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EurJNuclMedMolImaging(2008)35:2320–2333DOI10.1007/s00259-008-0874-2 SPECIALCONTRIBUTION TheNetherlandsprotocolforstandardisation andquantificationofFDGwholebodyPETstudiesinmulti-centretrials RonaldBoellaardWimJ.G.Oyen CornelineJ.HoekstraOttoS.Hoekstra EricP.VisserAntoonT.WillemsenBertjanArendsFredJ.VerzijlbergenJoseeZijlstraAnneM.PaansEmileF.I.ComansJanPruim Received:9June2008/Accepted:11June2008/Publishedonline:15August2008#TheAuthor(s)2008.ThisarticleispublishedwithopenaccessatS Abstract IntroductionSeveralstudieshaveshowntheusefulnessofpositronemissiontomography(PET)quantificationusingstandardiseduptakevalues(SUV)fordiagnosisandstaging,prognosisandresponsemonitoring.ManyfactorsaffectSUV,suchaspatientpreparationprocedures,scanacquisition,imagereconstructionanddataanalysissettings,andthevariabilityinmethodologyacrosscentresprohibitsexchangeofSUVdata.Therefore,standardisationof2-[18F]fluoro-2-deoxy-D-glucose(FDG)PETwholebodyproceduresisrequiredinmulti-centretrials. MethodsAprotocolforstandardisationofquantitativeFDGwholebodyPETstudiesintheNetherlands(NL)wasdefined. Thisprotocolisbasedonstandardisationof:(1)patientpreparation;(2)matchingofscanstatisticsbyprescribingdosageasfunctionofpatientweight,scantimeperbedposi-tion,percentageofbedoverlapandimageacquisitionmode(2Dor3D);(3)matchingofimageresolutionbyprescribingreconstructionsettingsforeachtypeofscanner;(4)matchingofdataanalysisprocedurebydefiningvolumeofinterestmethodsandSUVcalculationsand;(5)finally,amulti-centreQCprocedureisdefinedusinga20-cmdiameterphantomforverificationofscannercalibrationandtheNEMANU22001ImageQualityphantomforverificationofactivityconcentra-tionrecoveries(i.e.,verificationofimageresolutionandreconstructionconvergence). R.Boellaard(*)O.S.HoekstraJ.ZijlstraE.F.I.ComansDepartmentofNuclearMedicinePETResearch,VUUniversityMedicalCenter, DeBoelelaan1117,1081HVAmsterdam,TheNetherlandse-mail:r.boellaard@vumc.nl W.J.G.Oyen:E.P.Visser DepartmentofNuclearMedicine, RadboundUniversityNijmegenMedicalCenter,

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