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放射性核素在骨质疏松症诊断及药物疗效监测中的研究进展

The research progress on radionuclides in osteoporosis diagnosis and drug efficacy monitoring.

作者信息

Fu Jie, Zhang Chi

机构信息

College of Future Technology, Peking University, Beijing, China.

Department of Orthopedics, Peking University International Hospital, Beijing, China.

出版信息

Front Pharmacol. 2025 Apr 28;16:1594903. doi: 10.3389/fphar.2025.1594903. eCollection 2025.

DOI:10.3389/fphar.2025.1594903
PMID:40356996
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12066535/
Abstract

Osteoporosis is a common metabolic bone disease that seriously affects the quality of life and health of patients. Traditional diagnostic methods, such as dual energy X-ray absorptiometry (DXA), have limitations in early detection and dynamic monitoring, making it difficult to meet clinical needs. This paper focuses on the potential of radionuclide imaging techniques, such as Single Photon Emission Computed Tomography (SPECT) and Positron Emission Tomography (PET), in the early diagnosis of osteoporosis. The paper further elaborates on the importance of radionuclides in evaluating the therapeutic effect of osteoporosis drugs. By summarizing current research findings, this paper aims to emphasize the core role of radionuclides in the management of osteoporosis, and provide theoretical basis and practical guidance for optimizing the diagnosis and treatment strategies of bone metabolism diseases in the future.

摘要

骨质疏松症是一种常见的代谢性骨病,严重影响患者的生活质量和健康。传统的诊断方法,如双能X线吸收法(DXA),在早期检测和动态监测方面存在局限性,难以满足临床需求。本文重点探讨单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET)等放射性核素成像技术在骨质疏松症早期诊断中的潜力。本文还进一步阐述了放射性核素在评估骨质疏松症药物治疗效果方面的重要性。通过总结当前的研究结果,本文旨在强调放射性核素在骨质疏松症管理中的核心作用,并为未来优化骨代谢疾病的诊断和治疗策略提供理论依据和实践指导。

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本文引用的文献

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Osteoporosis incidence and its associated factors in the older Korean population: findings from a population-based cohort study.韩国老年人群骨质疏松症的发病率及其相关因素:一项基于人群的队列研究结果。
Arch Osteoporos. 2024 Nov 8;19(1):111. doi: 10.1007/s11657-024-01466-4.
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Estrogen Signals through ERβ in Breast Cancer; What We Have Learned since the Discovery of the Receptor.雌激素通过雌激素受体β在乳腺癌中发挥信号作用;自该受体被发现以来我们所了解到的情况。
Receptors (Basel). 2024 Jun;3(2):182-200. doi: 10.3390/receptors3020010. Epub 2024 May 3.
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Vitamin D: An Overview of Gene Regulation, Ranging from Metabolism to Genomic Effects.维生素D:从代谢到基因组效应的基因调控概述
Genes (Basel). 2023 Aug 25;14(9):1691. doi: 10.3390/genes14091691.
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Sex Specific Global Burden of Osteoporosis in 204 Countries and Territories, from 1990 to 2030: An Age-Period-Cohort Modeling Study.1990年至2030年204个国家和地区骨质疏松症的性别特异性全球负担:一项年龄-时期-队列建模研究
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Prevalence of osteoporosis and incidence of related fractures in developed economies in the Asia Pacific region: a systematic review.亚太地区发达经济体骨质疏松症的患病率和相关骨折的发生率:系统评价。
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Therapy-induced bone changes in oncology imaging with F-sodium fluoride (NaF) PET-CT.氟[18F] 酸钠(NaF) PET-CT 成像在肿瘤学中的治疗诱导骨变化。
Ann Nucl Med. 2022 Apr;36(4):329-339. doi: 10.1007/s12149-022-01730-y. Epub 2022 Feb 26.
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J Orthop Surg Res. 2021 Oct 17;16(1):609. doi: 10.1186/s13018-021-02772-0.
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J Bone Miner Res. 2022 Jan;37(1):108-120. doi: 10.1002/jbmr.4445. Epub 2021 Oct 11.
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