Frequency and clinical relevance of PET/CT incidentalomas

Autor: Lester S. Johnson, Michele Retrouvey, Tina D. Cunningham, William E. Schaaf, Zeal Patel
Rok vydání: 2014
Předmět:
Zdroj: Abdominal Imaging. 39:657-662
ISSN: 1432-0509
0942-8925
Popis: To assess the frequency of clinically significant incidental CT findings on PET/CT. Reports of 345 cases of baseline standard skull base to thighs PET/CT exams done over the course of a 6 month period at an outpatient facility affiliated with a large tertiary care level 1 trauma medical center were retrospectively reviewed. Incidental CT findings were assigned a level of clinical significance on a scale of 1–5, from doubtful significance to very significant. CT findings already known from prior CT reports were not included. CT findings corresponding to PET findings were also excluded. A score of 3 or greater was considered significant and reportable. Out of 345 cases, 171 (50%) had a least one CT finding rated at or above a score of 3 on our scale of significance, while 96 (28%) were found to have at least one CT finding with score at or above 4, and 25 cases (7%) showed at least one CT finding rated 5. A substantial percentage of baseline PET/CT studies contain previously undiagnosed, significant incidental findings on the CT images.
Databáze: OpenAIRE