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Coordination and optimization of FDG PET/CT and COVID-19 vaccination; Lessons learned in the early stages of mass vaccination.
McIntosh, Lacey J; Rosen, Max P; Mittal, Kriti; Whalen, Giles F; Bathini, Venu G; Ali, Tasneem; Edmiston, Kathryn L; Walsh, William V; Gerber, Jonathan M.
  • McIntosh LJ; University of Massachusetts Medical School/Memorial Health Care, Division of Oncologic and Molecular Imaging, Department of Radiology, 55 Lake Avenue, North, Worcester, MA 01655, United States. Electronic address: Lacey.McIntosh@umassmemorial.org.
  • Rosen MP; University of Massachusetts Medical School/Memorial Health Care, Division of Oncologic and Molecular Imaging, Department of Radiology, 55 Lake Avenue, North, Worcester, MA 01655, United States.
  • Mittal K; University of Massachusetts Medical School/Memorial Health Care, Division of Hematology/Oncology, Department of Medicine, 55 Lake Avenue, North, Worcester, MA 01655, United States.
  • Whalen GF; University of Massachusetts Medical School/Memorial Health Care, Division of Surgical Oncology, Department of Surgery, 55 Lake Avenue, North, Worcester, MA 01655, United States.
  • Bathini VG; University of Massachusetts Medical School/Memorial Health Care, Division of Hematology/Oncology, Department of Medicine, 55 Lake Avenue, North, Worcester, MA 01655, United States.
  • Ali T; University of Massachusetts Medical School/Memorial Health Care, Division of Hematology/Oncology, Department of Medicine, 55 Lake Avenue, North, Worcester, MA 01655, United States.
  • Edmiston KL; University of Massachusetts Medical School/Memorial Health Care, Division of Hematology/Oncology, Department of Medicine, 55 Lake Avenue, North, Worcester, MA 01655, United States.
  • Walsh WV; University of Massachusetts Medical School/Memorial Health Care, Division of Hematology/Oncology, Department of Medicine, 55 Lake Avenue, North, Worcester, MA 01655, United States.
  • Gerber JM; University of Massachusetts Medical School/Memorial Health Care, Division of Hematology/Oncology, Department of Medicine, 55 Lake Avenue, North, Worcester, MA 01655, United States.
Cancer Treat Rev ; 98: 102220, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-1275253
ABSTRACT
As the world embarks on mass vaccination for COVID-19, we are beginning to encounter unintended dilemmas in imaging oncology patients; particularly with regards to FDG PET/CT. In some cases, vaccine-related lymphadenopathy and FDG uptake on PET/CT can mimic cancer and lead to confounding imaging results. These cases where findings overlap with cancer pose a significant dilemma for diagnostic purposes, follow-up, and management leading to possible treatment delays, unnecessary repeat imaging and sampling, and patient anxiety. These cases can largely be avoided by optimal coordination between vaccination and planned imaging as well as preemptive selection of vaccine administration site. This coordination hinges on patient, oncologist, and radiologists' awareness of this issue and collaboration. Through close communication and patient education, we believe this will eliminate significant challenges for our oncology patients as we strive to end this pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccination / Lymphadenopathy / Positron Emission Tomography Computed Tomography / COVID-19 Vaccines / COVID-19 / Neoplasms Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Topics: Vaccines Limits: Humans Language: English Journal: Cancer Treat Rev Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccination / Lymphadenopathy / Positron Emission Tomography Computed Tomography / COVID-19 Vaccines / COVID-19 / Neoplasms Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study Topics: Vaccines Limits: Humans Language: English Journal: Cancer Treat Rev Year: 2021 Document Type: Article