Low-Dose PET/CT Imaging Techniques

MH
Michael V Knopp, MD, PhD profile photo
Overseen ByMichael V Knopp, MD, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Cincinnati
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests new methods to reduce radiation exposure during PET/CT scans, commonly used to detect medical issues like cancer. It compares a regular radiation dose with several lower doses (2.5 mCi, 5 mCi, 6.5 mCi, and 13 mCi) to determine if the images remain clear enough for doctors. Participants will undergo two scans about a week apart. Those scheduled for a standard PET/CT scan and comfortable lying still for a period are well-suited for this trial. As an unphased trial, it offers an opportunity to contribute to safer imaging practices.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that these low-dose PET/CT imaging techniques are safe?

Research has shown that low radiation dose PET/CT scans are generally safe. Studies have found that these scans emit less radiation compared to other medical imaging methods. For example, a typical whole-body PET/CT scan has a radiation dose of about 7 mSv, which is considered low.

Evidence also indicates that these scans can be adjusted to maintain high image quality while reducing radiation exposure. This adjustment allows patients to receive necessary diagnostic information with less radiation risk.

Overall, studies report that low-dose PET/CT scans are well-tolerated, with no significant side effects. They are designed to be both safe and effective, offering a safer option for those needing medical imaging.12345

Why are researchers excited about this trial?

Researchers are excited about these low-dose PET/CT imaging techniques because they aim to reduce radiation exposure while maintaining image quality. Traditional PET/CT scans often use higher levels of radiation, which can pose risks, especially with repeated scans. This trial explores a range of reduced radiation doses, which could make PET/CT scans safer for patients by minimizing radiation without sacrificing diagnostic accuracy. By using advanced systems like the Biograph mCT and Vereos 128 digital PET/CT, the study seeks to identify the optimal balance between low radiation and high-quality imaging, potentially setting new standards for safer diagnostic practices.

What evidence suggests that these low-dose PET/CT imaging techniques could be effective?

This trial will compare different PET/CT scan radiation doses to evaluate their effectiveness in maintaining image quality. Studies have shown that PET/CT scans can use varying radiation doses without losing image quality. Specifically, research indicates that the 13 mCi dose can be halved while still performing well, particularly for cancer imaging. Studies found that the 2.5 mCi dose can be reduced by 66% without affecting the scan's clarity or accuracy. The 5 mCi dose remains effective for whole-body imaging without losing quality. Results for the 6.5 mCi dose demonstrate that a significant reduction is possible while maintaining good image quality. These findings suggest that lower doses can still provide effective imaging, reducing radiation exposure for patients.678910

Who Is on the Research Team?

MV

Michael V Knopp, MD, PhD

Principal Investigator

Ohio State University

Are You a Good Fit for This Trial?

This trial is for adults over 18 who are scheduled for a standard PET/CT scan and can lie flat during the procedure. Women able to have children must meet specific requirements for imaging agents and CT exams. Pregnant or breastfeeding individuals, prisoners, or those unable to consent are excluded.

Inclusion Criteria

For female patients of child-bearing potential, the OSUWMC requirements for receiving the standard of care PET imaging agent and CT examination needs to be met
I am scheduled for a PET/CT scan as part of my routine care.

Exclusion Criteria

I am unable to understand or sign the consent form.
I cannot lie flat for long periods.
Prisoners
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo PET/CT scans with both standard and low FDG doses for comparison

1 week
2 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

2-5 years

What Are the Treatments Tested in This Trial?

Interventions

  • PET/CT scan with 13 mCi radiation dose
  • PET/CT scan with 2.5 mCi radiation dose
  • PET/CT scan with 5 mCi radiation dose
  • PET/CT Scan with 6.5 mCi radiation dose
  • PET/CT Scan with not yet determined radiation dose
Trial Overview The study is testing new low-dose radiation techniques for PET/CT scans by comparing them with the current standard dose. Each participant will receive both a standard dose scan and one of several lower doses within one week.
How Is the Trial Designed?
6Treatment groups
Experimental Treatment
Group I: Sub-Study FExperimental Treatment2 Interventions
Group II: Sub-Study EExperimental Treatment2 Interventions
Group III: Sub-Study DExperimental Treatment2 Interventions
Group IV: Sub-Study CExperimental Treatment2 Interventions
Group V: Sub-Study BExperimental Treatment2 Interventions
Group VI: Sub-Study AExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Cincinnati

Lead Sponsor

Trials
442
Recruited
639,000+

Ohio State University

Lead Sponsor

Trials
891
Recruited
2,659,000+

Ohio Third Frontier

Collaborator

Trials
6
Recruited
690+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Citations

Performance and application of the total-body PET/CT ...The total-body PET/CT system enables high-resolution whole-body imaging, even under extreme conditions such as ultra-low dose, extremely fast imaging speed.
Validation of true low-dose 18F-FDG PET of the brain - PMCThese studies included a low-dose CT with an average effective dose of 0.07 mSv (Dose length product 12-15 mGycm), so the total effective doses were 4.54 mSv ...
PET/MRI Versus PET/CT for Whole-Body StagingThe estimated mean effective dose for whole-body PET/CT amounted to 17.6 ± 8.7 mSv, in comparison to 3.6 ± 1.4 mSv for PET/MRI, resulting in a ...
A method to assess image quality for Low-dose PETLowering injected dose will have an effect on PET image quality. In this article, we aim to investigate this effect in terms of ...
Advantages and Challenges of Total-Body PET/CT at a ...Low-Dose Injection of PET Imaging Agents. The high sensitivity, along with a dramatically improved signal-to-noise ratio, of the total-body PET/ ...
Validating Low FDG Dose PET/CT Compared to Current ...The purpose of this study is to assess new low radiation dose techniques for clinical PET/CT scans through intra-individual comparison between a clinical, ...
Optimizing Low-Dose [18F]FDG-PET/CT ScansTo optimize low-dose 18F-FDG scan protocols while maintaining high image quality despite radiotracer availability challenges. Materials and ...
Artificial Intelligence enables whole body Positron ...Integrated 18F-FDG PET/MRI saves radiation by replacing CT with radiation free MRI scans (1). This addresses the radiation exposure from CT ...
Are PET CT Scans Dangerous? Risks, Safety, and Benefits ...A common concern about PET CT scans is radiation exposure. However, the radiation dose from a PET CT scan is relatively low compared to other medical ...
Radiation protection of patients during PET/CT scanningThe radiation dose from such a scan can be low (e.g. an effective dose of about 7 mSv for a whole body study). However, the effective dose from a high ...
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