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PET/MR成像会取代PET/CT在儿科中的应用吗?

Will PET/MR Imaging Replace PET/CT for Pediatric Applications?

作者信息

Masselli Gabriele, Di Bella Chiara

机构信息

Department of Radiological Sciences, Oncology and Pathology, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy.

出版信息

Diagnostics (Basel). 2025 Apr 23;15(9):1070. doi: 10.3390/diagnostics15091070.

DOI:10.3390/diagnostics15091070
PMID:40361889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12072180/
Abstract

The combination of positron emission tomography (PET) and magnetic resonance imaging (MRI) is a modern, highly advanced diagnostic tool that offers numerous advantages in the treatment and management of some pediatric pathologies. The use of PET/MR in children provides high-resolution images with outstanding tissue characterization, as well as important metabolic and physiological information; it is not only essential for early diagnosis, but also for the assessment and management of oncological, neurological, and cardiovascular diseases. The hybrid PET/MR is a multimodal approach that reduces the need for separate examinations, minimizes radiation exposure, and improves the overall experience for pediatric patients. In addition, PET/MR, by combining functional data, allows for more precise therapeutic planning and monitoring of treatment responses, optimizing clinical interventions especially with regard to staging and follow-up. This review will explore the benefits, weaknesses, and emerging applications of PET/MR in pediatric patients.

摘要

正电子发射断层扫描(PET)与磁共振成像(MRI)相结合是一种现代的、高度先进的诊断工具,在某些儿科疾病的治疗和管理中具有诸多优势。在儿童中使用PET/MR可提供具有出色组织特征的高分辨率图像,以及重要的代谢和生理信息;它不仅对早期诊断至关重要,而且对肿瘤、神经和心血管疾病的评估和管理也很重要。混合型PET/MR是一种多模态方法,可减少单独检查的需求,将辐射暴露降至最低,并改善儿科患者的整体体验。此外,PET/MR通过结合功能数据,能够进行更精确的治疗规划和治疗反应监测,尤其在分期和随访方面优化临床干预。本综述将探讨PET/MR在儿科患者中的益处、缺点及新兴应用。