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Modification of [18F]-FDG PET/CT imaging protocols in obese oncology patients: A nationwide survey

dc.contributor.authorOliveira, R.
dc.contributor.authorFigueiredo, L.
dc.contributor.authorCosta, P.
dc.date.accessioned2023-03-17T17:26:40Z
dc.date.available2023-03-17T17:26:40Z
dc.date.issued2023-01
dc.description.abstractThe use of medical imaging for diagnosis, staging and follow-up in Oncology context is incredibly important, being the use of [18F]-FDG PET/CT particularly advantageous in specific contexts like the case of obese patients. However, imaging the latter can be challenging sometimes, since their own body size may affect overall image quality and adds technical difficulties for the operator(s) performing the examination. This research project was developed with the aim of analysing the current personal practices of Portuguese Nuclear Medicine Technologists (NMTs) in the adaptation of 18F-FDG PET/CT oncological protocols for obese patients and comparing the results with parameters referenced in literature. A non-experimental research study was conducted using a survey delivered online to NMTs through social media platforms (Facebook® and LinkedIn®) and by sending the link directly to contacts within the research team professional and personal networks. Answers from a total of 26 participants were obtained, with 88.5% of participants admitting modifying technical protocols in examinations for obese patients. Changes in PET protocols included an increase in the administered activity (60.9%), an increase in scan time per individual bed position (69.6%) and the use of Time-of-Flight (TOF) technology whenever available. Protocol changes in CT included increasing the mA (82.6%), raising the KVp (47.8%), the application of iterative reconstruction (69.6%) and the use of automatic exposure control (AEC) (52.2%). The remaining parameters (pitch, algorithm, slice thickness, display FOV, gantry rotation time and energy acceptance window) were claimed not to be modified by around 90% of professionals. Portuguese NMTs tend to change the [18F]-FDG PET/CT protocols for obese patients. However, while some of the parameters appear to be contradictory or redundant, others require further optimisation, especially in the CT component.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationOliveira, R., Figueiredo, L., & Costa, P. (2023). Modification of [18F]-FDG PET/CT imaging protocols in obese oncology patients: A nationwide survey. Radiography, 29(1), 145–151. https://doi.org/10.1016/j.radi.2022.10.016pt_PT
dc.identifier.doi10.1016/j.radi.2022.10.016pt_PT
dc.identifier.eissn1532-2831
dc.identifier.issn1078-8174
dc.identifier.urihttp://hdl.handle.net/10400.22/22540
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S1078817422001730?via%3Dihubpt_PT
dc.subjectPET/CTpt_PT
dc.subjectObese patientspt_PT
dc.subjectImage qualitypt_PT
dc.subjectProtocolspt_PT
dc.titleModification of [18F]-FDG PET/CT imaging protocols in obese oncology patients: A nationwide surveypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage151pt_PT
oaire.citation.startPage145pt_PT
oaire.citation.titleRadiographypt_PT
oaire.citation.volume29 (1)pt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT

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