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. 2013 Mar-Apr;37(2):295-301.
doi: 10.1016/j.clinimag.2012.07.005. Epub 2012 Aug 24.

FDG PET or PET/CT in patients with pancreatic cancer: when does it add to diagnostic CT or MRI?

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FDG PET or PET/CT in patients with pancreatic cancer: when does it add to diagnostic CT or MRI?

Omar Javery et al. Clin Imaging. 2013 Mar-Apr.

Abstract

Objective: Assess the impact of FDG-PET or PET/CT (PI) on pancreatic cancer management when added to CT or MRI (CDI).

Materials and methods: Forty-nine patients underwent 79 PI exams. Discordant findings on PI and CDI were assessed for clinical impact.

Results: Fifteen of 79 PI-CDI pairs were discordant. Ten of 79 PI favorably and 5 of 79 unfavorably altered management. PI favorably altered management more often when ordered for therapy monitoring compared to staging [risk ratio 13.00 (95% CI 1.77-95.30)] or restaging [risk ratio 18.5 (95% CI 2.50-137.22)].

Conclusion: PI favorably alters management more often when used for therapy monitoring compared to staging or restaging.

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