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Implementing a Combined Lesion Measurement Tool in Hybrid PET Imaging to Reduce Clicks in Routine Clinical Practice:
Anton S Becker1, Norbert Lindow2, Ariella Noorily3
1Department of Radiology, NYU Grossman School of Medicine, New York, NY, USA. Anton.Becker@nyulangone.org.
Journal of Medical Systems
|December 11, 2025
Summary
A new tool for positron emission tomography/computed tomography (PET/CT) interpretation combines measurements, saving an average of 16.5 clicks per scan. This software enhances clinical hybrid imaging workflows.
Area of Science:
- Medical Imaging
- Radiology
- Software Development
Background:
- Clinical hybrid imaging workflows, particularly positron emission tomography/computed tomography (PET/CT), involve complex interpretation.
- Current methods may require multiple tools for morphologic and functional measurements, potentially impacting efficiency.
Purpose of the Study:
- To develop an integrated tool for hybrid imaging that combines morphologic and functional measurements.
- To quantify the efficiency gains, specifically the number of clicks saved per PET/CT interpretation.
Main Methods:
- A novel tool was developed, automatically creating a volume of interest (VOI) around line distance measurements.
- The tool generates and displays VOI statistics for both PET and CT components, along with line distances.
- Usage data from the first two months of implementation were analyzed.
Main Results:
- Eleven physicians utilized the tool in 364 PET/CT examinations.
- The novel tool was the sole tool required in 19% of cases.
- An average of 16.5 clicks were saved per PET/CT examination, indicating improved workflow efficiency.
Conclusions:
- A new combined measurement tool for hybrid imaging was successfully implemented.
- The tool significantly streamlines the PET/CT interpretation process, saving clicks and improving workflow.
- Thoughtful software design positively impacts medical practice efficiency.

