New ESMO guideline endorses PET/CT for bone imaging

A new European Society for Medical Oncology (ESMO) clinical practice guideline on Bone Health in Cancer has been published in Annals of Oncology, endorsing “FDG-PET-CT imaging as the most accurate way of assessing treatment response of hypermetabolic bone metastasis”.

Also, the new guideline recognizes that “metabolic treatment-induced effects appear much earlier than morphological changes and facilitate rapid treatment adaptation” when using FDG-PET/CT. Finally, the guideline states that NaF-PET/CT “is the most accurate osteotropic PET imaging agent; it is superior to ^99mTc bone scintigraphy and SPECT and comparable to DW-MRI for diagnosis”.

Read more (open access):

https://www.annalsofoncology.org/article/S0923-7534(20)39995-6/fulltext