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PET   Positron emission tomography   A cost-effective way to extend  life length and improve the quality of life for cancer patients
THE AIM OF PRESENTATION Overview of what  PET  can contribute to  in more precise cancer diagnostics
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction to PET/CT scan   Positron emission tomography     Diagnostic tool Nuclear medicine technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NOK 150 6
PET SCAN ,[object Object],[object Object]
The Needle and the Haystack Computer  Tomography CT Computer  Tomography CT + PET  Positron  Emission  Tomography ,[object Object],[object Object]
Two weeks after  one  cycle with chemotherapy   Determinate stage - > Monitor treatment <- Change therapy Expose recurrence Baseline
PET/CT can answer critical questions A tool to fight cancer Where is the tumor?  Is it spreading?  How large is it?  What is the optimal therapy?  Is the therapy working?  Is there a recurrence? And if so, where and to what extent?
A tool to fight cancer Results of PET scan ,[object Object],[object Object],[object Object]
A tool to fight cancer Benefits for patients and physicians ,[object Object],[object Object],[object Object],[object Object]
A tool to fight cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Girl 16 years old  -> 89 year
A tool to fight cancer ,[object Object],[object Object],[object Object],[object Object],Girl 16 years old ->  89 year
A tool to fight cancer Cost – Benefit  Long term ,[object Object],[object Object],[object Object],[object Object],[object Object]
PET unmasks   NOK 20 000 Why spend money on treatment that doesn't work? Cost – Benefit  Short term Cytotoxin one cycle  NOK 17 000  Other costs + ??? + Pain  Baseline  Two weeks after  first  cycle of chemotherapy PET AND CT - Transaxial   slice upper abdomen
PET capacity in Norway Supply and demand ,[object Object],[object Object]
PET capacity in Norway Meet the demand ,[object Object],[object Object],[object Object],[object Object],[object Object]
-  If this medicine doesn't help, please come back and you will get something else. - Couldn't I rather get the something else right away?  Version  1 (Storm P) inexpensive
- If we don't find your tumor with CT and MRI we will order a  PET/CT . - Couldn't I rather get a  PET/CT  right away?   Version   2 (Trond 2007) expensive and may be..
- If we don't find your tumor with CT and MRI we will order a  PET/CT . - Couldn't I rather get a  PET/CT  right away?  Version  3 (Trond 2007) Sure, and if needed we will add a PET, MR or US within a few days Overuse… Principle of Lowest  Level of Treatment

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Pres Et New 04.05.2008

  • 1. PET Positron emission tomography A cost-effective way to extend life length and improve the quality of life for cancer patients
  • 2. THE AIM OF PRESENTATION Overview of what PET can contribute to in more precise cancer diagnostics
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Two weeks after one cycle with chemotherapy Determinate stage - > Monitor treatment <- Change therapy Expose recurrence Baseline
  • 8. PET/CT can answer critical questions A tool to fight cancer Where is the tumor? Is it spreading? How large is it? What is the optimal therapy? Is the therapy working? Is there a recurrence? And if so, where and to what extent?
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. PET unmasks NOK 20 000 Why spend money on treatment that doesn't work? Cost – Benefit Short term Cytotoxin one cycle NOK 17 000 Other costs + ??? + Pain Baseline Two weeks after first cycle of chemotherapy PET AND CT - Transaxial slice upper abdomen
  • 15.
  • 16.
  • 17. - If this medicine doesn't help, please come back and you will get something else. - Couldn't I rather get the something else right away? Version 1 (Storm P) inexpensive
  • 18. - If we don't find your tumor with CT and MRI we will order a PET/CT . - Couldn't I rather get a PET/CT right away? Version 2 (Trond 2007) expensive and may be..
  • 19. - If we don't find your tumor with CT and MRI we will order a PET/CT . - Couldn't I rather get a PET/CT right away? Version 3 (Trond 2007) Sure, and if needed we will add a PET, MR or US within a few days Overuse… Principle of Lowest Level of Treatment