Role of PET Role of PET-CT in Pulmonary Malignancy

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Pulmonary metastases t e are commonbecause the entire output of the rightheart and the lymphatic system flowthrough the pulmonary vascular system. Fragments of tumor are dislodged aftervenous invasion, and they are carried astumor emboli to the lungs via the systemiccirculation. The majority of thesefragments lodge in the small pulmonaryarteries or arterioles ฝฝฝฝฝฝฝฝThese nodulesare most commonly located eithersubpleurally or in the lung bases ratherthan in the upper lung,
lymphangitis carcinomatosis Less often, tumor emboli remainconfined to the perivascularinterstitium and spread along thelymphatic channels toward the hilumor lung periphery most often caused by breast, lung,stomach, ,p pancreatic, or prostatecancer
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Role of PET-CT inPulmonary Malignan
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CLINICAL APPLICATION OFPET SCAN ONC
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F-18-FDG PET - IndicationsPrimary T
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TRACER FOR PET C-11 acetate N-13amm
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CLINICAL ASPECT OF PET Primary stag
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PET/FDG in Lung Cancer Prognosis Ra
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Diagnosis i SPNMeta-analysisanalysi
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Diagnosis i SPNROLE of FDG/PETInter
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Study in Khon Khan U Benign 50 % Pr
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AJR 2006; 187:13611361-13671367Sens
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CT 93%/ %/3131% ( sen/spec)PET 69%/
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Is there a role for PET in theevalu
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Staging:NSCLCT staging (CT is more
Page 42 and 43: CT scan The NCCN guideline panel :
Page 44 and 45: N stagingCT PETMeta-analysisanalysi
Page 46 and 47: Mediastinoscopy is the gold standar
Page 56 and 57: Advances in PET technologyhave incr
Page 63 and 64: Can PET/CT substitute for bonescint
Page 65 and 66: 145 patients on a lesion-byby-lesio
Page 67: skeletal l metastases t were detect
Page 74: 1 year later
Page 82 and 83: Adrenal gl met Adrenal metastases a
Page 84 and 85: 51 of 175 masses were 1.5 cm orless
Page 86 and 87: Eur J Nucl Med Imaging 2006Jan;33(1
Page 89 and 90: StagingNSCLCImpact of PET/FDG stagi
Page 91: Thank you
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Role of PET Role of PET-CT in Pulmonary Malignancy

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