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PET及PET-CT成像在感染与炎症中的应用:其在评估癌症患者治疗干预相关并发症方面的关键作用。

PET and PET-CT imaging in infection and inflammation: its critical role in assessing complications related to therapeutic interventions in patients with cancer.

作者信息

Basu S, Kumar R, Alavi A

机构信息

Radiation Medicine Centre (BARC), Tata Memorial Hospital Annexe, Parel, Mumbai, India.

出版信息

Indian J Cancer. 2010 Oct-Dec;47(4):371-9. doi: 10.4103/0019-509X.73562.

Abstract

Over the past decade, there has been an increasing evidence of false-positive FDG uptake in several infectious diseases and aseptic inflammatory processes. With the widespread application of FDG-PET imaging in oncology, the interpreting physicians have come across these conditions frequently leading to false-positive diagnosis. Such conditions can coexist with metastatic lesions in patients with cancer, and hence, early and accurate diagnosis or exclusion of infection and inflammation is of utmost importance for the optimal management of these patients. Also, this powerful imaging modality can play an invaluable role for the appropriate management of these complicated benign conditions. The present communication on this non-oncological application of FDG is intended as an educative primer for practicing oncologists on this very important aspect of PET-CT imaging with an ultimate aim for bettering patient management.

摘要

在过去十年中,越来越多的证据表明,在几种传染病和无菌性炎症过程中存在氟代脱氧葡萄糖(FDG)摄取假阳性的情况。随着FDG-PET成像在肿瘤学中的广泛应用,解读医师经常遇到这些情况,从而导致假阳性诊断。这些情况可能与癌症患者的转移病灶同时存在,因此,早期准确诊断或排除感染和炎症对于这些患者的最佳治疗至关重要。此外,这种强大的成像方式对于这些复杂良性疾病的恰当治疗可发挥重要作用。本关于FDG非肿瘤学应用的交流旨在为执业肿瘤学家提供有关PET-CT成像这一非常重要方面的教育入门知识,最终目标是改善患者管理。

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