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治疗后头颈部的 PET/CT 和 PET/MR 成像:陷阱和技巧。

PET/CT and PET/MR Imaging of the Post-treatment Head and Neck: Traps and Tips.

机构信息

Neuroradiology Section, Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 South Kingshighway, Campus Box 8131, St Louis, MO 63110, USA.

Division of Molecular Imaging & Therapeutics, Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Starr Building, 2nd Floor, New York, NY 10065, USA; Division of Neuroradiology, Department of Radiology, Weill Cornell Medicine, 525 East 68th Street, Starr Building, 2nd Floor, New York, NY 10065, USA.

出版信息

Neuroimaging Clin N Am. 2022 Feb;32(1):111-132. doi: 10.1016/j.nic.2021.09.003.

Abstract

PET/computed tomography and PET/MR imaging are used to evaluate the post-treatment neck. Although 18F-FDG is helpful in the staging and treatment response assessment of head and neck cancer, recently developed PET radiotracers targeting specific surface markers are promising for applications of diagnostic problem solving and improved extent delineation. Diffusion-weighted MR imaging is helpful in the differential diagnosis of head and neck neoplasms, and improves the sensitivity and specificity for the detection of certain pathologies. Following standardized imaging parameters for PET/computed tomography and diffusion-weighted imaging in PET/MR imaging improves diagnostic accuracy and allows for future research data mining.

摘要

正电子发射断层扫描/计算机断层扫描和正电子发射断层扫描/磁共振成像用于评估治疗后的颈部。虽然 18F-FDG 有助于头颈部癌症的分期和治疗反应评估,但最近开发的针对特定表面标志物的 PET 放射性示踪剂在解决诊断问题和提高程度描绘方面具有应用前景。弥散加权磁共振成像有助于头颈部肿瘤的鉴别诊断,并提高了对某些病变的检测的敏感性和特异性。遵循正电子发射断层扫描/计算机断层扫描和正电子发射断层扫描/磁共振成像中的弥散加权成像的标准化成像参数可提高诊断准确性,并允许未来进行研究数据挖掘。

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