colucci A, Ferraro R, Paidpally V, Mercier G. Impact of concurrent diagnostic level CT with PET/CT on the utilization of stand-alone CT and MRI in the management of head and neck cancer patients. Clin Nucl Med. 2013 Oct;38(10):790–794.

Published In

Clin Nucl Med

DOI

EISSN

1536-0229

Publication Date

October 2013

Volume

38

Issue

10

Start / End Page

790 / 794

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Positron-Emission Tomography
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Logistic Models
  • Humans
  • Head and Neck Neoplasms
  • Female