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Establishing a PET/CT Practice

Paul Shreve1

1 Advanced Radiology Services, PC, 3264 North Evergreen Dr., Grand Rapids, MN 49525.



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Fig. 1A. Examples of clinical PET/CT facility layouts. Layout for a high volume of PET/CT examinations.

 


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Fig. 1B. Examples of clinical PET/CT facility layouts. Layout for a modest volume of PET/CT examinations or mixed PET/CT or CT alone examinations.

 


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Fig. 1C. Examples of clinical PET/CT facility layouts. Layout for ancillary facility to a mobile PET/CT site. Note dedicated bathrooms for patients. IV catheters for infusion of FDG and IV contrast can be placed using uptake rooms or common staging area elsewhere in the facility. Once patients have been infused with FDG, they become a source of radiation exposure to technologists and other ancillary personnel and need to be isolated from others. (Courtesy of Michael L. Clark, H & H Systems and Design, New Albany, Indiana)

 


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Fig. 2. Example of examination order form developed for PET/CT. Order form has explicit entries for type of PET and CT scans requested, and check-off for patient conditions relevant to both FDG PET and contrast CT. (Courtesy of PET Medical Imaging Center, Grand Rapids, MI)

 


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Fig. 3. FDG PET uptake room. This example measures 2.4 x 3.5 m (8 x 11.5 ft), and in addition to comfortable reclining patient lounge chair, has entertainment system, call intercom, and videotape camera monitor. Room is extensively shielded as is door, to minimize radiation exposure to technologists, ancillary personnel, and nonmonitored workers in adjoining space.

 


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Fig. 4. Misconceptions remain among patients and referring physicians regarding appropriate clinical application of PET scans.

 

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