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使用F-胆碱PET/计算机断层扫描对前列腺癌进行成像

Imaging of Prostate Cancer Using F-Choline PET/Computed Tomography.

作者信息

Hodolič Marina

机构信息

Nuclear Medicine Research Department, Iason, Graz, Austria; Department of Nuclear Medicine, Palacký University Olomouc, Olomouc, Czech Republic.

出版信息

PET Clin. 2017 Apr;12(2):173-184. doi: 10.1016/j.cpet.2016.11.004. Epub 2017 Jan 16.

Abstract

F-fluorocholine (FCH) PET/computed tomography (CT) is a valuable imaging modality in prostate cancer disease. Probably, its main role is restaging of patients with biochemical recurrence after radical prostatectomy or external beam radiotherapy. F-FCH PET/CT is strengthening its position in the initial staging, biopsy target definition, radiotherapy planning, and therapy monitoring. Gleason score and prostate-specific antigen value, doubling time, and velocity can influence positivity of F-FCH PET/CT. The influence of androgen deprivation therapy on choline uptake is not precisely clarified. Collaboration between nuclear medicine physicians, radiologists, urologists, oncologists, and radiotherapists is crucial to help patients with prostate cancer disease.

摘要

F-氟胆碱(FCH)正电子发射断层显像/计算机断层扫描(PET/CT)是前列腺癌疾病中一种有价值的成像方式。其主要作用可能是对前列腺癌根治术或外照射放疗后生化复发的患者进行再分期。F-FCH PET/CT在初始分期、活检靶点定义、放疗计划和治疗监测方面的地位正在不断巩固。 Gleason评分、前列腺特异性抗原值、倍增时间和速度会影响F-FCH PET/CT的阳性率。雄激素剥夺疗法对胆碱摄取的影响尚未完全明确。核医学医师、放射科医生、泌尿科医生、肿瘤学家和放疗科医生之间的合作对于帮助前列腺癌患者至关重要。

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