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F-18氟脱氧葡萄糖正电子发射断层扫描对血管内移植物感染的诊断是否过于敏感?

Is F 18 fluorodeoxyglucose positron emission tomography too sensitive for the diagnosis of vascular endograft infection?

作者信息

Zimmerman Pamela M, Cherr Gregory S, Angelo George C, Gona Jayakumari, Dosluoglu Hasan H

机构信息

Division of Vascular and Endovascular Surgery, West Virginia University, Morgantown, WV, USA.

出版信息

Vascular. 2008 Nov-Dec;16(6):346-9. doi: 10.2310/6670.2008.00049.

Abstract

We report a case of a false positive fluorodeoxyglucose positron emission tomography (FDG-PET) scan in a patient who presented with abdominal pain, and gastrointestinal bleeding accompanied by elevation of inflammatory markers, seven weeks after a proximal type I endoleak repair with a cuff extension. Aortoenteric fistula and endograft infection was ruled out by laparotomy. FDG-PET image may have a role in diagnosis of infection, but false positive results are possible and caution is necessary if other data are non-confirmatory.

摘要

我们报告一例在近端I型内漏采用袖套延长修复术后7周出现腹痛、胃肠道出血并伴有炎症标志物升高的患者,其氟脱氧葡萄糖正电子发射断层扫描(FDG-PET)出现假阳性结果。剖腹手术排除了主动脉肠瘘和移植物感染。FDG-PET图像可能在感染诊断中发挥作用,但可能会出现假阳性结果,如果其他数据不能证实,则需要谨慎对待。

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