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Expert consensus on workflow of PET/CT with long axial field-of-view

  • Guobing Liu,
  • Yushen Gu,
  • Martina Sollini,
  • Alexandra Lazar,
  • Florent L. Besson,
  • Sijin Li,
  • Zhifang Wu,
  • Lorenzo Nardo,
  • Akram Al-Ibraheem,
  • Jiefu Zheng,
  • Harshad R. Kulkarni,
  • Axel Rominger,
  • Wei Fan,
  • Xiaohua Zhu,
  • Xinming Zhao,
  • Hubing Wu,
  • Jianjun Liu,
  • Biao Li,
  • Zhaoping Cheng,
  • Ruimin Wang,
  • Baixuan Xu,
  • Denis Agostini,
  • Han Tang,
  • Lijie Tan,
  • Zhi Yang,
  • Li Huo,
  • Jianying Gu,
  • Hongcheng Shi

摘要

Purpose

Positron emission tomography/computed tomography (PET/CT) imaging has been widely used in clinical practice. Long axial field-of-view (LAFOV) systems have enhanced clinical practice by leveraging their technological advantages and have emerged as the new state-of-the-art PET imaging modalities. A consensus was conducted to explore expert views in this emerging field to comprehensively elucidate the proposed workflow in LAFOV PET/CT examinations and highlight the potential challenges inherent in the workflow.

Methods

A multidisciplinary task group formed by 28 experts from six countries over the world discussed and approved the consensus based on the published guidelines, peer-reviewed articles of LAFOV PET/CT, and the collective experience from clinical practice. This consensus focuses on the workflow that allows for a broader range of imaging protocols of LAFOV PET/CT, catering to diverse patient needs and in line with precision medicine principles.

Results

This consensus describes the workflows and imaging protocols of LAFOV PET/CT for various imaging scenarios including routine static imaging, dynamic imaging, low-activity imaging, fast imaging, prolonged imaging, delayed imaging, and dual-tracer imaging. In addition, imaging reconstruction and reviewing specific to LAFOV PET/CT imaging, as well as the main challenges facing installation and application of LAFOV PET/CT scanner were also summarized.

Conclusion

This consensus summarized the various imaging workflow, imaging protocol, and challenges of LAFOV PET/CT imaging, aiming to enhance the clinical and research applications of these scanners.