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国际核医学关于淀粉样蛋白正电子发射断层扫描在阿尔茨海默病临床应用的共识

International Nuclear Medicine Consensus on the Clinical Use of Amyloid Positron Emission Tomography in Alzheimer's Disease.

作者信息

Tian Mei, Zuo Chuantao, Civelek Ali Cahid, Carrio Ignasi, Watanabe Yasuyoshi, Kang Keon Wook, Murakami Koji, Garibotto Valentina, Prior John O, Barthel Henryk, Guan Yihui, Lu Jiaying, Zhou Rui, Jin Chentao, Wu Shuang, Zhang Xiaohui, Zhong Yan, Zhang Hong

机构信息

PET Center, Huashan Hospital, Fudan University, Shanghai, 200235 China.

Human Phenome Institute, Fudan University, Shanghai, 201203 China.

出版信息

Phenomics. 2022 Aug 26;3(4):375-389. doi: 10.1007/s43657-022-00068-9. eCollection 2023 Aug.

Abstract

Alzheimer's disease (AD) is the main cause of dementia, with its diagnosis and management remaining challenging. Amyloid positron emission tomography (PET) has become increasingly important in medical practice for patients with AD. To integrate and update previous guidelines in the field, a task group of experts of several disciplines from multiple countries was assembled, and they revised and approved the content related to the application of amyloid PET in the medical settings of cognitively impaired individuals, focusing on clinical scenarios, patient preparation, administered activities, as well as image acquisition, processing, interpretation and reporting. In addition, expert opinions, practices, and protocols of prominent research institutions performing research on amyloid PET of dementia are integrated. With the increasing availability of amyloid PET imaging, a complete and standard pipeline for the entire examination process is essential for clinical practice. This international consensus and practice guideline will help to promote proper clinical use of amyloid PET imaging in patients with AD.

摘要

阿尔茨海默病(AD)是痴呆的主要病因,其诊断和管理仍然具有挑战性。淀粉样蛋白正电子发射断层扫描(PET)在AD患者的医疗实践中变得越来越重要。为了整合和更新该领域以前的指南,来自多个国家的多个学科的专家任务组聚集在一起,他们修订并批准了与淀粉样蛋白PET在认知障碍个体医疗环境中的应用相关的内容,重点关注临床场景、患者准备、实施的活动以及图像采集、处理、解释和报告。此外,还整合了对痴呆症淀粉样蛋白PET进行研究的著名研究机构的专家意见、实践和方案。随着淀粉样蛋白PET成像的可及性不断提高,整个检查过程完整且标准的流程对于临床实践至关重要。本国际共识和实践指南将有助于促进淀粉样蛋白PET成像在AD患者中的合理临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de87/10425321/e7db155e0d1d/43657_2022_68_Fig1_HTML.jpg

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