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Nobili, Flavio; Festari, Cristina; Altomare, Daniele; Agosta, Federica; Orini, Stefania; Laere, Koen van; Arbizu, Javier; Bouwman, Femke; Drzezga, Alexander; Nestor, Peter; Walker, Zuzana; Boccardi, Marina
EANM-EAN Task Force for the Prescription of FDG-PET for Dementing Neurodegenerative Disorders2018
EANM-EAN Task Force for the Prescription of FDG-PET for Dementing Neurodegenerative Disorders2018
AbstractAbstract
[en] To review literature until November 2015 and reach a consensus on whether automatic semi-quantification of brain FDG-PET is useful in the clinical setting for neurodegenerative disorders. A literature search was conducted in Medline, Embase, and Google Scholar. Papers were selected with a lower limit of 30 patients (no limits with autopsy confirmation). Consensus recommendations were developed through a Delphi procedure, based on the expertise of panelists, who were also informed about the availability and quality of evidence, assessed by an independent methodology team. Critical outcomes were available in nine among the 17 papers initially selected. Only three papers performed a direct comparison between visual and automated assessment and quantified the incremental value provided by the latter. Sensitivity between visual and automatic analysis is similar but automatic assessment generally improves specificity and marginally accuracy. Also, automated assessment increases diagnostic confidence. As expected, performance of visual analysis is reported to depend on the expertise of readers. Tools for semi-quantitative evaluation are recommended to assist the nuclear medicine physician in reporting brain FDG-PET pattern in neurodegenerative conditions. However, heterogeneity, complexity, and drawbacks of these tools should be known by users to avoid misinterpretation. Head-to-head comparisons and an effort to harmonize procedures are encouraged. (orig.)
Primary Subject
Source
Available from: http://dx.doi.org/10.1007/s00259-018-4030-3; Topical issue on brain imaging including the special section: Diagnostic utility of FDG-PET in dementia. Literature evidence and expert opinion
Record Type
Journal Article
Journal
European Journal of Nuclear Medicine and Molecular Imaging; ISSN 1619-7070;
; CODEN EJNMA6; v. 45(9); p. 1557-1566

Country of publication
ACCURACY, AUTOMATION, BEHAVIOR, BRAIN, COMPUTERIZED TOMOGRAPHY, DECISION MAKING, DELPHI METHOD, DIAGNOSIS, FLUORINE 18, FLUORODEOXYGLUCOSE, IMAGE PROCESSING, MENTAL DISORDERS, METABOLISM, NERVOUS SYSTEM DISEASES, PATHOLOGICAL CHANGES, POSITRON COMPUTED TOMOGRAPHY, QUALITY ASSURANCE, QUALITY MANAGEMENT, RADIOPHARMACEUTICALS, SENSITIVITY, SPECIFICITY, UPTAKE
ANTIMETABOLITES, BETA DECAY RADIOISOTOPES, BETA-PLUS DECAY RADIOISOTOPES, BODY, CENTRAL NERVOUS SYSTEM, COMPUTERIZED TOMOGRAPHY, DIAGNOSTIC TECHNIQUES, DISEASES, DRUGS, EMISSION COMPUTED TOMOGRAPHY, FLUORINE ISOTOPES, FORECASTING, HOURS LIVING RADIOISOTOPES, ISOMERIC TRANSITION ISOTOPES, ISOTOPES, LABELLED COMPOUNDS, LIGHT NUCLEI, MANAGEMENT, MATERIALS, NANOSECONDS LIVING RADIOISOTOPES, NERVOUS SYSTEM, NUCLEI, ODD-ODD NUCLEI, ORGANS, PROCESSING, RADIOACTIVE MATERIALS, RADIOISOTOPES, TOMOGRAPHY
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