From the Department of Radiology, Henry Ford Health System, Detroit, Michigan.
From the Department of Radiology, Henry Ford Health System, Detroit, Michigan
AJNR Am J Neuroradiol. 2022 Mar;43(3):332-340. doi: 10.3174/ajnr.A7308. Epub 2021 Oct 28.
[F]FDG-PET is a widely used technique for specific evaluation of disease and treatment response in oncology. However, the principles behind [F]FDG-PET imaging allow a wide-ranging array of benign and malignant pathologies to be identified on both initial and routine surveillance imaging. This is important for clinicians and radiologists, alike, in that effective and accurate evaluation of malignancy and metastatic disease, specifically involving the spine and central nervous system, is crucial. In this article, we review the normal and posttherapy appearance of the spine on [F]FDG-PET, the various types and patterns of metastatic disease that involve the spine and spinal cord, and, finally, important spinal pathologies that may mimic malignancy on [F]FDG-PET.
正电子发射断层扫描（FDG-PET）是一种广泛用于肿瘤疾病和治疗反应特异性评估的技术。然而，FDG-PET 成像背后的原理允许在初始和常规监测成像中识别出广泛的良性和恶性病理。这对于临床医生和放射科医生来说都很重要，因为有效和准确地评估恶性肿瘤和转移性疾病，特别是涉及脊柱和中枢神经系统的疾病，至关重要。在本文中，我们回顾了 FDG-PET 上脊柱的正常和治疗后表现、涉及脊柱和脊髓的各种类型和模式的转移性疾病，以及最后可能在 FDG-PET 上模拟恶性肿瘤的重要脊柱病理。
