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Optimal CT Breathing Protocol for Combined Thoracic PET/CT

Matthew D. Gilman1,2, Alan J. Fischman1, Vikram Krishnasetty1, Elkan F. Halpern3 and Suzanne L. Aquino1

1 Department of Radiology, Massachusetts General Hospital, FND 202, 55 Fruit St., Boston, MA 02114.
2 Present address: Department of Radiology, University of Cincinnati Medical Center, Cincinnati, OH.
3 Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA.


Figure 1
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  		Fig. 1 —Excellent anatomic alignment using quiet-breathing CT protocol in 68-year-old man with history of non-Hodgkin's lymphoma. Axial (left), coronal (middle), and sagittal (right) fused PET/CT images show excellent anatomic alignment (score, 5) at diaphragm, heart, aortic arch, lung apices, and spine.

 

Figure 2
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  		Fig. 2 —Anatomic misalignment using regular breath-in CT protocol in 63-year-old man with history of non-small cell lung cancer. Axial (left), coronal (middle), and sagittal (right) fused PET/CT images show misalignment (arrows) at diaphragm (score, 3) and heart (score, 3).

 

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