Vijayakumar Srinivasan, Yang Johnny, Nittala Mary R, Velazquez Alexander E, Huddleston Brandon L, Rugnath Nickhil A, Adari Neha, Yajurvedi Abhay K, Komanduri Abhinav, Yang Claus Chunli, Duggar William N, Berlin William P, Duszak Richard, Vijayakumar Vani
Radiation Oncology, University of Mississippi Medical Center, Jackson, USA.
Radiology, University of Mississippi Medical Center, Jackson, USA.
Cureus. 2022 Dec 22;14(12):e32840. doi: 10.7759/cureus.32840. eCollection 2022 Dec.
Positron emission tomography (PET) integrated with computed tomography (CT) has brought revolutionary changes in improving cancer care (CC) for patients. These include improved detection of previously unrecognizable disease, ability to identify oligometastatic status enabling more aggressive treatment strategies when the disease burden is lower, its use in better defining treatment targets in radiotherapy (RT), ability to monitor treatment responses early and thus improve the ability for early interventions of non-responding tumors, and as a prognosticating tool as well as outcome predicting tool. PET/CT has enabled the emergence of new concepts such as radiobiotherapy (RBT), radioimmunotherapy, theranostics, and pharmaco-radiotherapy. This is a rapidly evolving field, and this primer is to help summarize the current status and to give an impetus to developing new ideas, clinical trials, and CC outcome improvements.
正电子发射断层扫描(PET)与计算机断层扫描(CT)相结合,给改善癌症患者的护理带来了革命性变化。这些变化包括:能更好地检测出之前未被识别的疾病;在疾病负担较低时识别寡转移状态的能力,从而能够采取更积极的治疗策略;用于更精确地确定放射治疗(RT)的治疗靶点;能够早期监测治疗反应,进而提高对无反应肿瘤进行早期干预的能力;还可作为一种预后评估工具和结果预测工具。PET/CT促使了放射生物治疗(RBT)、放射免疫治疗、诊疗一体化以及药物放射治疗等新概念的出现。这是一个快速发展的领域,本入门指南旨在总结当前状况,并推动新想法的产生、临床试验的开展以及癌症护理结果的改善。
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