Korean Journal of Nuclear Medicine Technology (Korean J Nucl Med Technol)

Open access, Peer Reviewed

Indexed in KCI, DOAJ

pISSN 1229-9901
eISSN 2982-8406

Original article

Prediction of Extravasation before PET/CT Scan

Deparment of Nuclear Medicine, Wonkwang University Hospital, Iksan, Korea

Correspondence to Myoung Hyoun Kim, Department of Nuclear Medicine, Wonkwang University Hospital, 895, Muwang-ro, Iksan, Jeonbuk, 54538, Republic of Korea. Tel :+82-63-859-1824, E-mail : yarn1004@wku.ac.kr

Volume 28, Number 2, Article 13, November 2024. Korean J Nucl Med Technol 2024;28(2):13. https://doi.org/10.12972/kjnmt.20240013
Received on June 04, 2024, Revised on June 20, 2024, Accepted on June 25, 2024, Published on November 30, 2024.
Copyright © 2024 Author(s). This is an Open Access article distributed under the terms of the Creative Commons CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: In this study, we investigated whether extravasation could be predicted by measuring the dose rate once at the injection site before PET/CT scanning. Materials and Methods: The dose rate at the injection site was measured for 412 patients, and the severity of extravasation was evaluated in the F-18 FDG PET/CT images. Then, extravasation activity and %ID were calculated with VOI analysis. Results: The dose rate at the injection site and %ID showed significant differences in the mild and moderate extravasation groups. Dose rates were 15.9±5.8 mR/hr, 18.7±9.9 mR/hr and 57.1±5.8 mR/hr in the no, minor and moderate extravasation groups, respectively. The extravasated %ID in the minor and moderate extravasation groups were 0.022±0.020 and 0.438±0.483. Also, ROC analysis showed good performance of dose rate in distinguishing between mild and moderate extravasation. Conclusion: The dose rate at the injection site can predict moderate or severe extravasation, helping determine arm position during PET/CT scan and whether to conduct additional scans.
Keywords

PET/CT, Extravasation, Radiation detector

Section