Cost-Effectiveness of Alternative Management Strategies for Patients with Solitary Pulmonary Nodules

Appendix (Figure 1). The square decision node ( ) indicates that computed tomography ( ), observation (watchful waiting),
surgery, positron emission tomography with 18-fluorodeoxyglucose ( ), or transthoracic needle biopsy may be selected as the
initial diagnostic test. If CT is selected first, the result may be possibly malignant or benign. Observation, surgery, biopsy,
or FDG-PET may be the next diagnostic test, depending on the results of CT ( ). If FDG-PET is selected as the first test,
results may be positive or negative; CT, observation, surgery, or biopsy may be selected as the next test, depending on results
( ). Observation, surgery, or biopsy may be selected after both CT and FDG-PET have been performed ( ).
Decision model.ACTFDG-PETBCD
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Ann Intern Med
May 6, 2003
vol. 138
no. 9
724-735