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正电子发射断层扫描在良恶性疾病中的应用。

Positron emission tomography for benign and malignant disease.

机构信息

Department of Surgery, University Hospitals Case Medical Center, Case Western Reserve University, 11100 Euclid Avenue Mailstop LKSD 5047, Cleveland, OH 44106, USA.

出版信息

Surg Clin North Am. 2011 Feb;91(1):249-66. doi: 10.1016/j.suc.2010.10.012.

DOI:10.1016/j.suc.2010.10.012
PMID:21184913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3021752/
Abstract

Functional imaging using radiolabeled probes that specifically bind and accumulate in target tissues has improved the sensitivity and specificity of conventional imaging. Fluorodeoxyglucose (FDG)-positron emission tomography (PET) has shown improved diagnostic accuracy in differentiating benign from malignant lesions in the setting of solitary pulmonary nodules. FDG-PET has become useful in preoperative staging of patients with lung cancer, and is being tested with many other malignancies for its ability to change patient management. This article provides an overview of the current status of FDG-PET and presents the challenges of moving toward routine use.

摘要

放射性标记探针的功能成像,特异性结合并在靶组织中积累,提高了传统成像的灵敏度和特异性。氟脱氧葡萄糖(FDG)-正电子发射断层扫描(PET)在鉴别孤立性肺结节中的良恶性病变方面显示出提高了诊断准确性。FDG-PET 已成为肺癌患者术前分期的有用手段,并正在与许多其他恶性肿瘤一起进行测试,以评估其改变患者管理的能力。本文概述了 FDG-PET 的现状,并提出了向常规使用迈进的挑战。

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本文引用的文献

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Nonlaxative PET/CT colonography: feasibility, acceptability, and pilot performance in patients at higher risk of colonic neoplasia.非泻剂式正电子发射断层扫描/计算机断层扫描结肠摄影术:在结直肠肿瘤风险较高的患者中的可行性、可接受性和初步应用效果。
J Nucl Med. 2010 Jun;51(6):854-61. doi: 10.2967/jnumed.109.072728. Epub 2010 May 19.
2
Clinical applications of PET and PET/CT in pediatric malignancies.正电子发射断层扫描(PET)和 PET/CT 在儿科恶性肿瘤中的临床应用。
Expert Rev Anticancer Ther. 2010 May;10(5):755-68. doi: 10.1586/era.10.12.
3
PET/CT-guided radiation therapy planning: from present to the future.正电子发射断层显像/计算机断层扫描(PET/CT)引导下的放射治疗计划:从现状到未来
Indian J Cancer. 2010 Apr-Jun;47(2):126-33. doi: 10.4103/0019-509X.63000.
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Focal dose escalation using FDG-PET-guided intensity-modulated radiation therapy boost for postoperative local recurrent rectal cancer: a planning study with comparison of DVH and NTCP.使用 FDG-PET 引导的调强放疗推量治疗术后局部复发性直肠癌的焦点剂量升级:基于剂量体积直方图和 NTCP 比较的计划研究。
BMC Cancer. 2010 Apr 7;10:127. doi: 10.1186/1471-2407-10-127.
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Evaluation of the risk of radiation exposure from new 18FDG PET/CT plans versus conventional X-ray plans in patients with pediatric cancers.评估儿童癌症患者新的 18FDG PET/CT 计划与传统 X 射线计划的辐射暴露风险。
Ann Nucl Med. 2010 May;24(4):261-7. doi: 10.1007/s12149-010-0342-5. Epub 2010 Mar 18.
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Neth Heart J. 2010 Feb;18(2):90-8. doi: 10.1007/BF03091744.
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FDG-PET/CT imaging for staging and target volume delineation in conformal radiotherapy of anal carcinoma.氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描成像在适形放疗中用于肛门癌的分期和靶区勾画。
Radiat Oncol. 2010 Feb 6;5:10. doi: 10.1186/1748-717X-5-10.
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Interact Cardiovasc Thorac Surg. 2010 Feb;10(2):200-3. doi: 10.1510/icvts.2009.220392. Epub 2009 Nov 19.