Nomori Hiroaki, Ohba Yasuomi, Yoshimoto Kentaro, Shibata Hidekatsu, Shiraishi Kenji, Mori Takeshi
Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, 860-8556, Japan.
Gen Thorac Cardiovasc Surg. 2009 Apr;57(4):184-91. doi: 10.1007/s11748-008-0371-3. Epub 2009 Apr 15.
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.
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。