Spriet Mathieu, Willcox Jennifer L, Culp William T N
Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, CA, United States.
Front Vet Sci. 2019 Jun 11;6:180. doi: 10.3389/fvets.2019.00180. eCollection 2019.
Positron Emission Tomography (PET) is an imaging technique that provides functional information, in addition to structural information obtained with computed tomography (CT). The most common application is cancer staging, using F-Fluorodeoxyglucose (F-FDG), a radioactive analog of glucose. Although limited data are available in the veterinary literature, human studies have demonstrated benefit with the addition of PET both for assessment of the primary tumor and for detection of metastatic disease. F-FDG PET appears to be more accurate at detecting the margin of oral neoplasia, in particular for tumors arising from highly vascularized tissue, such as the lingual and laryngeal areas. F-FDG PET has a high sensitivity for the detection of lymph node metastasis, however the specificity is variable between studies. Tracers beyond F-FDG can also be used for oncology imaging. F-Fluoride (F-NaF) is an excellent osseous tracer, useful in assessing bone involvement of primary tumors or osseous metastasis. Other specific tracers can be used to assess cell proliferation or hypoxia for tumor characterization. F-FDG is also an excellent tracer for detection of inflammation. Human studies have demonstrated its value for the assessment of periodontitis and dental implant infection. F-NaF has been used to assess disorders of the temporomandibular joint in the human literature, demonstrating good correlation with arthralgia and therapeutic outcome. Both F-NaF and F-FDG had good concordance with localization of cervical pain in people. PET will likely have a growing role in veterinary medicine not only for oncologic imaging but also for assessment of inflammation and pain.
正电子发射断层扫描(PET)是一种成像技术,除了能提供计算机断层扫描(CT)所获得的结构信息外,还能提供功能信息。最常见的应用是癌症分期,使用氟代脱氧葡萄糖(F-FDG),它是葡萄糖的放射性类似物。尽管兽医文献中的数据有限,但人体研究表明,添加PET对于评估原发性肿瘤和检测转移性疾病都有帮助。F-FDG PET在检测口腔肿瘤边缘方面似乎更准确,特别是对于起源于高血管化组织(如舌和喉区域)的肿瘤。F-FDG PET对检测淋巴结转移具有高敏感性,然而不同研究之间的特异性存在差异。除F-FDG外的示踪剂也可用于肿瘤成像。氟化物(F-NaF)是一种优秀的骨示踪剂,可用于评估原发性肿瘤的骨受累情况或骨转移。其他特定示踪剂可用于评估细胞增殖或缺氧情况以进行肿瘤特征描述。F-FDG也是检测炎症的优秀示踪剂。人体研究已证明其在评估牙周炎和牙种植体感染方面的价值。在人类文献中,F-NaF已被用于评估颞下颌关节疾病,显示与关节痛和治疗结果有良好的相关性。F-NaF和F-FDG在确定人的颈部疼痛部位方面都有良好的一致性。PET在兽医学中的作用可能会越来越大,不仅用于肿瘤成像,还用于评估炎症和疼痛。