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我们如何解读儿科 PET/CT：适应证和采集、解读及报告图像的策略。

How we read pediatric PET/CT: indications and strategies for image acquisition, interpretation and reporting.

机构信息

Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA, 02115, USA.

出版信息

Cancer Imaging. 2017 Nov 7;17(1):28. doi: 10.1186/s40644-017-0130-8.

DOI:10.1186/s40644-017-0130-8
PMID:29116015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5678769/
Abstract

PET/CT plays an important role in the diagnosis, staging and management of many pediatric malignancies. The techniques for performing PET/CT examinations in children have evolved, with increasing attention focused on reducing patient exposure to ionizing radiation dose whenever possible and minimizing scan duration and sedation times, with a goal toward optimizing the overall patient experience. This review outlines our approach to performing PET/CT, including a discussion of the indications for a PET/CT exam, approaches for optimizing the exam protocol, and a review of different approaches for acquiring the CT portion of the PET/CT exam. Strategies for PACS integration, image display, interpretation and reporting are also provided. Most practices will develop a strategy for performing PET/CT that best meets their respective needs. The purpose of this article is to provide a comprehensive overview for radiologists who are new to pediatric PET/CT, and also to provide experienced PET/CT practitioners with an update on state-of-the art CT techniques that we have incorporated into our protocols and that have enabled us to make considerable improvements to our PET/CT practice.

摘要

PET/CT 在许多儿科恶性肿瘤的诊断、分期和治疗管理中发挥着重要作用。用于儿童的 PET/CT 检查的技术已经发展，越来越关注尽可能减少患者接受电离辐射的剂量，并尽量减少扫描时间和镇静时间，以优化整体患者体验为目标。本综述概述了我们进行 PET/CT 的方法，包括讨论 PET/CT 检查的适应证、优化检查方案的方法，以及回顾获取 PET/CT 检查 CT 部分的不同方法。还提供了用于 PACS 集成、图像显示、解释和报告的策略。大多数实践将制定满足其各自需求的 PET/CT 检查策略。本文的目的是为刚接触儿科 PET/CT 的放射科医生提供全面的概述，也为有经验的 PET/CT 医生提供有关我们已纳入协议的最新 CT 技术的更新，这些技术使我们能够对我们的 PET/CT 实践进行重大改进。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/aa3e21bd3c18/40644_2017_130_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/cfba43134b70/40644_2017_130_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/88d6d2910ef5/40644_2017_130_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/468f939347e0/40644_2017_130_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/d6003336cfb0/40644_2017_130_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/cc7046229926/40644_2017_130_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/a99c62127db9/40644_2017_130_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/190a6a63a543/40644_2017_130_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/4a9cd468d256/40644_2017_130_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/7e4f4b9606d7/40644_2017_130_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d83/5678769/aa3e21bd3c18/40644_2017_130_Fig10_HTML.jpg

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