Tang Gongshun, Kuang Anren
Department of Nuclear Medicine, West China Hospital of Sichuan University, Chengdu 610041, China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2005 Feb;22(1):193-6, 201.
Colorectal cancer is a leading cancer in many countries. The glucose metabolic activities of the tumor cells are higher than that of the normal cells. They could uptake much more 2-[18F] Fluoro-2-Deoxy-d-Glucose (18F-FDG), an analogue of glucose, than normal cells do. The physicians can search the lesions via 18F-FDG positron emission tomography (PET). 18F-FDG-PET has higher sensitivity and accuracy in diagnosing the primary lesion, recurrence, liver metastasis and extrahepatic metastasis of the colorectal cancer, compared with the conventional technique. The results of the 18F-FDG-PET often restage the colorectal cancer and even change the treatment plan as 18F-FDG-PET provides more information than traditional technique does. Also, it could be used to follow up the case of the colorectal cancer after operation, systematic chemotherapy and radiotherapy. The current review addresses the metabolism, the clinical application, the shortcomings and the future prospect.
结直肠癌在许多国家都是主要的癌症之一。肿瘤细胞的葡萄糖代谢活性高于正常细胞。它们比正常细胞摄取更多的2-[18F]氟-2-脱氧-D-葡萄糖(18F-FDG),即葡萄糖的类似物。医生可以通过18F-FDG正电子发射断层扫描(PET)来查找病变。与传统技术相比,18F-FDG-PET在诊断结直肠癌的原发灶、复发、肝转移和肝外转移方面具有更高的灵敏度和准确性。18F-FDG-PET的结果常常会对结直肠癌进行重新分期,甚至改变治疗方案,因为18F-FDG-PET比传统技术提供的信息更多。此外,它还可用于结直肠癌手术后、全身化疗和放疗后的病例随访。本综述阐述了其代谢、临床应用、缺点及未来展望。