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PET/CT as standard imaging for staging
▪
PET-CT should be used for
routine staging
of FDG-avid lymphomas
•
Most lymphomas take up FDG
•
More accurate > CT especially
EN sites
•
PET results in more
upstaging
> down staging
•
Management change
: largest effect in FL (upstaging of early disease)
•
PET is important for
RT volumes <IFRT
▪
can be used to
direct biopsy
(especially if suspected transformation)
▪
A
baseline
PET-CT scan is also desirable for subsequent response assessment