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Better staging, better treatment

No PET

PET

p

Thoracotomy

78/96 (81%) 60/92 (65%)

curative

futile

39 (41%)

39 (41%)

41 (44%)

19 (21%) 0.003

Relapse/death <1yr

19

10

51% [32–80] reduction in risk

of futile thoracotomy

PLUS trial, van Tinteren Lancet 2002

Number To Image:

5 to avoid 1 futile thoracotomy

11 to avoid 1 relapse/death <1yr