{"id":36186,"date":"2010-03-11T00:00:00","date_gmt":"2010-03-11T06:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2010\/03\/11\/dr-vose-speaks-against-unnecessary-ct-pet-scans-in-nejm-letter\/"},"modified":"2022-09-02T19:47:45","modified_gmt":"2022-09-03T00:47:45","slug":"dr-vose-speaks-against-unnecessary-ct-pet-scans-in-nejm-letter","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2010\/03\/11\/dr-vose-speaks-against-unnecessary-ct-pet-scans-in-nejm-letter\/","title":{"rendered":"Dr. Vose speaks against unnecessary CT, PET scans in NEJM letter"},"content":{"rendered":"

Those in complete remission from lymphoma who have no symptoms don’t need routinely scheduled computed tomography (CT) scans or positron-emission tomography (PET) scans for check-ups, say lymphoma experts including UNMC’s Julie Vose, M.D.<\/p>\n

But every year — excessive CT and PET scans are ordered by physicians — often at the insistence of patients.<\/p>\n


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\nJulie Vose, M.D.<\/span>
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\n<\/TABLE>In a letter published in today’s New England Journal of Medicine, Dr. Vose and University of Iowa radiologist Malik Juweid, M.D., note that the tests can expose patients to low-dose radiation, which possibly increases risk for other types of cancer. The unnecessary tests also drive up health care costs, the physicians wrote. <\/p>\n

“Recurrent Hodgkin lymphoma is detected in patients with localized disease with the use of scans in only about 2 percent of patients, with no proven long-term benefit,” said Dr. Vose, the Neumann M. and Mildred E. Harris Professorial Chair and chief of section of hematology\/oncology. “Yet these patients, who are usually young, generally undergo five to 10 CT scans of the chest, abdomen or pelvis, often in addition to several PET-CTs, within the initial three to five years of their treatment.”<\/p>\n

More than 80 percent of lymphoma recurrences are first identified without the use of imaging.<\/p>\n

The standard of care is not to do a scan unless there are symptoms or an exam gives cause for concern, Dr. Vose said. <\/p>\n

Though Drs. Vose and Juweid wrote about scans in early-stage Hodgkin’s lymphoma, the standard of care advice also applies to non-Hodgkin’s lymphoma, Dr. Vose said. <\/p>\n

“In patients at low risk of recurrence, reducing the exposure to excessive radiation is an important goal,” she said.<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

Those in complete remission from lymphoma who have no symptoms don’t need routinely scheduled computed tomography (CT) scans or positron-emission tomography (PET) scans for check-ups, say lymphoma experts including UNMC’s Julie Vose, 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