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前列腺癌PET/CT成像中的半定量分析。

Semiquantitative Analysis in PET/CT Imaging of Prostate Cancer.

作者信息

Fragkiadaki Vasiliki, Ntanasis-Stathopoulos Ioannis, Liontos Michalis, Zagouri Flora, Dimopoulos Meletios-Athanasios, Gavriatopoulou Maria

机构信息

Department of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, 11528 Athens, Greece.

Current address: Department of Medicine, Korea University, Seoul 02841, Republic of Korea.

出版信息

J Clin Med. 2025 May 29;14(11):3828. doi: 10.3390/jcm14113828.

Abstract

Prostate cancer is the second most common cancer, affecting millions of men globally and having a significant burden on health care systems. During recent years, the rapid development of the nuclear medicine field and the wide use and application of positron emission tomography combined with computed tomography (PET/CT) have significantly changed the diagnosis, treatment approach and patient outcomes. Semiquantitative analysis in PET/CT imaging quantifies the load of the disease in patients diagnosed with prostate cancer without measuring the precise amount of a radiotracer injected into the patient; instead, there is an indirect evaluation of the radiotracer using semiquantitative indices. Beginning with the standard uptake value (SUV) in Fluorodeoxyglucose (FDG) PET/CT, various semiquantitative measures have been created and are now used for analyzing different radiotracers. The purpose of this review is to provide an overview of the importance of the semiquantitative analysis in PET/CT imaging with the use of prostate-specific radiotracers at the initial staging of prostate cancer, as well as in biochemical recurrence and in the metastatic state.

摘要

前列腺癌是第二常见的癌症,全球数百万男性受其影响,给医疗保健系统带来了沉重负担。近年来,核医学领域的快速发展以及正电子发射断层扫描与计算机断层扫描(PET/CT)的广泛应用和使用,显著改变了前列腺癌的诊断、治疗方法和患者预后。PET/CT成像中的半定量分析可量化前列腺癌患者的疾病负荷,而无需测量注入患者体内的放射性示踪剂的精确剂量;相反,是使用半定量指标对放射性示踪剂进行间接评估。从氟脱氧葡萄糖(FDG)PET/CT中的标准摄取值(SUV)开始,已经创建了各种半定量测量方法,现在用于分析不同的放射性示踪剂。本综述的目的是概述在前列腺癌初始分期、生化复发和转移状态下,使用前列腺特异性放射性示踪剂进行PET/CT成像半定量分析的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b26d/12156026/99a783ae23eb/jcm-14-03828-g001.jpg

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