Contrast-enhanced CT?
•
PET-CT: low-dose non-contrast CT for:
–
Attenuation correction
–
Anatomical localisation
•
Pros of Contrast:
–
More
findings
(but rarely change management)
–
Improves
abdo/pelvic
disease detection (bowel physiologic uptake)
–
Shows
vascular
compression/ thrombosis
–
RT
planning
–
LN
measurement
for clinical trials
•
Cons:
–
Additional
radiation
–
Resource
implications
–
Small
errors
in FDG measurement in tumours (unlikely to be significant)
and 10-15% increase in liver/MBP uptake