Nuclear Medicine Unit, IRCCS-Humanitas Research Hospital, Rozzano, Italy.
Nuclear Medicine Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Cancer Biother Radiopharm. 2023 May;38(4):211-215. doi: 10.1089/cbr.2022.0091. Epub 2023 Feb 2.
In the past decade, the implementation of immunotherapy with checkpoint inhibitors has determined a major change in the management of oncological patients. The challenges associated to the new therapeutic regimen have promoted adapted criteria for response assessment to interpret imaging findings and atypical patterns of response. Parallel to the new morphological criteria, also fluoro-deoxyglucose positron emission/computed tomography imaging has required novel approaches and specific guidelines on how to perform, interpret, and report the scan in patients with solid tumors under immune checkpoint inhibitors therapy. A summary of the novelties related to the new joint international European Association of Nuclear Medicine (EANM)/Society of Nuclear Medicine and Molecular Imaging (SNMMI)/Australian and New Zealand Society of Nuclear Medicine (ANZSNM) guidelines on immunotherapy is provided herein to elucidate most critical aspects in image interpretation.
在过去的十年中,免疫检查点抑制剂的免疫疗法的实施已经确定了对肿瘤患者管理的重大改变。与新治疗方案相关的挑战促进了适应性反应评估标准的制定,以解释影像学发现和非典型反应模式。与新的形态学标准平行,氟脱氧葡萄糖正电子发射/计算机断层扫描成像也需要新的方法和特定的指南,说明如何在接受免疫检查点抑制剂治疗的实体瘤患者中进行、解释和报告扫描。本文提供了有关新的联合国际欧洲核医学协会(EANM)/核医学与分子成像学会(SNMMI)/澳大利亚和新西兰核医学学会(ANZSNM)免疫治疗指南的相关新内容的摘要,以阐明图像解释中最关键的方面。