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正电子发射断层扫描(PET)成像:对肿瘤 PET/CT 治疗监测未来的影响。

PET imaging: implications for the future of therapy monitoring with PET/CT in oncology.

机构信息

Comprehensive Cancer Imaging Center, Imperial College, Hammersmith Hospital London, UK.

出版信息

Curr Opin Pharmacol. 2012 Oct;12(5):569-75. doi: 10.1016/j.coph.2012.07.016. Epub 2012 Aug 15.

Abstract

Among the methods based on molecular imaging, the measure of the tracer uptake variation between a baseline and follow-up scan with the SUV and [(18)F]FDG-PET/CT is a very powerful tool for assessing response to treatment in oncology. However, the development of new targeted therapeutics and tissue pharmacokinetic evaluation of existing ones are increasingly requiring therapy monitoring with alternative tracers and indicators. In parallel, the potential predictive and prognostic value of other image-derived parameters, such as tumour volume and textural features, relating to tumoral heterogeneity, has recently emerged from several works.

摘要

在基于分子成像的方法中,使用 SUV 和 [(18)F]FDG-PET/CT 测量基线和随访扫描之间示踪剂摄取的变化是评估肿瘤治疗反应的非常有力的工具。然而,新的靶向治疗的发展和现有治疗方法的组织药代动力学评估越来越需要使用替代示踪剂和指标进行治疗监测。与此同时,与肿瘤异质性相关的其他图像衍生参数(如肿瘤体积和纹理特征)的潜在预测和预后价值也在最近的一些研究中显现出来。

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