Positron-emission tomography (PET) is a noninvasive imagingtechnique that exploits the unique decay physics of positron-emittingisotopes. The isotopes of oxygen, carbon, nitrogen, and fluorinehave been used in the development of diagnostically useful biologiccompounds that are available for PET imaging in order to providea functional or metabolic assessment of normal tissues or diseaseconditions.
The past few years have seen a tremendous expansion of clinicalapplications of PET, particularly in oncology, mostly with theuse of 18F-fluorodeoxyglucose (18F-FDG) as the PET tracer. PETwith 18F-FDG is now being used in the evaluation of severalneoplasms, both . . . [Full Text of this Article]
Oncologic PET Tracers
PET vs. Conventional Radiologic Imaging
Applications in Assessment of Cancer after Therapy
Monitoring Response to Treatment
Restaging
Requirement for Pretreatment PET before Restaging PET
Appropriate Time Point for Restaging with PET
Viable Tumor vs. Necrosis or Fibrosis in Residual Masses
Detection of Recurrence in Asymptomatic Patients
False Positive Findings on Restaging with PET
Effect of Restaging with PET on Quality of Life in Cancer
Cost-Effectiveness of Restaging with PET
Radiation Dose from PET Scans
Conclusions
Source Information
From the Department of Radiology and the Holden Comprehensive Cancer Center, University of Iowa, Iowa City (M.E.J.); and the Division of HematologyOncology, Lombardi Comprehensive Cancer Center, Georgetown University Hospital, Washington, D.C. (B.D.C.). A slide presentation is available with the full text of this article at www.nejm.org. The slides show multiple examples of the uses of PET in clinical oncology.
Address reprint requests to Dr. Juweid at the University of Iowa, Department of Radiology, JPP 3859, 200 Hawkins Dr., Iowa City, IA 52242; or at malik-juweid@uiowa.edu.
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