Still too hot.

Speaking of locally-advanced lung cancer, what is the preferred way of doing surveillance imaging? If you’re like us, one of the banes of your existence may be fellow oncologists ordering a PET four weeks after chemoradiation. When should you be ordering that PET? You shouldn’t. At least not unless you think there’s progression on CT. If you take the time to read the PACIFIC trial protocol, you’ll see that only CT was allowed after treatment because of the inherent inflammatory changes after radiation. New ASCO Guidelines couldn’t agree more, stating that CT is the optimal form of surveillance imaging and should be done every 6 months for 2 years and then annually thereafter. TBL: PET shouldn’t be used for routine surveillance of locally-advanced lung cancer. | Schneider, J Clin Oncol 2019