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痴呆症的 PET/CT。

PET/CT of Dementia.

机构信息

1 Department of Medicine, McMaster University, 1200 Main St W, Rm 1P11, Hamilton, ON L8N 3Z5. Canada.

2 Department of Radiology, McMaster University, Hamilton, ON, Canada.

出版信息

AJR Am J Roentgenol. 2018 Aug;211(2):246-259. doi: 10.2214/AJR.18.19822. Epub 2018 Jun 27.

Abstract

OBJECTIVE

In this article, we review the literature on PET/CT in the management of dementia, present evidence for best clinical practices, and discuss recent advances in the field.

CONCLUSION

Standard-of-care imaging for dementia includes CT and MRI, primarily for excluding vascular lesions or masses, detecting atrophy, and monitoring disease severity. PET/CT is a powerful functional modality that can differentiate dementia types and influence management. Fluorine-18-FDG PET/CT reveals the spatial pattern of glucose metabolism in the brain. More recently, radiotracers for PET have been developed that bind to amyloid protein, tau protein, and neuroinflammatory markers.

摘要

目的

本文回顾了 PET/CT 在痴呆症管理中的文献,提出了最佳临床实践的证据,并讨论了该领域的最新进展。

结论

痴呆症的标准影像学检查包括 CT 和 MRI,主要用于排除血管病变或肿块、检测萎缩以及监测疾病严重程度。PET/CT 是一种强大的功能模态,可以区分痴呆症类型并影响管理。氟-18-氟代脱氧葡萄糖(FDG)PET/CT 揭示了大脑中葡萄糖代谢的空间模式。最近,已经开发出用于 PET 的放射性示踪剂,这些示踪剂与淀粉样蛋白、tau 蛋白和神经炎症标志物结合。

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