Protocol for the use of PET scanning in the management of ...
Protocol for the use of PET scanning in the management of lung cancer.
Positron Emission Tomography using radio-labelled glucose (18 FDG) has been shown in many studies to be more accurate than standard staging investigations using CT scanning for the detection of involved mediastinal nodes, adrenal metastases and bone metastases. The HTA (2007) confirmed earlier findings that there were cost effective indications for the use of PET scanning in the management of lung cancer.
Indications for the use of PET scanning
In the first instance, the focus should be on where a PET scan would/could change management/treatment plans. A PET scan is only appropriate on an individual named patient basis where there was some indication that it would change management and the role of the scan will be subject to detailed audit.
Pre-operative staging for patients with Stage I or II Non-small-cell lung cancer
(NSCLC), with the exception of small ≤ 2cm peripheral T1 N0 lesions.
Staging of patients with Stage I - III NSCLC in whom radical radiotherapy is proposed.
Assessment of patients with a solitary pulmonary nodule (a minimum of 8mm) in whom biopsy is deemed too risky or is non diagnostic.
Assessment of patients with a solitary site of possible metastatic disease e.g. adrenal gland in whom conventional tests, such as, MRI have been unhelpful.
Cancer and Genetics
March 2008
References:-
ACCP (2007) Diagnosis and management of Lung Cancer Executive Summary: ACCP Evidence Based Clinical Practice Guidelines (2nd Ed) Chest 132 pp. 1-19.
Facey, K., Bradbury, I., Laking, G. and Payne, E. (2007) Overview of the clinical effectiveness of positron emission tomography imaging in selected cancers. Health Technology Assessment. 11 (44)
National Institute for Health and Clinical Excellence (NICE) – Clinical Guideline 24 - Lung Cancer – The diagnosis and treatment of lung cancer
Scottish Intercollegiate Guidelines Network (SIGN) Guideline 80 – Management of patients with lung cancer
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- careers in the field of business
- the use of technology in education
- importance of writing skills in the workplace
- name of different countries in the world
- the use of myself
- through the use of synonym
- the use of the word the
- in the arms of the angels
- in the arms of the angels youtube
- the church in the book of acts
- muscles in the back of the neck
- grammar with the use of such as