用于肿瘤学的全身[18F]-氟代脱氧葡萄糖正电子发射断层扫描/磁共振成像:一项共识推荐

Whole-Body [18F]-FDG-PET/MRI for Oncology: A Consensus Recommendation.

作者信息

Umutlu Lale, Beyer Thomas, Grueneisen Johannes Stefan, Rischpler Christoph, Quick Harald H, Veit-Haibach Patrick, Eiber Matthias, Purz Sandra, Antoch Gerald, Gatidis Sergios, Nikolaou Konstantin, Schaefer Jürgen F, Rausch Ivo, Herrmann Ken

机构信息

Department of Diagnostic and Interventional Radiology and Neuroradiology, University-Hospital Essen.

QIMP Group, Centre for Medical Imaging and Biomedical Engineering, Medical University of Vienna.

出版信息

Nuklearmedizin. 2019 Mar;58(2):68-76. doi: 10.1055/a-0830-4453. Epub 2019 Feb 28.

Abstract

Combined PET/MR imaging (PET/MRI) was proposed for patient management in 2006 with first commercial versions of integrated whole-body systems becoming available as of 2010. PET/MRI followed the prior evolution of hybrid imaging as attested by the successful adoption of combined PET/CT and SPECT/CT since the early 2000 s. Today, around 150 whole-body PET/MRI systems have become operational worldwide. One of the main application fields of PET/MRI is oncologic imaging. Despite the increasing use of PET/MRI, little governance regarding standardized PET/MRI protocols has been provided to date. Standardization and harmonization of imaging protocols is, however, mandatory for efficient on-site patient management and multi-center studies. This document summarizes consensus recommendations on key aspects of patient referral and preparation, PET/MRI workflow and imaging protocols, as well as reporting strategies for whole-body [18F]-FDG-PET/MRI. These recommendations were created by early adopters and key experts in the field of PET, MRI and PET/MRI. This document is intended to provide guidance for the harmonization and standardization of PET/ MRI today and to support wider clinical adoption of this imaging modality for the benefit of patients. CITATION FORMAT:: Umutlu L, Beyer T, Grueneisen JS et al. Whole-Body [18F]-FDG-PET/MRI for Oncology: A Consensus Recommendation. Nuklearmedizin 2019, 58: 1-9.

摘要

2006年,正电子发射断层显像/磁共振成像(PET/MRI)被提议用于患者管理,2010年集成式全身系统的首批商业版本问世。PET/MRI延续了此前混合成像的发展历程,21世纪初PET/CT和SPECT/CT的成功应用便是明证。如今,全球约有150台全身PET/MRI系统投入使用。PET/MRI的主要应用领域之一是肿瘤成像。尽管PET/MRI的使用日益增多,但迄今为止,关于标准化PET/MRI协议的管理却很少。然而,成像协议的标准化和统一对于高效的现场患者管理和多中心研究而言是必不可少的。本文总结了关于患者转诊与准备、PET/MRI工作流程和成像协议以及全身[18F]-FDG-PET/MRI报告策略等关键方面的共识性建议。这些建议由PET、MRI和PET/MRI领域的早期采用者和关键专家制定。本文旨在为当前PET/MRI的统一和标准化提供指导,并支持这种成像方式在临床上更广泛地应用,以造福患者。引用格式:Umutlu L, Beyer T, Grueneisen JS等。全身[18F]-FDG-PET/MRI在肿瘤学中的应用:一项共识性建议。《核医学》2019年,第58卷:第1 - 9页。

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