Kwee Robert M, Kwee Thomas C
Department of Radiology, Zuyderland Medical Center, Heerlen/Sittard/Geleen, The Netherlands.
Department of Radiology, Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, University of Groningen, Hanzeplein 1, PO Box 30.001, Groningen 9700 RB, the Netherlands.
PET Clin. 2020 Apr;15(2):197-205. doi: 10.1016/j.cpet.2019.11.005.
Periprosthetic joint infection (PJI) is a severe complication, associated with substantial morbidity and high costs. PJI can occur in the early postoperative period but also many years after joint replacement. Timely and accurate diagnosis is important for treatment planning. Diagnosis of PJI can be a challenge, especially for chronic and low-grade infections. The diagnostic performance of fludeoxyglucose F 18 (F-FDG) positron emission tomography (PET) in detecting PJI seems sufficiently high for routine clinical application and has additional value to conventional tests. Further research is needed to determine the exact place of F-FDG PET in the diagnostic work-up of suspected PJI.
人工关节周围感染（PJI）是一种严重的并发症，会导致较高的发病率和高昂的费用。PJI可发生在术后早期，也可在关节置换多年后出现。及时准确的诊断对于治疗方案的制定至关重要。PJI的诊断可能具有挑战性，尤其是对于慢性和低度感染。氟脱氧葡萄糖F 18（F-FDG）正电子发射断层扫描（PET）在检测PJI方面的诊断性能似乎足以用于常规临床应用，并且对传统检测具有附加价值。需要进一步研究以确定F-FDG PET在疑似PJI诊断检查中的确切地位。
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