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Regulatory and clinical implications of using diagnostic CT in PET/CT

Title: Regulatory and clinical implications of using diagnostic CT in PET/CT
Authors: Spadafora, Marco; De Rimini, Maria Luisa; Catalano, Mara; Lastoria, Secondo; Squame, Fiorenzo; Falzarano, Maria; Daniele, Bruno; Cuocolo, Alberto
Contributors: Spadafora, Marco; De Rimini, Maria Luisa; Catalano, Mara; Lastoria, Secondo; Squame, Fiorenzo; Falzarano, Maria; Daniele, Bruno; Cuocolo, Alberto
Publication Year: 2025
Collection: IRIS Università degli Studi di Napoli Federico II
Description: The introduction of combined positron emission tomography (PET) and computed tomography (CT) scanner has made it possible to acquire, in a single study, complementary morpho-structural and functional/metabolic information. In its standard applications hybrid PET/CT imaging, with a low-dose (LD) CT scan without contrast medium administration, can allow attenuation correction and anatomical cross-sectional of functional PET images, while avoiding the increased radiation burden which, instead, is associated with a full-dose (FD) CT. Nevertheless, the association of PET imaging with FDCT and with contrast-enhanced (CE) CT, i.e. diagnostic CT, has been investigated to increase the diagnostic accuracy of PET/CT in some specific clinical scenarios. There are potential clinical and procedural benefits to using single step combined dual imaging PET and FD-CECT. However, radiation protection regulations, guidelines from scientific societies, local provisions, correct clinical decision making and practical considerations, limit the use of PET/CECT to selected patients in which a clinical or procedural justification must be demonstrated, despite current scientific context where there is a lack of significant studies that support its appropriateness.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/wos/WOS:001478385600001; volume:13; firstpage:275; lastpage:281; numberofpages:7; journal:CLINICAL AND TRANSLATIONAL IMAGING; https://hdl.handle.net/11588/1000876
DOI: 10.1007/s40336-025-00700-4
Availability: https://hdl.handle.net/11588/1000876; https://doi.org/10.1007/s40336-025-00700-4
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.A9AADF5
Database: BASE