(18)F FDG

  • 文章类型: Journal Article
    18F-FDGPET成像可以揭示白血病患者的主要发现是急性或慢性形式的骨髓(BM)浸润。这种能力可以影响和指导BM活检的使用,但也可以评估治疗反应。此外,据报道,18F-FDGPET成像特别适用于诊断具有非特异性症状的患者的白血病。在急性白血病的情况下,它还揭示了评估髓外形式的作用,而在慢性形式的情况下,已报道了评估里氏转化的作用。
    The main finding that 18F-FDG PET imaging can reveal in patients with leukemias is the presence of bone marrow (BM) infiltration in both acute or chronic forms. This ability can influence and guide the use of BM biopsy but also assess to therapy response. Additionally 18F-FDG PET imaging has been reported as particularly useful for the diagnosis of leukemias in patients with non specific symptoms. In the case of acute leukemias it revealed also a role for the evaluation of extramedullary forms while in the case of chronic forms a role for the assessment of Richter transformation has been reported.
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  • 文章类型: Journal Article
    评价18F氟代脱氧葡萄糖(FDG)PET/磁共振成像(MRI)中呼吸门控正电子发射断层显像(PET)在胃癌患者原发灶和胃淋巴结的视觉和半定量评估中的附加价值。
    总共,对88例胃癌患者的102例上腹部呼吸门控和全身18FFDGPET/MRI进行视觉和半定量评估。41例接受手术的病人,比较了组织病理学和PET检查结果。从上腹部PET数据获得三个PET图像:来自所有计数的非Q静态(非QS)PET,呼吸门控Q静态(QS)PET来自呼吸呼气末阶段的计数,缩短4分钟(S4min)PET,重建以获得与QSPET相似的计数。半定量参数(标准化吸收值,代谢性肿瘤体积,每个PET图像的原发性病变的总病变糖酵解),记录患者的原发灶大小和体重指数.根据淋巴结站,记录每个PET图像的阳性淋巴结的存在和数量以及淋巴结的视觉评分.
    与非QSPET相比,胃病变较小(≤30mm)或体重指数较高(>30)的患者QSPET的标准化摄取值百分比变化明显更高(均P<0.05)。第三个(较小的曲率),在QSPET中,第4(较大曲率)和第6(幽门下)淋巴结站的视觉评分明显高于其他淋巴结站.与非QS和全身PET图像相比,QSPET中第四淋巴结站的FDG阳性淋巴结数量明显更高。在第四站,灵敏度,正预测值,与其他相比,QSPET的阴性预测值和准确性增加。
    发现呼吸门控PET/MRI在特别是第四淋巴结站的评估中明显优于与非呼吸门控PET图像相比,胃病变较小,BMI较高的患者。
    To evaluate the added value of respiratory-gated positron emission tomography (PET) in 18F fluorodeoxyglucose (FDG) PET/magnetic resonance imaging (MRI) in the visual and semi-quantitative assessment of primary gastric lesions and gastric lymph nodes for patients with gastric cancer.
    In total, 102 upper abdominal respiratory-gated and whole-body 18F FDG PET/MRI of 88 patients with gastric cancer were evaluated visually and semi-quantitatively. For 41 patients who underwent surgery, histopathological and PET findings were compared. Three PET images were obtained from upper abdominal PET data: non-Q static (non-QS) PET from all counts, respiratory-gated Q static (QS) PET from counts in the end-expiration phase of breathing, shortened 4 min (S4min) PET that was reconstructed to obtain similar counts to QS PET. The semi-quantitative parameters (standardised uptake values, metabolic tumour volume, total lesion glycolysis) of primary lesions for each PET image, the sizes of primary lesions and the patient\'s body mass index were recorded. According to lymph node stations, the presence and numbers of positive lymph nodes and visual scores of lymph nodes for each PET image were recorded.
    The patients with smaller gastric lesions (≤30 mm) or higher body mass index (>30) had significantly higher standardised uptake value percentage changes in QS PET compared with non-QS PET (all P < 0.05). The third (lesser curvature), fourth (greater curvature) and sixth (infra-pyloric) lymph node stations had significantly higher visual scores in the QS PET than in the others. The fourth lymph node station had a significantly higher number of FDG-positive lymph node in the QS PET than in the non-QS and the whole-body PET images. In the fourth station, sensitivity, positive predictive value, negative predictive value and accuracy increased in the QS PET compared with the others.
    Respiratory-gated PET/MRI was found to be significantly superior in the evaluation of especially the fourth lymph node station, smaller gastric lesions and in the patients with a higher BMI compared with the non-respiratory-gated PET images.
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  • 文章类型: Journal Article
    Neuroblastoma is one of the most common pediatric malignant tumors. Functional imaging plays an important role in the diagnosis, staging, and therapy response monitoring of neuroblastoma. Although metaiodobenzylguanidine scan with single-photon emission computed tomography/computed tomography remains the mainstay in functional imaging of the neuroblastomas, PET/CT has begun to show increased utility in this clinical setting.
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