Table 6

Characteristics of the 17 included studies investigating FDG-PET

HD/NHL, study and yearPatients/scans, no.Median age, y (range)Sex, M/FCriteria for positivityInterpreter(s)
HD      
    Meany et al,41  2007 23/23 15 (5-19) 10/13 NR NR 
    Bjurberg et al,42  2006 26/34 NR (8-70) NR Any focus of elevated FDG metabolism not located in areas of normal FDG uptake or where the clinical data did not suggest the presence of nonmalignant hypermetabolic lesions. Two experienced investigators 
    Zinzani et al,43  2006 40/40 32 (14-48) 19/21 Areas of focal uptake, unless they were at the sites of known accumulation, including the kidney and bladder, gastrointestinal tract, skeletal areas showing symmetric uptake (especially in the shoulder) were considered as due to arthritis Three experienced readers 
    Rigacci et al,38  2005 28/28 30.6 (16-73) 14/14 Foci of hyperactivity outside areas of known physiologic uptake, in comparison with liver and mediastinum NR 
    Filmont et al,44  2004 32/32 30 (6-65) 15/17 NR An experienced reader 
    Dittmann et al,45  2001 47/47 NR (18-63) 27/20 Focally increased uptake, exceeding that of the surrounding tissue and/or contralateral body regions Two experienced nuclear medicine physicians 
NHL      
    Filmont et al,46  2003 78/78 57 (21-84) 46/32 NR An experienced reader 
    Mikhaeel et al,47  2000 45/45 NR NR Residual increased FDG uptake in previously diagnosed disease sites or the appearance of new uptake indicative of progressive disease Two nuclear medicine physicians 
Mixed      
    La Fougere et al,39  2006 100/100 NR (19-70) 24/26 Regions of focally increased tracer uptake; well-circumscribed areas of tracer uptake in the liver; focal lung lesions identifiable on both attenuation-corrected and noncorrected images; in doubtful cases an SUVmax ≥2.0 Two board-certified radiologists and nuclear medicine specialists with more than 10 years of experience in CT and PET 
    Hernandez-Pampaloni et al,40  2006 16/21 NR NR A focus of increased activity, not corresponding to the known physiologic distribution of FDG Two experienced nuclear medicine physicians 
    Reinhardt et al,48  2005 101/101 NR 72/29 All foci of elevated FDG uptake NR 
    Freudenberg et al,49  2004 27/27 46(19-70) 16/11 A SUVmax ≥2.5 in an area of focal tracer uptake Two experienced nuclear medicine physicians 
    Mikosch et al,50  2003* 93/121 NR NR NR NR 
    Mikhaeel et al,51  2000* 32/32 NR 22/10 Residual tracer uptake Two independent nuclear medicine physicians 
    Bangerter et al,52  1999 36/36 31 (17-74) 16/20 Any foci of increased FDG uptake over background value that were not located in an area of physiologically increased uptake Two independent investigators 
    Bangerter et al,53  1999 58/58 NR NR Any clearly delineated uptake in the hilar and mediastinal regions Two nuclear medicine physicians 
    Stumpe et al,54  1998* 50/71 NR (17-88) 31/19 A focus of increased FDG uptake above the intensity of the background as long as it was outside the renal pelvis, urinary bladder and myocardium At least 2 board-certified nuclear medicine physicians 
HD/NHL, study and yearPatients/scans, no.Median age, y (range)Sex, M/FCriteria for positivityInterpreter(s)
HD      
    Meany et al,41  2007 23/23 15 (5-19) 10/13 NR NR 
    Bjurberg et al,42  2006 26/34 NR (8-70) NR Any focus of elevated FDG metabolism not located in areas of normal FDG uptake or where the clinical data did not suggest the presence of nonmalignant hypermetabolic lesions. Two experienced investigators 
    Zinzani et al,43  2006 40/40 32 (14-48) 19/21 Areas of focal uptake, unless they were at the sites of known accumulation, including the kidney and bladder, gastrointestinal tract, skeletal areas showing symmetric uptake (especially in the shoulder) were considered as due to arthritis Three experienced readers 
    Rigacci et al,38  2005 28/28 30.6 (16-73) 14/14 Foci of hyperactivity outside areas of known physiologic uptake, in comparison with liver and mediastinum NR 
    Filmont et al,44  2004 32/32 30 (6-65) 15/17 NR An experienced reader 
    Dittmann et al,45  2001 47/47 NR (18-63) 27/20 Focally increased uptake, exceeding that of the surrounding tissue and/or contralateral body regions Two experienced nuclear medicine physicians 
NHL      
    Filmont et al,46  2003 78/78 57 (21-84) 46/32 NR An experienced reader 
    Mikhaeel et al,47  2000 45/45 NR NR Residual increased FDG uptake in previously diagnosed disease sites or the appearance of new uptake indicative of progressive disease Two nuclear medicine physicians 
Mixed      
    La Fougere et al,39  2006 100/100 NR (19-70) 24/26 Regions of focally increased tracer uptake; well-circumscribed areas of tracer uptake in the liver; focal lung lesions identifiable on both attenuation-corrected and noncorrected images; in doubtful cases an SUVmax ≥2.0 Two board-certified radiologists and nuclear medicine specialists with more than 10 years of experience in CT and PET 
    Hernandez-Pampaloni et al,40  2006 16/21 NR NR A focus of increased activity, not corresponding to the known physiologic distribution of FDG Two experienced nuclear medicine physicians 
    Reinhardt et al,48  2005 101/101 NR 72/29 All foci of elevated FDG uptake NR 
    Freudenberg et al,49  2004 27/27 46(19-70) 16/11 A SUVmax ≥2.5 in an area of focal tracer uptake Two experienced nuclear medicine physicians 
    Mikosch et al,50  2003* 93/121 NR NR NR NR 
    Mikhaeel et al,51  2000* 32/32 NR 22/10 Residual tracer uptake Two independent nuclear medicine physicians 
    Bangerter et al,52  1999 36/36 31 (17-74) 16/20 Any foci of increased FDG uptake over background value that were not located in an area of physiologically increased uptake Two independent investigators 
    Bangerter et al,53  1999 58/58 NR NR Any clearly delineated uptake in the hilar and mediastinal regions Two nuclear medicine physicians 
    Stumpe et al,54  1998* 50/71 NR (17-88) 31/19 A focus of increased FDG uptake above the intensity of the background as long as it was outside the renal pelvis, urinary bladder and myocardium At least 2 board-certified nuclear medicine physicians 

NR indicates not reported; and SUVmax, maximum standardized uptake value.

*This study allowed separate analysis of HD and NHL patients.

†Indicates a mean age.

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