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COVID-19:从头至脚的核医学发现。

COVID-19: Findings in nuclear medicine from head to toe.

机构信息

Department of Radiology, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, United States.

Department of Radiology, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115, United States.

出版信息

Clin Imaging. 2023 Jul;99:10-18. doi: 10.1016/j.clinimag.2023.04.003. Epub 2023 Apr 8.

Abstract

COVID-19 is a multisystemic disease, and hence its potential manifestations on nuclear medicine imaging can extend beyond the lung. Therefore, it is important for the nuclear medicine physician to recognize these manifestations in the clinic. While FDG-PET/CT is not indicated routinely in COVID-19 evaluation, its unique capability to provide a functional and anatomical assessment of the entire body means that it can be a powerful tool to monitor acute, subacute, and long-term effects of COVID-19. Single-photon scintigraphy is routinely used to assess conditions such as pulmonary embolism, cardiac ischemia, and thyroiditis, and COVID-19 may present in these studies. The most common nuclear imaging finding of COVID-19 vaccination to date is hypermetabolic axillary lymphadenopathy. This may pose important diagnostic and management dilemmas in oncologic patients, particularly those with malignancies where the axilla constitutes a lymphatic drainage area. This article aims to summarize the relevant literature published since the beginning of the pandemic on the intersection between COVID-19 and nuclear medicine.

摘要

COVID-19 是一种多系统疾病,因此其在核医学影像上的潜在表现可能不仅限于肺部。因此,核医学医师在临床上识别这些表现非常重要。虽然 FDG-PET/CT 并非 COVID-19 评估的常规检查,但它具有提供全身功能和解剖评估的独特能力,这意味着它可以成为监测 COVID-19 急性、亚急性和长期影响的有力工具。单光子闪烁扫描术通常用于评估肺栓塞、心肌缺血和甲状腺炎等疾病,COVID-19 可能会在这些研究中出现。迄今为止,COVID-19 疫苗接种最常见的核医学成像发现是代谢亢进的腋窝淋巴结肿大。这可能会给肿瘤患者带来重要的诊断和管理难题,尤其是那些腋窝为淋巴引流区的恶性肿瘤患者。本文旨在总结自疫情开始以来发表的有关 COVID-19 与核医学交叉领域的相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3968/10081937/df28ffaf7123/gr1_lrg.jpg

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