Wibmer Andreas G, Hricak Hedvig, Ulaner Gary A, Weber Wolfgang
1Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 USA.
2Molecular Imaging and Therapy Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 USA.
Eur J Hybrid Imaging. 2018;2(1):1. doi: 10.1186/s41824-017-0019-6. Epub 2018 Jan 19.
Hybrid imaging plays a central role in the diagnosis and management of a wide range of malignancies at all stages. In this article, we review the most pertinent historical developments, emerging clinical applications of novel radiotracers and imaging technologies, and potential implications for training and practice. This includes an overview of novel tracers for prostate, breast, and neuroendocrine tumors, assessment of tumor heterogeneity, the concept of image-guided 'biologically relevant dosing', and theranostic applications. Recent technological advancements, including time-of-flight PET, PET/MRI, and 'one-minute whole-body PET', are also covered. Finally, we discuss how these rapidly evolving applications might affect current training curricula and how imaging-derived big data could be harnessed to the benefit of our patients.
混合成像在各个阶段的多种恶性肿瘤的诊断和管理中发挥着核心作用。在本文中,我们回顾了最相关的历史发展、新型放射性示踪剂和成像技术的新兴临床应用,以及对培训和实践的潜在影响。这包括对前列腺癌、乳腺癌和神经内分泌肿瘤新型示踪剂的概述、肿瘤异质性的评估、图像引导的“生物相关剂量”概念以及治疗诊断应用。还涵盖了包括飞行时间PET、PET/MRI和“一分钟全身PET”在内的近期技术进步。最后,我们讨论这些快速发展的应用可能如何影响当前的培训课程,以及如何利用成像衍生的大数据造福我们的患者。