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核医学在前列腺癌中的新兴作用:现状与未来展望

Emerging Role of Nuclear Medicine in Prostate Cancer: Current State and Future Perspectives.

作者信息

Volpe Fabio, Nappi Carmela, Piscopo Leandra, Zampella Emilia, Mainolfi Ciro Gabriele, Ponsiglione Andrea, Imbriaco Massimo, Cuocolo Alberto, Klain Michele

机构信息

Department of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.

出版信息

Cancers (Basel). 2023 Sep 27;15(19):4746. doi: 10.3390/cancers15194746.

Abstract

Prostate cancer is the most frequent epithelial neoplasia after skin cancer in men starting from 50 years and prostate-specific antigen (PSA) dosage can be used as an early screening tool. Prostate cancer imaging includes several radiological modalities, ranging from ultrasonography, computed tomography (CT), and magnetic resonance to nuclear medicine hybrid techniques such as single-photon emission computed tomography (SPECT)/CT and positron emission tomography (PET)/CT. Innovation in radiopharmaceutical compounds has introduced specific tracers with diagnostic and therapeutic indications, opening the horizons to targeted and very effective clinical care for patients with prostate cancer. The aim of the present review is to illustrate the current knowledge and future perspectives of nuclear medicine, including stand-alone diagnostic techniques and theragnostic approaches, in the clinical management of patients with prostate cancer from initial staging to advanced disease.

摘要

前列腺癌是50岁及以上男性中仅次于皮肤癌的最常见上皮性肿瘤,前列腺特异性抗原(PSA)检测可作为早期筛查工具。前列腺癌成像包括多种放射学检查方法,从超声、计算机断层扫描(CT)、磁共振成像到核医学混合技术,如单光子发射计算机断层扫描(SPECT)/CT和正电子发射断层扫描(PET)/CT。放射性药物化合物的创新引入了具有诊断和治疗指征的特异性示踪剂,为前列腺癌患者的靶向和非常有效的临床治疗开辟了前景。本综述的目的是阐述核医学在前列腺癌患者从初始分期到晚期疾病的临床管理中的当前知识和未来前景,包括独立诊断技术和诊疗一体化方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e01/10571937/ae95f20c0a12/cancers-15-04746-g001.jpg

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