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用于血管炎诊断及随访的氟代脱氧葡萄糖正电子发射断层显像/计算机断层扫描(FDG-PET/CT)

FDG-PET/CT for diagnosis and follow-up of vasculitis.

作者信息

Otsuka Hideki, Morita Naomi, Yamashita Kyo, Nishitani Hiromu

机构信息

Department of Radiology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.

出版信息

J Med Invest. 2007 Aug;54(3-4):345-9. doi: 10.2152/jmi.54.345.

Abstract

We report three cases of vasculitis evaluated by FDG-PET/CT. Vasculitis is defined as inflammatory changes and necrosis in the aterial wall. The patients presented with non-specific symptoms such as fever up or elevated inflammatory markers. FDG-PET/CT clearly demonstrated intense FDG uptake in vessel walls. A 72-year-old female patient with a one month history of pyrexia had abnormal laboratory data suggesting an inflammatory process. FDG-PET/CT was very useful for the diagnosis of vasculitis. Steroid therapy was introduced. Normalization of laboratory data and symptomatic improvement correlated with normalization of FDG uptake in the vessels.

摘要

我们报告了3例通过氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(FDG-PET/CT)评估的血管炎病例。血管炎被定义为动脉壁的炎症改变和坏死。患者表现出诸如发热或炎症标志物升高之类的非特异性症状。FDG-PET/CT清楚地显示出血管壁有强烈的FDG摄取。一名有1个月发热病史的72岁女性患者,实验室数据异常提示存在炎症过程。FDG-PET/CT对血管炎的诊断非常有用。采用了类固醇治疗。实验室数据的正常化和症状改善与血管中FDG摄取的正常化相关。

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