Schöder Heiko, Larson Steven M, Yeung Henry W D
Department of Radiology, Nuclear Medicine Service, and Gerschel PET Center, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
J Nucl Med. 2004 Jan;45 Suppl 1:72S-81S.
PET/CT is a new imaging technology that has already found a number of clinical applications in oncologic imaging. Widespread introduction into clinical practice started approximately 2.5 years ago. Consequently, the available data are largely preliminary. Nevertheless, it can already be stated that the synthesis of structural and metabolic information improves the accuracy of primary staging and the detection of recurrent disease and has the realistic potential to change patient management in 10 to 20% of cases. PET/CT fusion images can directly guide biopsies or surgical interventions. This article summarizes preliminary data of PET/CT studies and highlights potential clinical applications for PET/CT, with particular emphasis on lymphoma, melanoma and gastrointestinal tumors.
正电子发射断层显像/计算机断层扫描(PET/CT)是一项新的成像技术,已在肿瘤成像领域有多项临床应用。大约2.5年前开始广泛应用于临床实践。因此,现有数据大多是初步的。然而,可以说结构和代谢信息的综合提高了初始分期的准确性以及复发性疾病的检测能力,并且在10%至20%的病例中具有改变患者治疗管理的现实潜力。PET/CT融合图像可直接指导活检或手术干预。本文总结了PET/CT研究的初步数据,并重点介绍了PET/CT的潜在临床应用,尤其着重于淋巴瘤、黑色素瘤和胃肠道肿瘤。