Modzelewski R, Gensanne D, Hapdey S, Gouel P, Vera P, Thureau S
Department of Nuclear Medicine, centre Henri-Becquerel, 1, rue d'Amiens, 76038 Rouen, France; CNRS, EA4108-Litis, FR UMR 3638, laboratoire QuantIF, 1, rue d'Amiens, 76000 Rouen, France.
CNRS, EA4108-Litis, FR UMR 3638, laboratoire QuantIF, 1, rue d'Amiens, 76000 Rouen, France; Department of Radiation Oncology, centre Henri-Becquerel, 1, rue d'Amiens, 76038 Rouen, France.
Cancer Radiother. 2020 Aug;24(5):358-361. doi: 10.1016/j.canrad.2020.02.011. Epub 2020 Apr 8.
Among the available imaging techniques, functional imaging provided by nuclear medicine departments represents a tool of choice for the oncoradiotherapist for targeting tumour activity, with positron emission tomography as the main modality. Before, during or after radiotherapy, functional imaging helps guide the oncoradiotherapist in making decisions and in the strategic choice of pathology management. Setting up a working group to ensure perfect coordination at all levels is the first step. Key points for a common and coordinated management between the two departments are the definition of an organizational logistic, training of personnel at every levels, standardization of nomenclatures, the choice of adapted and common equipment, implementation of regulatory controls, and research/clinical routine continuum. The availability of functional examinations dedicated to radiotherapy in clinical routine is possible and requires a convergence of teams and a pooling of tools and techniques.
在现有的成像技术中,核医学科提供的功能成像对于肿瘤放疗科医生来说是一种用于靶向肿瘤活性的首选工具,正电子发射断层扫描是主要方式。在放疗前、放疗期间或放疗后,功能成像有助于指导肿瘤放疗科医生做出决策以及对病理管理进行战略选择。成立一个工作组以确保各级的完美协调是第一步。两个科室之间共同且协调管理的关键点包括组织后勤的定义、各级人员的培训、术语的标准化、适用且通用设备的选择、监管控制的实施以及研究/临床常规的连续性。在临床常规中提供专门用于放疗的功能检查是可行的,这需要团队的融合以及工具和技术的共享。