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用于肿瘤学应用的动态正电子发射断层扫描参数成像:方案、解读、当前应用及临床使用的局限性

Parametric Imaging With Dynamic PET for Oncological Applications: Protocols, Interpretation, Current Applications and Limitations for Clinical Use.

作者信息

Dimitrakopoulou-Strauss Antonia, Pan Leyun, Sachpekidis Christos

机构信息

Clinical Cooperation Unit Nuclear Medicine, German Cancer Research Center, Heidelberg, Germany.

Clinical Cooperation Unit Nuclear Medicine, German Cancer Research Center, Heidelberg, Germany.

出版信息

Semin Nucl Med. 2022 May;52(3):312-329. doi: 10.1053/j.semnuclmed.2021.10.002. Epub 2021 Nov 20.

Abstract

Nuclear medicine imaging modalities, and in particular positron emission tomography (PET), provide functional images that demonstrate the mean radioactivity distribution at a defined point in time. With the help of mathematical model's, it is possible to depict isolated parameters of the radiotracers' pharmacokinetics and to visualize them. These so called parametric images add a new dimension to the existing conventional PET images and provide more detailed information about the tracer distribution over time and space. Prerequisite for the calculation of parametric images, which reflect specific pharmacokinetic parameters, is the dynamic PET (dPET) data acquisition. Hitherto, PET parametric imaging has mainly found use for research purposes. However, it has not been yet implemented into clinical routine, since it is more time-consuming, it requires a complicated analysis and still lacks a clear benefit over conventional PET imaging. However, the recent introduction of new PET-CT scanners with an ultralong field of view, which allow a faster data acquisition and are associated with higher sensitivity, as well as the development of more sophisticated evaluation software packages will probably lead to a renaissance of dPET and parametric maps even of the whole body. The implementation of dPET imaging in daily routine with appropriate acquisition protocols, as well as the calculation, interpretation and potential clinical applications of parametric images will be discussed in this review article.

摘要

核医学成像模态,尤其是正电子发射断层扫描(PET),提供的功能图像可展示在特定时间点的平均放射性分布。借助数学模型,能够描绘放射性示踪剂药代动力学的孤立参数并将其可视化。这些所谓的参数图像为现有的传统PET图像增添了新维度,并提供了有关示踪剂随时间和空间分布的更详细信息。计算反映特定药代动力学参数的参数图像的前提是动态PET(dPET)数据采集。迄今为止,PET参数成像主要用于研究目的。然而,它尚未应用于临床常规,因为它更耗时,需要复杂的分析,并且与传统PET成像相比仍缺乏明显优势。然而,最近推出的具有超长视野的新型PET-CT扫描仪,允许更快的数据采集且具有更高的灵敏度,以及更复杂评估软件包的开发,可能会导致dPET和全身参数图的复兴。本文将讨论在日常常规中采用适当采集协议实施dPET成像,以及参数图像的计算、解读和潜在临床应用。

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