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PET/CT and contrast enhanced CT in single vs. two separate sessions: a cost analysis study
M Picchio1, M Mansueto, C Crivellaro
1Nuclear Medicine Department, San Raffaele Scientific Institute, Milan, Italy.
Performing PET/CT and contrast-enhanced CT in a single session significantly reduces costs for both institutions and patients. This integrated approach offers a more economical and efficient method for cancer staging and restaging.
Area of Science:
- Radiology and Nuclear Medicine
- Health Economics
- Oncology
Background:
- Positron Emission Tomography/Computed Tomography (PET/CT) and contrast-enhanced (c.e.) CT are crucial diagnostic tools in oncology.
- Current practice often involves performing these imaging modalities as stand-alone procedures.
Purpose of the Study:
- To quantify and compare the economic impact of single-session PET/CT and c.e. CT versus separate imaging sessions in cancer patients.
- To evaluate cost-effectiveness from both institutional and patient perspectives.
Main Methods:
- A cost-minimization analysis was conducted on 145 oncological patients undergoing PET/CT and c.e. CT.
- Patients were divided into two groups: single-session (innovative method, N.=72) and separate sessions (traditional method, N.=73).
- Institutional costs (staff, materials, equipment, utilities) and patient costs (travel, accommodation, lost productivity) were assessed.
Main Results:
- The single-session approach was found to be more cost-effective, saving institutions €106 per test compared to the traditional method.
- Patients also benefited economically, with savings of €21 per patient and a reduction of 3 work hours in lost productivity.
- Reduced travel and housing expenses contributed significantly to patient cost savings.
Conclusions:
- Combining PET/CT and c.e. CT into a single examination session is a more cost-effective strategy in oncological patient care.
- This integrated method lowers overall healthcare expenditures by decreasing both institutional operational costs and patient-related expenses.
- The findings support the adoption of single-session imaging for improved economic efficiency in cancer diagnostics.
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