Minamimoto Ryogo
Division of Nuclear Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
Front Med (Lausanne). 2022 Oct 19;9:1052921. doi: 10.3389/fmed.2022.1052921. eCollection 2022.
The COVID-19 pandemic has forced people to significantly change their lifestyles and attitudes, and has greatly burdened healthcare delivery systems worldwide. The redistribution of the medical delivery system to maintain normal medical care while responding generously to COVID-19 is a continuing challenge that weighs heavily on medical institutions. Among imaging modalities, chest X-rays and computed tomography (CT) examinations have clearly made a large contribution to treatment of COVID-19. In contrast, it is difficult to express the standpoint of nuclear medicine examinations in a straightforward manner, as the greatest emphasis in this modality has been on how necessary medical care can continue to be provided. Many clinical reports of nuclear medicine examinations related to COVID-19 have been published, and knowledge continues to accumulate. This review provides a summary of the current state of oncology and cardiology positron emission tomography (PET) examinations related to COVID-19, and includes preparation of the nuclear medicine department, trends in PET examinations, specific imaging findings on F-fluorodeoxyglucose (FDG) PET/CT, imaging of complications of COVID-19, PET tracers other than FDG, and the effects of vaccines on PET imaging findings.
新冠疫情迫使人们大幅改变生活方式和态度,给全球医疗服务体系带来了巨大负担。在应对新冠疫情的同时,重新分配医疗服务体系以维持正常医疗护理是一项持续的挑战,给医疗机构带来了沉重压力。在各种成像方式中,胸部X线和计算机断层扫描(CT)检查显然对新冠治疗做出了巨大贡献。相比之下,核医学检查的立场则难以直接表述,因为这种检查方式最关注的是如何持续提供必要的医疗护理。已经发表了许多与新冠相关的核医学检查临床报告,知识也在不断积累。本综述总结了与新冠相关的肿瘤学和心脏病学正电子发射断层扫描(PET)检查的现状,包括核医学科的准备工作、PET检查的趋势、F-氟脱氧葡萄糖(FDG)PET/CT的具体影像表现、新冠并发症的成像、除FDG之外的PET示踪剂以及疫苗对PET影像表现的影响。