Review Article

A Rationale for the Use of F18-FDG PET/CT in Fever and Inflammation of Unknown Origin

Table 1

Helpful contribution of stand-alone F18-FDG PET in FUO.

AuthorStudy design/technique
P/R
Patients number PPV/NPVHelpful contribution
number/(%)
Final Dx
number/(%)

Meller et al. 2004 [53]Prospective DHC-PET versus Ga-citrate20 versus 1892%/75%11 (55%)18 (90%)
Blockmans et al. 2001 [54]Prospective Full-ring PET versus Ga67-citrate58 versus 40 * 24 (41%)38 (66%)
Lorenzen et al. 2001 [55]Retrospective Full-ring PET1692%/100%11 (69%)13 (81%)
Bleeker-Rovers et al. 2004 [56] Retrospective Full-ring PET3587%/95%13 (37%)19 (54%)
Kjaer et al. 2004 [49]Prospective Full-ring PET versus In-111 granulocyte1930%/67%  
3 (16%)  
   (26%)
12 (63%)
Buysschaert et al. 2004 [57]Prospective Full-ring PET7436%/*19 (26%)39 (53%)
Bleeker-Rovers et al. 2007 [8]Prospective multicentre Full-ring PET7070%/92%23 (33%)37 (51%)
Jaruskova and Belohlavek 2006 [58]Retrospective Full-ring PET and PET-CT124  
FUO = 94
* 45 (36%)51 (84%)

PETTotal number patients386Overall helpfulness of PET 39% (mean)Overall percentage
final diagnosis
67% (mean)

Legends: DHC: dual-headed coincidence camera; NPV: negative predictive value; PPV: positive predictive value; CECT: contrast-enhanced CT; NA: not applicable.
*Data could not be retrieved from the original publication.
NPV is defined as the proportion of patients with negative test results for focal diseases, who are correctly diagnosed.