AI Article Synopsis
- The study aimed to assess the actual impact of positron-emission tomography (PET) on medical decision-making in Oncology, moving beyond previous surveys with low response rates.
- A review was conducted involving 100 patients who received (18)F-FDG PET, revealing that 63% had their diagnostic strategies changed, while 34% experienced alterations in therapeutic management, with most changes deemed appropriate.
- The findings indicate that PET significantly influences the management of cancer patients, suggesting it should be integrated as a standard diagnostic tool in Oncology practice.
Article Abstract
Aim: Most studies evaluating positron-emission tomography (PET) impact on decision making are based on questionnaires sent to referring physicians, with low response rates and potential bias. Studies directly evaluating influence of PET on routine management of Medical Oncology patients are scarce.
Patients And Methods: We retrospectively studied all patients evaluated by whole-body (18)F-FDG PET during 1 year in a Haematology/Oncology Department. We collected information regarding indication, PET results, modification of diagnostic and therapeutic management and adequacy of therapeutic changes.
Results: One hundred consecutive patients having PET were evaluated. Diagnostic strategy was modified in 63% of patients (30% avoiding biopsy). Therapeutic management was modified by PET in 34% of cases: changes were classified as adequate in 30% and as inadequate in 4% of patients.
Conclusions: Our study shows a major impact of PET in the diagnostic and therapeutic management of cancer patients and supports its introduction as a routine diagnostic tool in Medical Oncology.
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| http://dx.doi.org/10.1016/j.ejca.2008.05.021 | DOI Listing |
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