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IX. Clinical Interpretation. No test can be interpreted based on a numerical value alone A test provides one component of a clinical evaluation of the disease In order to provide an overall balanced assessment other information is needed
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IX. Clinical Interpretation • No test can be interpreted based on a numerical value alone • A test provides one component of a clinical evaluation of the disease • In order to provide an overall balanced assessment other information is needed • The more information the more accurate the clinical interpretation • Additional information of value: • Anatomic scans: CT and MRI • Functional Scans: Gallium, FDG-PET, Octreoscan • Surgery • Embolization/Ablation (RFA) • Somatostatin analogue therapy • Drug therapy • PRRT • Clinical performance status • Blood results: • Biochemistry • Hematology • Disease site • Histology • Ki67 index
Symptoms Clinical Diagnosis Signs Imaging Biomarkers Blood Data OCTREOSCAN FDG-PET MRI Hematology Liver/ Kidney function NETest GALLIUM PET IDENTIFY TUMOR TYPE AND LOCATION OF METASTASES BIOPSY MORPHOLOGY Ki67 GRADING Histology ASSESS THERAPEUTIC STRATEGY Grading Staging Surgery Hepatic resection Drug therapy NETest NETest NETest EVALUATE THERAPEUTIC RESPONSE