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ACR–ACNM–SNMMI–SPR PRACTICE PARAMETER FOR PERFORMING FDG-PET/CT IN ONCOLOGY

PREAMBLE

I.

INTRODUCTION

II.

INDICATIONS

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

A.

Physician

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

B.

Qualified Medical Physicist

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

C.

Radiologic and Nuclear Medicine Technologist

III.

QUALIFICATIONS AND RESPONSIBILITIES OF PERSONNEL

D.

Radiation Safety Officer

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

A.

Written Request for the Examination

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

B.

Patient Preparation [29-31]

1.

Prior to appointment:

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

B.

Patient Preparation [29-31]

2.

Prior to FDG injection

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

B.

Patient Preparation [29-31]

3.

Following injection (uptake period)

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

B.

Patient Preparation [29-31]

4.

Lactating Patients

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

C.

Radiopharmaceutical

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

D.

Protocol for CT Imaging

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

E.

Protocol for PET Imaging

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

F.

Interpretation

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

F.

Interpretation

1.

Situations that can lead to benign FDG-PET/CT uptake

a.

Physiologic uptake

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

F.

Interpretation

1.

Situations that can lead to benign FDG-PET/CT uptake

b.

Infectious and inflammatory processes

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

F.

Interpretation

1.

Situations that can lead to benign FDG-PET/CT uptake

c.

Benign tumor or tumor-like conditions

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

F.

Interpretation

1.

Situations that can lead to benign FDG-PET/CT uptake

d.

Hyperplastic and dysplastic conditions

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

F.

Interpretation

1.

Situations that can lead to benign FDG-PET/CT uptake

e.

Artifacts

IV.

FDG-PET/CT EXAMINATION SPECIFICATIONS

F.

Interpretation

2.

Situations that can lead to false-negative FDG-PET/CT interpretation:

V.

EQUIPMENT SPECIFICATIONS

VI.

DOCUMENTATION

VII.

EQUIPMENT QC

VIII.

RADIATION SAFETY IN IMAGING

IX.

QUALITY CONTROL AND IMPROVEMENT, SAFETY, INFECTION CONTROL, AND PATIENT EDUCATION

ACKNOWLEDGEMENTS

REFERENCES