Kim Seok-Ki
Department of Nuclear Medicine, National Cancer Center, Goyang-si, Korea.
Transl Androl Urol. 2020 Dec;9(6):2908-2919. doi: 10.21037/tau.2020.03.31.
The purpose of this study covered the diagnostic accuracy and usefulness of positron emission tomography/computed tomography (PET/CT) imaging in muscle invasive bladder cancer patients through previously published literature. Through 30 September, 2019, the PubMed database was searched for eligible articles that evaluated PET/CT imaging in bladder cancer patients. In general, FDG PET/CT, the most commonly used PET/CT imaging, does not show good performance for the detection of primary lesions; however, according to the literature it could accurately assess pelvic lymph node (LN) status better than other imaging technologies and it was especially helpful in determining extra-pelvic recurrences. More recently, non-FDG PET/CT imaging, such as C-11 acetate and C-11 choline, has been introduced. Although further research is required, preliminary results show the potential of these techniques to overcome the drawbacks of FDG. This concise study will overview the role of PET/CT when treating muscle-invasive bladder cancer (MIBC).
本研究的目的是通过既往发表的文献,探讨正电子发射断层扫描/计算机断层扫描(PET/CT)成像在肌肉浸润性膀胱癌患者中的诊断准确性和实用性。截至2019年9月30日,检索了PubMed数据库中评估PET/CT成像在膀胱癌患者中应用的符合条件的文章。一般来说,最常用的PET/CT成像——氟代脱氧葡萄糖(FDG)PET/CT,在检测原发性病变方面表现不佳;然而,根据文献,它在评估盆腔淋巴结(LN)状态方面比其他成像技术更准确,并且在确定盆腔外复发方面特别有帮助。最近,已引入了非FDG PET/CT成像,如C-11乙酸盐和C-11胆碱。尽管还需要进一步研究,但初步结果显示了这些技术克服FDG缺点的潜力。本简要研究将概述PET/CT在治疗肌肉浸润性膀胱癌(MIBC)时的作用。