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PET/CT在乳腺癌中的作用。

The Role of PET/CT in Breast Cancer.

作者信息

Hadebe Bawinile, Harry Lerwine, Ebrahim Tasmeera, Pillay Venesen, Vorster Mariza

机构信息

Department of Nuclear Medicine, College of Health Sciences, University of KwaZulu Natal, Private Bag X54001, Durban 4001, South Africa.

Inkosi Albert Luthuli Central Hospital, Durban 4001, South Africa.

出版信息

Diagnostics (Basel). 2023 Feb 6;13(4):597. doi: 10.3390/diagnostics13040597.

Abstract

Female breast cancer has surpassed lung cancer as the most commonly diagnosed cancer worldwide, with an estimated 2.3 million new cases (11.7%), followed by lung cancer (11.4%) The current literature and the National Comprehensive Cancer Network (NCCN) guidelines state that F-FDG PET/CT is not routine for early diagnosis of breast cancer, and rather PET/CT scanning should be performed for patients with stage III disease or when conventional staging studies yield non-diagnostic or suspicious results because this modality has been shown to upstage patients compared to conventional imaging and thus has an impact on disease management and prognosis. Furthermore, with the growing interest in precision therapy in breast cancer, numerous novel radiopharmaceuticals have been developed that target tumor biology and have the potential to non-invasively guide the most appropriate targeted therapy. This review discusses the role of F-FDG PET and other PET tracers beyond FDG in breast cancer imaging.

摘要

女性乳腺癌已超过肺癌,成为全球最常被诊断出的癌症,估计有230万新病例(占11.7%),其次是肺癌(占11.4%)。当前的文献以及美国国立综合癌症网络(NCCN)指南指出,F-FDG PET/CT并非乳腺癌早期诊断的常规手段,对于III期疾病患者或传统分期检查结果无法确诊或存在可疑情况时,应进行PET/CT扫描,因为与传统成像相比,这种检查方式已被证明会使患者分期提高,从而对疾病管理和预后产生影响。此外,随着对乳腺癌精准治疗的兴趣日益浓厚,已研发出多种新型放射性药物,这些药物靶向肿瘤生物学特性,有潜力非侵入性地指导最合适的靶向治疗。本综述讨论了F-FDG PET以及除FDG之外的其他PET示踪剂在乳腺癌成像中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5269/9955497/6528b8e0c756/diagnostics-13-00597-g001.jpg

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