Original article
Prediction of Extravasation before PET/CT Scan
Seong Su Yun, Sundo Lee, Nam Ju Lee, Yong Cheol Shin, Seongsu Kim, Chanho Joo, Seong Uk Ju and Myoung Hyoun Kim
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