PET scan acquisition and interpretation | Consensus versus standard reading Use of other clinical information Adjudication of conflicts Minimal residual uptake Visual versus SUV versus rate of change Technical: equipment, recording Inexperienced readers Factoring likelihood of false positives and negatives |
Escalation of therapy | Not known to be effective Early PET-positive may also predict failure of intensive therapy Not an option for elderly |
De-escalation of therapy | |
Study design and conduct | Assumptions made on clinical risk Assumptions made on efficacy of cross-over design Necessity for blinding Equipoise for patients and physicians based on published and presented results |