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Atelectasis

Significant potential benefit by FDG-PET in RT planning (NTCP!)

CT: problem in differentiation tumor vs. atelectasis (similar density)

PET: depicts atelectasis with slightly higher uptake than normal lung

but much lower than tumor

(Gerbaudo EJR 2007 64; 401-405)

cave: false positive uptake in post-obstructive inflammation

Histologic correlation of PET-findings with pathology are lacking

(atelectasis no problem concerning thoracic surgeons)

Pathophysiologic considerations support use of PET for RT-planning

(why should FDG fail to accumulate in tumour infiltrating atelectatic lung?)