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肺癌的正电子发射断层扫描

Positron emission tomography in lung cancer.

作者信息

Nomori Hiroaki, Ohba Yasuomi, Yoshimoto Kentaro, Shibata Hidekatsu, Shiraishi Kenji, Mori Takeshi

机构信息

Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, 860-8556, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2009 Apr;57(4):184-91. doi: 10.1007/s11748-008-0371-3. Epub 2009 Apr 15.

Abstract

Recent advances in positron emission tomography (PET) with 2-deoxy-2-fluoro [F-18]-D: -glucose (FDG) has enabled not only the diagnosis and staging of lung cancer but also the prediction of its malignancy grade. However, FDG-PET has been known to have several pitfalls for imaging of lung cancer. For the effective clinical use of FDG-PET in lung cancer, we reviewed the pitfalls of using FDG-PET in the diagnosis of pulmonary nodules, semiquantitative analysis of FDG-uptake, N-staging, prediction of tumor aggressiveness, prognostic significance, and prediction of pathological response after chemoradiotherapy.

摘要

正电子发射断层扫描(PET)结合2-脱氧-2-氟[F-18]-D-葡萄糖(FDG)技术的最新进展不仅能够用于肺癌的诊断和分期,还能预测其恶性程度。然而,FDG-PET在肺癌成像方面存在一些缺陷。为了在肺癌中有效临床应用FDG-PET,我们回顾了在肺结节诊断中使用FDG-PET的缺陷、FDG摄取的半定量分析、N分期、肿瘤侵袭性预测、预后意义以及放化疗后病理反应的预测。

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