Utility of 18F-FDG PET/CT for Suspected Infection in the Inpatient Setting: a Single Centre Retrospective Cohort Study
1 other identifier
observational
266
1 country
1
Brief Summary
Retrospective cohort study of inpatients at a South Australian tertiary hospital who underwent 18F FDG-PET/CT for investigation of undifferentiated fever or inflammatory syndrome. The aim is to investigate the utility of FDG-PET/CT in the investigation of suspected infection in hospitalised adults. To establish the rate at which FDG-PET/CT contributes to a diagnosis, and how this impacts clinical management and outcomes. From this, to develop further understanding of for which patients this imaging modality contributes meaningfully to outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2022
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 4, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 29, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
January 29, 2024
CompletedFirst Submitted
Initial submission to the registry
February 18, 2026
CompletedFirst Posted
Study publicly available on registry
February 24, 2026
CompletedFebruary 24, 2026
February 1, 2026
2.1 years
February 18, 2026
February 18, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Diagnostic yield
• Did PET contribute to diagnostic yield?: * 1 = Yes: PET led to a finding either definitive e.g. confirmed by gold standard (microbiology, histopathology, intraoperative findings etc) or contributory, which guided diagnosis or management even without gold standard confirmation. Examples of contributory: PET showing vascular graft uptake, not explanted due to risk but presumptively treated Vertebral discitis suggested by PET, biopsied without culture, but presumptively treated and clinically improved PET negative - antibiotics ceased, patient remained well * 0 = No: PET provided no new information, was misleading (i.e. PET result contradicted by later results), or no action was taken based on PET
30 days
Secondary Outcomes (3)
Clinical change in management
30 days
Change in antimicrobial management
30 days
Final diagnosis
30 days
Study Arms (8)
Infectious diseases consultation
No infectious diseases consultation
Significant pre-PET imaging finding
No significant pre-PET imaging finding
High blood WCC prior to PET
Low WCC prior to PET
High CRP prior to PET
Low CRP prior to PET
Interventions
Nuclear medicine imaging as a diagnostic tool with implication for change in clinical management
Eligibility Criteria
Consecutive adults referred for FDG-PET/CT for evaluation of undifferentiated fever, inflammation or infection.
You may qualify if:
- Inpatient at the Royal Adelaide Hospital
- FDG-PET/CT between 1st January 2022 - 31st December 2023
- Imaging request query included: infect\* AND/OR Fever of Unknown Origin OR FUO AND/OR Pyrexia of Unknown Origin OR PUO AND/OR inflammat\*
You may not qualify if:
- \- Outpatient PET/CT
- Comparison imaging for established diagnosed infection
- PET/CT intended for evaluation of malignancy
- Evaluation of presumed or confirmed infective endocarditis
- Age less than 18 years
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Royal Adelaide Hospital
Adelaide, South Australia, 5000, Australia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr
Study Record Dates
First Submitted
February 18, 2026
First Posted
February 24, 2026
Study Start
January 4, 2022
Primary Completion
January 29, 2024
Study Completion
January 29, 2024
Last Updated
February 24, 2026
Record last verified: 2026-02