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18F-氟苯丙氨酸 PET/CT 对心脏 AL 淀粉样变性具有敏感性。

[18F]-florbetaben PET/CT is sensitive for cardiac AL amyloidosis.

机构信息

Hematology Unit, Department of Clinical And Experimental Medicine, University of Pisa, Pisa, Italy.

Division of Nuclear Medicine, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.

出版信息

Eur J Clin Invest. 2024 Oct;54(10):e14270. doi: 10.1111/eci.14270. Epub 2024 Jul 17.

Abstract

Often differential diagnosis between AL and ATTR amyloidosis is difficult. Concerning ATTR, sensitive diagnostic tool, as diphosphonate scintigraphy, was validated, instead of no imaging approach is as accurate in AL. Cardiac ultrasound and circulating biomarkers may raise the clinical suspicion but biopsy remains the only option for diagnosis. We aimed to explore the sensitivity of 18F-Florbetaben PET respect to blood tests or periumbilical fat (POF), cardiac, bone marrow (BM) or other tissues biopsies in a cohort of 33 patients.

摘要

通常情况下,轻链淀粉样变(AL)和转甲状腺素淀粉样变性(ATTR)的鉴别诊断较为困难。针对 ATTR,已有敏感的诊断工具(如双膦酸盐闪烁显像)得到验证,而 AL 尚无如此准确的影像学方法。心脏超声和循环生物标志物可能会增加临床怀疑,但活检仍然是诊断的唯一选择。我们旨在探讨 18F-Florbetaben PET 在 33 例患者队列中的血液检查或脐周脂肪(POF)、心脏、骨髓(BM)或其他组织活检中的敏感性。

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