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Role of FDG PET/CT Imaging in Lymphoma: Follow-up Reports

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So how I approach the reporting cases of follow up.

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First, I will always open the baseline PET CT to get a sense

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of where the extent of disease was at the beginning

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and how it has changed over time.

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Then in the body of my report, I will specify the

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novel groups that are involved,

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but I will only provide measurements

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both in centimeters

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and SUV max for representative examples.

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And I will include for sure the areas of highest uptake

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because not necessarily will be the areas

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of larger disease.

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So I will include the adenopathy

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or areas of higher FDG uptake

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and also we'll include the areas

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that are larger on the CT portion of the study.

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It's always important to mention if there is extra novel

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disease, and as I explain in the body

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of the report the changes,

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I will describe both changes in intensity of uptake

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and changes in size.

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This is important because lymphoma is one of those diseases

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that may have residual treated

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disease, and this doesn't mean that there is active disease.

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That's the power of FDG in lymphoma is that it's able

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to identify areas of active disease

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because it has FDG uptake as opposed

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to following up on CT where the treated noal mass

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or extra nodal disease may be stable over time.

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In the body of the report I will describe

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how is the uptake relative to the blood pool or mein

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and liver, so the clinician as they read,

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can start getting an idea of the final de will score

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and in the impression, aside from the overall read,

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if there is improvement or progression

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or a mix, I will always add the DE score.

Report

Faculty

Elisa Franquet Elia, MD

Assistant Professor of Radiology

UMass Chan Medical School

Tags

Response and assessment

PET/CT FDG

PET

Oncologic Imaging

Nuclear Medicine

Neoplastic

Hematologic

General Oncologic Imaging Concepts