To: gao seng who wrote (3460 ) 6/7/1999 8:48:00 PM From: gao seng Respond to of 4122
Study: PET better at finding cancer United Press International - June 07, 1999 18:37 Jump to first matched term LOS ANGELES, June 7 (UPI) - Dozens of researchers confirm a relatively new imaging device is much more accurate for detecting cancers than the more commonly used CAT scan. Papers presented today at the annual meeting of the Society of Nuclear Medicine in Los Angeles showed PET, or positron emission tomography, was 96 percent accurate in detecting tumors, compared to 64 percent with CAT, or computerized axial tomography. The PET provided additional information a CAT could not provide, resulting in treatment changes for 13 percent of patients. Using PET to determine recurrent colorectal cancer detected additional tumors in 82 percent of patients, forcing physicians to alter treatment 64 percent of the time. With patients suffering recurrent head and neck cancer, 69 percent of the cases were detected by PET. Dr. Edward Coleman, professor of radiology at Duke University, said at a news conference, ''PET is now having a major impact in the way that we take care of patients.'' He said in addition to detecting cancers, PET also has been shown to be ''very accurate'' in determining Alzheimer's disease and detecting the type of heart attack patients suffer. Coleman said the research showed PET allows physicians to determine where a cancer is and whether a lesion is cancerous, allowing doctors to avoid surgery in many cases and forgo costly diagnosis procedures and treatment in others. Medicare patients with certain types of lung cancers have received coverage for PET since the beginning of 1999 and starting July 1 the program will reimburse health care providers for using PET scans to detect colorectal cancer, to determine the stage of lymphoma and to evaluate whether a patient has recurrent melanoma. Even without Medicare coverage, Coleman said, the number of patients receiving PET scans has grown from 25,000 in 1996 to 50,000 last year. With additional Medicare coverage far more usage is expected. An added incentive, he said, is that PET scans are proving to be cost effective. Although PET was developed 25 years ago as a research tool, its ability to determine the amount of glucose metabolism in the body and show precisely where it is has aided in its transfer to a clinical tool. Only about 50 PET scan machines were in medical centers two years ago, Coleman said, and now about 300 centers have them.