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氟-18-氟代脱氧葡萄糖正电子发射断层扫描在骨肉瘤患者分期和再分期中的作用。

The role of Fluorine-18-Fluorodeoxyglucose positron emission tomography in staging and restaging of patients with osteosarcoma.

机构信息

Department of Radiological Sciences, Nuclear Medicine Unit, University of Messina, Messina, Italy.

出版信息

Radiol Oncol. 2013 May 21;47(2):97-102. doi: 10.2478/raon-2013-0017. Print 2013 Jun.

DOI:10.2478/raon-2013-0017
PMID:23801904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3691088/
Abstract

BACKGROUND

The objective of this study is to systematically review the role of positron emission tomography (PET) and PET/computed tomography (PET/CT) with Fluorine-18-Fluorodeoxyglucose (FDG) in patients with osteosarcoma (OS).

METHODS

A comprehensive literature search of published studies through October 10(th), 2012 in PubMed/MEDLINE, Embase and Scopus databases regarding whole-body FDG-PET and FDG-PET/CT in patients with OS was performed.

RESULTS

We identified 13 studies including 289 patients with OS. With regard to the staging and restaging of OS, the diagnostic performance of FDG-PET and PET/CT seem to be high; FDG-PET and PET/CT seem to be superior to bone scintigraphy and conventional imaging methods in detecting bone metastases; conversely, spiral CT seems to be superior to FDG-PET in detecting pulmonary metastases from OS.

CONCLUSIONS

Metabolic imaging may provide additional information in the evaluation of OS patients. The combination of FDG-PET or FDG-PET/CT with conventional imaging methods seems to be a valuable tool in the staging and restaging of OS and may have a relevant impact on the treatment planning.

摘要

背景

本研究旨在系统地回顾氟代脱氧葡萄糖（FDG）正电子发射断层扫描（PET）和 PET/计算机断层扫描（PET/CT）在骨肉瘤（OS）患者中的作用。

方法

通过 PubMed/MEDLINE、Embase 和 Scopus 数据库对截至 2012 年 10 月 10 日发表的关于全身 FDG-PET 和 FDG-PET/CT 在 OS 患者中的应用的研究进行了全面的文献检索。

结果

我们共确定了 13 项研究，包括 289 名 OS 患者。在 OS 的分期和再分期方面，FDG-PET 和 PET/CT 的诊断性能似乎较高；FDG-PET 和 PET/CT 在检测骨转移方面似乎优于骨闪烁扫描和常规影像学方法；相反，螺旋 CT 在检测 OS 的肺转移方面似乎优于 FDG-PET。

结论

代谢成像可能为 OS 患者的评估提供额外信息。FDG-PET 或 FDG-PET/CT 与常规影像学方法的结合似乎是 OS 分期和再分期的一种有价值的工具，并且可能对治疗计划产生相关影响。