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F-FDG PET/CT在大动脉炎诊断中的应用:一例报告

F-FDG PET/CT in the diagnosis of Takayasu arteritis: A case report.

作者信息

Chen Na, Huang Jin-Bai

机构信息

Department of Medical Imaging, Department of Medicine, Yangtze University, Jingzhou City.

Department of Nuclear Medicine, Jingzhou First People's Hospital, Jingzhou city.

出版信息

Radiol Case Rep. 2021 Dec 11;17(3):489-491. doi: 10.1016/j.radcr.2021.11.031. eCollection 2022 Mar.

Abstract

The early clinical symptoms of Takayasu arteritis (TAK) are nonspecific and often lead to misdiagnosis or delay in diagnosis. And by the time morphological changes are observed on the images, the disease is in an advanced stage and irreversible vascular injuries has occurred. Therefore, early correct diagnosis and timely systemic anti-inflammatory treatment can effectively improve the clinical situation. Conventional imaging provides only changes in vascular structure and provides little information on inflammatory activity. Here we report the PET/CT imaging presentation of 18F-deoxyglucose (F-FDG) in a patient with TAK, a 58-year-old patient with known TAK whose disease clustered many non-specific features, and highlight the value of PET/CT in the diagnosis and management of patients with early or atypical clinical presentation of TAK.

摘要

大动脉炎(TAK)的早期临床症状不具有特异性,常常导致误诊或诊断延误。而当在影像学上观察到形态学改变时,疾病已处于晚期,且已发生不可逆的血管损伤。因此,早期正确诊断并及时进行全身性抗炎治疗可有效改善临床状况。传统成像仅能显示血管结构的变化,几乎无法提供有关炎症活动的信息。在此,我们报告18F-脱氧葡萄糖(F-FDG)PET/CT成像在一名TAK患者中的表现,该患者为一名58岁已知患有TAK的患者,其病情具有许多非特异性特征,并强调PET/CT在TAK早期或非典型临床表现患者的诊断和管理中的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/286a/8671803/5640a8a23b23/gr1.jpg

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