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俯卧位18F-FDG PET/CT改变乳腺癌患者的诊断和手术干预:关于PET/CT成像采集协议的一些思考

Prone 18F-FDG PET/CT changes diagnostic and surgical intervention in a breast cancer patient: some considerations about PET/CT imaging acquisition protocol.

作者信息

Canevari Carla, Gallivanone Francesca, Zuber Veronica, Marassi Alberto, Losio Claudio, Gianolli Luigi, Gilardi Maria Carla, Castiglioni Isabella

机构信息

Division of Nuclear Medicine, IRCCS San Raffaele Scientific Institute, via Olgettina 60, 20132 Milan, Italy.

Institute of Molecular Bioimaging and Physiology, National Research Council (IBFM-CNR), via Fratelli Cervi 93, 20090 Segrate (MI), Italy.

出版信息

Clin Imaging. 2015 May-Jun;39(3):506-9. doi: 10.1016/j.clinimag.2014.11.005. Epub 2014 Nov 18.

DOI:10.1016/j.clinimag.2014.11.005
PMID:25620014
Abstract

We report a case study demonstrating the value of prone positioning in positron emission tomography (PET) of a woman with diagnosed breast cancer (BC) addressed to lumpectomy. Surgeon required (18)F-fluorodeoxiglucose ((18)F-FDG) PET study for staging and assessment of lymphnode involvement/metastasis prior to lumpectomy: a whole-body supine study and a prone acquisition of breast. Supine study revealed one lesion, while prone study revealed two lesions. Prone PET findings changed diagnosis and therapeutic intervention for patient who was subsequently subjected to quadrantectomy.

摘要

我们报告了一项病例研究,该研究证明了俯卧位在一名已诊断为乳腺癌(BC)且拟行肿块切除术的女性正电子发射断层扫描(PET)中的价值。外科医生要求在肿块切除术前进行(18)F-氟脱氧葡萄糖((18)F-FDG)PET检查,以进行分期和评估淋巴结受累/转移情况:进行一次全身仰卧位检查和一次乳房俯卧位采集。仰卧位检查发现一个病灶,而俯卧位检查发现两个病灶。俯卧位PET检查结果改变了对该患者的诊断和治疗干预,该患者随后接受了象限切除术。

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Clinical value of delayed 18F-FDG PET/CT for predicting nipple-areolar complex involvement in breast cancer: A comparison with clinical symptoms and breast MRI.18F-FDG PET/CT 延迟扫描对乳腺癌乳头乳晕复合体累及的临床预测价值:与临床症状和乳腺 MRI 的对比。
PLoS One. 2018 Sep 12;13(9):e0203649. doi: 10.1371/journal.pone.0203649. eCollection 2018.
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MRI fused with prone FDG PET/CT improves the primary tumour staging of patients with breast cancer.
磁共振成像(MRI)与俯卧位氟代脱氧葡萄糖正电子发射断层显像/X线计算机体层成像(FDG PET/CT)融合可改善乳腺癌患者的原发肿瘤分期。
Eur Radiol. 2017 Aug;27(8):3190-3198. doi: 10.1007/s00330-016-4685-8. Epub 2016 Dec 21.