Ruiz Hernández Gloria, Romero de Avila Y Avalos Carmelo, Carreras Delgado José Luis
Instituto PET Focuscan, Madrid, Spain.
Med Clin (Barc). 2005 Feb 19;124(6):229-36. doi: 10.1157/13071769.
Positron emission tomography (PET) has the ability to detect cancer based on molecular and biochemical processes within the tumor tissues. The most widely used radiotracer in oncology at this time is the glucose analogue 18F-fluoro-2-deoxy-D-glucose (18F-FDG). Like glucose, 18F-FDG is transported into cells by a glucose transporter protein and rapidly converted into 18F-FDG-6-phosphate. PET imaging with 18F-FDG is able to diagnose, stage, and restage many cancers with accuracies ranging from 80% to 90%. Responses to therapy can be identified earlier and with greater accuracy than is possible with anatomic imaging modalities. The prognostic information available through 18F-FDG PET is superior to that of conventional imaging for many cancers. The aim of this review article is to show the most promising clinical indications for the use of PET in oncology.
正电子发射断层扫描(PET)能够基于肿瘤组织内的分子和生化过程检测癌症。目前肿瘤学中使用最广泛的放射性示踪剂是葡萄糖类似物18F-氟-2-脱氧-D-葡萄糖(18F-FDG)。与葡萄糖一样,18F-FDG通过葡萄糖转运蛋白转运到细胞中,并迅速转化为18F-FDG-6-磷酸。使用18F-FDG进行PET成像能够诊断、分期和重新分期多种癌症,准确率在80%至90%之间。与解剖成像方式相比,能够更早且更准确地识别对治疗的反应。通过18F-FDG PET获得的预后信息在许多癌症中优于传统成像。这篇综述文章的目的是展示PET在肿瘤学中最有前景的临床应用指征。