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正电子发射断层扫描/磁共振成像在肌肉骨骼系统中的应用

Musculoskeletal applications of PET/MR.

作者信息

Lee In Sook, Jin Yoo Hye, Hong Sung Hwan, Yang Seoung-Oh

机构信息

Department of Diagnostic Radiology, Pusan National University Hospital, Medical Research Institute, Busan, Korea.

Department of Diagnostic Radiology, Seoul National University Hospital, Seoul, Korea.

出版信息

Semin Musculoskelet Radiol. 2014 Apr;18(2):203-16. doi: 10.1055/s-0034-1371021. Epub 2014 Apr 8.

Abstract

To overcome each limitation of morphological and functional imaging procedures, hybrid imaging systems have been developed and introduced into clinical routine. It has been increasingly discussed whether magnetic resonance imaging (MRI) might be an appropriate alternative for computed tomography (CT). The major advantage of positron emission tomography (PET)/MR consists of combined metabolic and anatomical information in a single imaging session that provides superior soft tissue characterization of MRI over CT. Until now, fusion image has been effectively utilized in oncologic indications. Because biopsy cannot be replaced by images for definite diagnosis, fusion imaging may be more efficient for staging based on nodal spread or metastases rather than the diagnosis of primary tumor, and it can be proficient for treatment response or postoperative assessment. This review describes mainly oncologic and nontumorous conditions among the musculoskeletal applications of PET/MR.

摘要

为克服形态学和功能成像程序的各种局限性,已开发出混合成像系统并将其引入临床常规应用。磁共振成像(MRI)是否可能成为计算机断层扫描(CT)的合适替代方案,这一问题已得到越来越多的讨论。正电子发射断层扫描(PET)/MR的主要优势在于,在一次成像过程中可同时提供代谢和解剖信息,与CT相比,能提供更出色的MRI软组织特征。到目前为止,融合图像已在肿瘤学适应症中得到有效应用。由于活检不能被图像所取代以进行明确诊断,融合成像对于基于淋巴结扩散或转移的分期可能比原发性肿瘤的诊断更有效,并且在治疗反应或术后评估方面可能更精通。本综述主要描述PET/MR在肌肉骨骼系统应用中的肿瘤和非肿瘤情况。

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