文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

FET-PET在复发性胶质母细胞瘤再程放疗的患者选择和疗效评估中的作用。

The role of FET-PET in patient selection and response assessment for reirradiation in recurrent glioblastoma.

作者信息

Zarębska Izabela, Blok Maciej, Marjański Michał, Harat Maciej

机构信息

Department of Neurooncology and Radiosurgery, Franciszek Lukaszczyk Oncology Center, Bydgoszcz, Poland.

Department of Radiotherapy, Franciszek Lukaszczyk Oncology Center, Bydgoszcz, Poland.

出版信息

Front Oncol. 2025 Aug 7;15:1604448. doi: 10.3389/fonc.2025.1604448. eCollection 2025.


DOI:10.3389/fonc.2025.1604448
PMID:40852475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12367476/
Abstract

Radiation treatment with modern techniques is frequently used in the complex interdisciplinary management of glioblastoma, both in primary and recurrent setting. However, standard imaging limits the ability to precisely distinguish treatment-related changes from tumor progression and to accurately assess the outcomes of radiotherapy. Given the challenges, there is growing need for advanced imaging modalities that can enhance diagnostic precision and guide therapeutic decision. One such modality is FET-PET, whose role in glioblastoma radiotherapy is increasingly recognized - from target definition to response assessment and differentiation between progression and post-irradiation changes. Recently, PET RANO criteria have been published, providing an optimal strategy for evaluating treatment response using amino-acid PET. Earlier, contributions from the PET/RANO group also supported the integration of PET imaging in radiotherapy planning and monitoring of glioma patients. Increasing evidence highlights the advantages of amino-acid PET over standard RANO MRI in predicting overall survival. However, its value in case of patient selection and monitoring of reirradiation is less clear. In this narrative review, we aimed to summarize the published data on FET-PET in patients after initial treatment from the perspective of radiation oncologist. We focused on the role of FET-PET in accurate diagnosis of recurrence and in treatment response after reirradiation.

摘要

现代技术的放射治疗常用于胶质母细胞瘤的复杂多学科管理,无论是在初始治疗还是复发治疗中。然而,标准成像限制了精确区分治疗相关变化与肿瘤进展以及准确评估放疗结果的能力。鉴于这些挑战,对能够提高诊断精度并指导治疗决策的先进成像模态的需求日益增长。一种这样的模态是FET-PET,其在胶质母细胞瘤放疗中的作用越来越受到认可——从靶区定义到反应评估以及区分进展与放疗后变化。最近,PET RANO标准已经发布,为使用氨基酸PET评估治疗反应提供了最佳策略。早些时候,PET/RANO小组的贡献也支持将PET成像整合到胶质瘤患者的放疗计划和监测中。越来越多的证据凸显了氨基酸PET在预测总生存期方面优于标准RANO MRI的优势。然而,其在患者选择和再程放疗监测方面的价值尚不清楚。在这篇叙述性综述中,我们旨在从放射肿瘤学家的角度总结关于初始治疗后患者FET-PET的已发表数据。我们重点关注FET-PET在准确诊断复发以及再程放疗后治疗反应中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7a/12367476/cd489e118fa8/fonc-15-1604448-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7a/12367476/cd489e118fa8/fonc-15-1604448-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7a/12367476/cd489e118fa8/fonc-15-1604448-g001.jpg

相似文献

[1]
The role of FET-PET in patient selection and response assessment for reirradiation in recurrent glioblastoma.

Front Oncol. 2025-8-7

[2]
Prescription of Controlled Substances: Benefits and Risks

2025-1

[3]
Comparison of Two Modern Survival Prediction Tools, SORG-MLA and METSSS, in Patients With Symptomatic Long-bone Metastases Who Underwent Local Treatment With Surgery Followed by Radiotherapy and With Radiotherapy Alone.

Clin Orthop Relat Res. 2024-12-1

[4]
123I-MIBG scintigraphy and 18F-FDG-PET imaging for diagnosing neuroblastoma.

Cochrane Database Syst Rev. 2015-9-29

[5]
Positron emission tomography-adapted therapy for first-line treatment in individuals with Hodgkin lymphoma.

Cochrane Database Syst Rev. 2015-1-9

[6]
[F]FET PET-Guided management of pseudoprogression in glioblastoma (FET POPPING): the study protocol for a diagnostic randomized clinical trial.

Trials. 2025-6-17

[7]
PET-CT for assessing mediastinal lymph node involvement in patients with suspected resectable non-small cell lung cancer.

Cochrane Database Syst Rev. 2014-11-13

[8]
C-methionine in the diagnostics and management of glioblastoma patients with rapid early progression: nonrandomized, open label, prospective clinical trial (GlioMET).

BMC Cancer. 2024-6-15

[9]
Treatment options for progression or recurrence of glioblastoma: a network meta-analysis.

Cochrane Database Syst Rev. 2021-5-4

[10]
Positron emission tomography/computerised tomography imaging in detecting and managing recurrent cervical cancer: systematic review of evidence, elicitation of subjective probabilities and economic modelling.

Health Technol Assess. 2013-3

本文引用的文献

[1]
RANO criteria for response assessment of brain metastases based on amino acid PET imaging.

Nat Med. 2025-5

[2]
FET PET to differentiate between post-treatment changes and recurrence in high-grade gliomas: a single center multidisciplinary clinic controlled study.

Neuroradiology. 2025-2

[3]
A Biopsy-Controlled Prospective Study of Contrast-Enhancing Diffuse Glioma Infiltration Based on FET-PET and FLAIR.

Cancers (Basel). 2024-3-24

[4]
Amino acid PET vs. RANO MRI for prediction of overall survival in patients with recurrent high grade glioma under bevacizumab therapy.

Eur J Nucl Med Mol Imaging. 2024-5

[5]
PET-based response assessment criteria for diffuse gliomas (PET RANO 1.0): a report of the RANO group.

Lancet Oncol. 2024-1

[6]
RANO 2.0: Update to the Response Assessment in Neuro-Oncology Criteria for High- and Low-Grade Gliomas in Adults.

J Clin Oncol. 2023-11-20

[7]
Combining amino acid PET and MRI imaging increases accuracy to define malignant areas in adult glioma.

Nat Commun. 2023-7-29

[8]
The Role of PET Imaging in the Differential Diagnosis between Radiation Necrosis and Recurrent Disease in Irradiated Adult-Type Diffuse Gliomas: A Systematic Review.

Cancers (Basel). 2023-1-5

[9]
DEGRO practical guideline for central nervous system radiation necrosis part 2: treatment.

Strahlenther Onkol. 2022-11

[10]
The Value of FET PET/CT in Recurrent Glioma with a Different IDH Mutation Status: The Relationship between Imaging and Molecular Biomarkers.

Int J Mol Sci. 2022-6-17

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索