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Making a PET-CT for radiotherapy

• Registration of bony anatomy of a diagnostic PET-CT to

planning CT is accurate

• baseline shift of tumor (shift relative to bony anatomy) frequently

occurs

• gated (4D) PET-CT scan

– SUV values higher than on blurred 3D scan

– More precise imaging of tumor

• Attenuation correction on a single phase (mid-ventilation) of a

4D CT scan provides reliable SUV values