Tamaki N
Department of Nuclear Medicine, Hokkaido University School of Medicine, Sapparo, Japan.
Hokkaido Igaku Zasshi. 1998 Mar;73(2):101-4.
A new functional imaging technique, positron emission tomography (PET) has been introduced to probe biochemical imaging in vivo using physiological tracers, such as carbon-11, nitrogen-13, oxygen-15 and fluorine-18. This technique has been used for quantitative assessment of regional blood flow, metabolic rates, and various neurotransmission-receptor functions in the brain, myocardium, and various tumor tissues. Among them, F-18 fluorine labeled fluorodeoxyglucose (FDG) has been most widely used to assess exogenous glucose utilization. Recent experimental studies indicated that glucose metabolism is increased with enhanced glucose transporter gene in malignant tumors, PET with FDG has been used to assess tumor imaging. This technique has been shown to be useful for (1) early detection of malignant tumors, (2) differentiation of malignant from benign tumors, (3) staging of the tumor, (4) assessment of treatment effect, and (5) early detection of recurrence of tumors. In this review article, clinical values of PET in oncology has been introduced and summarized.
一种新的功能成像技术——正电子发射断层扫描(PET)已被引入,用于使用诸如碳-11、氮-13、氧-15和氟-18等生理示踪剂在体内探测生化成像。该技术已用于定量评估大脑、心肌和各种肿瘤组织中的局部血流、代谢率以及各种神经传递-受体功能。其中,F-18氟标记的氟脱氧葡萄糖(FDG)已被最广泛地用于评估外源性葡萄糖利用情况。最近的实验研究表明,恶性肿瘤中葡萄糖代谢随着葡萄糖转运蛋白基因的增强而增加,FDG-PET已被用于评估肿瘤成像。该技术已被证明可用于(1)早期检测恶性肿瘤,(2)区分恶性肿瘤与良性肿瘤,(3)肿瘤分期,(4)评估治疗效果,以及(5)早期检测肿瘤复发。在这篇综述文章中,已介绍并总结了PET在肿瘤学中的临床价值。