Nuklearmedizin-nuclear Medicine最新文献_第2页

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4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-10-01 DOI: 10.1055/a-2110-1227

引用次数: 0

Myocardial Perfusion SPECT and ATTR imaging 2021 in Germany: Results of the 9th Survey. 2021年德国心肌灌注SPECT和ATTR成像:第九次调查结果。

IF 1.5 4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-08-01 DOI: 10.1055/a-2084-7454

Oliver Lindner, Wolfgang Michael Schaefer, Sigmund Silber, Christoph Rischpler, Wolfgang Burchert

{"title":"Myocardial Perfusion SPECT and ATTR imaging 2021 in Germany: Results of the 9th Survey.","authors":"Oliver Lindner, Wolfgang Michael Schaefer, Sigmund Silber, Christoph Rischpler, Wolfgang Burchert","doi":"10.1055/a-2084-7454","DOIUrl":"https://doi.org/10.1055/a-2084-7454","url":null,"abstract":"Aim: This paper presents the results of the 9th survey of myocardial perfusion SPECT (MPS) from the reporting year 2021.Methods: 218 questionnaires (131 practices (PR), 58 hospitals (HO), 29 university hospitals (UH)) were evaluated. Results of the last survey 2018 are set in squared brackets.Results: MPS data from a total of 133,057 [145,930] patients (-8.8%) with 131,868 [143,707] stress and 106,546 [121,899] rest MPS were analysed. A comparison with official data revealed that 54% all MPS were recorded. From 2018 to 2021, official data showed a every year an increase in MPS numbers. On average, 610 [502] MPS patients (+22%) were examined in each department. 74% [69%] of the responders reported an increase or no changes in their MPS patient numbers. Ambulatory care cardiologists represented as always, the mayor referral group (68% [69%]). For the first time, pharmacological stress was more frequently applied than ergometry (42% [51]). Regadenoson was mostly used. The use of the different protocols remained nearly unchanged. Two-day protocols were predominantly applied (49% [48%]). A shift from multi-headed cameras (58% [72%]) to SPECT-CT systems (24% [17%]) was found. Attenuation correction was performed in 33% [26%] of all MPS. 88% [86%] of all stress, 88% [87%] of all rest and 87% [83%] of all stress and rest MPS were acquired as gated SPECT. 72% [67%] of all departments performed scoring by default. The number of departments without scoring decreased to 13% [16%].Conclusions: The MPS Study 2021 shows that the long-term positive development of MPS imaging in Germany is continuing. The COVID-19 pandemia did not change this trend. The procedural and technical details of MPS imaging reveal a high level of guideline conformity.","PeriodicalId":19238,"journal":{"name":"Nuklearmedizin-nuclear Medicine","volume":"62 4","pages":"235-243"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/ff/10-1055-a-2084-7454.PMC10477021.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10157099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

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4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-08-01 DOI: 10.1055/a-2110-0968

引用次数: 0

The Role of 68Ga FAPI-04 and 18F-FDG PET/CT in Detecting Liver Metastases in Different Types of Cancer. 68Ga FAPI-04和18F-FDG PET/CT在不同类型肿瘤肝转移中的作用

IF 1.5 4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-08-01 DOI: 10.1055/a-2127-7699

İhsan Kaplan, Ferat Kepenek, Yunus Güzel, Canan Can, Halil Kömek

{"title":"The Role of 68Ga FAPI-04 and 18F-FDG PET/CT in Detecting Liver Metastases in Different Types of Cancer.","authors":"İhsan Kaplan, Ferat Kepenek, Yunus Güzel, Canan Can, Halil Kömek","doi":"10.1055/a-2127-7699","DOIUrl":"https://doi.org/10.1055/a-2127-7699","url":null,"abstract":"Objective: We compared the diagnostic accuracies of 68Ga FAPI-04 PET/CT and 18F-FDG PET/CT for detecting liver metastases (LMs) in patients with different cancer types.Materials and methods: This retrospective study included 63 patients with liver lesions who underwent 18F-FDG PET/CT and 68Ga-FAPI-04 PET/CT between May 2020 and May 2022. Patients with histopathologically confirmed primary diagnoses, data that could be accessed retrospectively, liver lesions confirmed by biopsy over at least 3-6 months of follow-up (via ultrasonography, CT, magnetic resonance imaging, PET/CT, or laboratory tests) were included. Patients with secondary malignancies or primary liver malignancies, and/or who could not be followed-up, were excluded.Results: Of the 63 total patients, 34 (54%) were female, and the mean age was 61 (30-92) years. There were 582 LMs in 51 patients and 35 benign liver lesions in 20 (12 patients had only benign and 8 both benign and malignant lesions). Of the 582 LMs, 472 (81.1%) evidenced 18F-FDG uptake and 572 (98.2%) 68Ga-FAPI uptake. The diagnostic accuracies of 68Ga-FAPI PET/CT and 18F-FDG PET/CT were 98% and 82%, respectively (p < 0.001; McNemar test). When the LMs were compared, the maximum standardized uptake (SUVmax) value was significantly higher on 18F-FDG PET/CT than 68Ga-FAPI PET/CT (median: 6.0 vs. 5.4; p = 0.016). However, the LM-to-background ratio (TBR) was significantly higher on 68Ga-FAPI PET/CT than 18F-FDG PET/CT (median: 4.1 vs. 2.1; p < 0.001).Conclusion: 68Ga-FAPI PET/CT detected more LMs than did 18F-FDG PET/CT, and TBR was significantly higher on 68Ga-FAPI PET/CT than 18F-FDG PET/CT.","PeriodicalId":19238,"journal":{"name":"Nuklearmedizin-nuclear Medicine","volume":"62 4","pages":"252-259"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10150877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

99mTc-MDP Bone Scan and 18F-FDG PET/CT Imaging of Primary Hepatic Osteosarcoma. 原发性肝骨肉瘤的 99mTc-MDP 骨扫描和 18F-FDG PET/CT 成像。

IF 1.5 4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-08-01 Epub Date: 2023-03-06 DOI: 10.1055/a-2036-7741

Yao Liu, Wen Tang, Zhongke Huang

引用次数: 0

[18F]-PSMA-1007-PET for evaluation of kidney function. [18F]-PSMA-1007-PET评价肾功能。

IF 1.5 4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-08-01 DOI: 10.1055/a-2127-7880

Philipp Rassek, Michael Schäfers, Kambiz Rahbar, Philipp Backhaus

{"title":"[18F]-PSMA-1007-PET for evaluation of kidney function.","authors":"Philipp Rassek, Michael Schäfers, Kambiz Rahbar, Philipp Backhaus","doi":"10.1055/a-2127-7880","DOIUrl":"https://doi.org/10.1055/a-2127-7880","url":null,"abstract":"Purpose: Prostate-specific membrane antigen (PSMA) is present in the proximal tubule cells of the kidneys. This results in high renal tracer uptake in PSMA-PET, which may contain useful information on renal function. As part of the evaluation for [177Lu]-PSMA therapies, patients undergo PSMA-PET and additional [99mTc]-mercapto-acetyltriglycine (MAG3) scintigraphy to assess renal function. Aim of this study was to evaluate estimation of renal function with [18F]-PSMA-1007-PET/CT (PSMA-PET) by comparison to timely MAG3-scintigraphies.Materials and methods: We retrospectively investigated 73 prostate cancer patients with 93 timely available PSMA-PET/CT, MAG3-scintigraphies and serum creatinine. For determination of split renal function in PSMA-PET/CT, we evaluated the relative unilateral total renal PSMA uptake, i.e. SUVmean multiplied by the renal volume (SRFPSMA-TOTAL) and relative unilateral maximal standardized uptake value (SRFSUV). These were compared to MAG3 split renal function (SRFMAG3) using Pearson correlation and receiver operating characteristics analysis. For determination of global renal function, correlation of bilateral total renal PSMA uptake with MAG3 tubular excretion rate and serum creatinine was assessed.Results: SRFMAG3 was strongly correlated with SRFPSMA-TOTAL (r= 0.872, p<0.001) and with SRFSUV (r=0.815, p<0.001). Relevant abnormalities of SRFMAG3 (unilateral renal function < 25 %) could be detected with sensitivities and specificities of 90% and 92% for SRFPSMA-TOTAL, and 80% and 95% for SRFSUV. Measures of absolute renal function were only weakly correlated with bilateral total renal PSMA uptake.Conclusion: Renal [18F]-PSMA-1007 uptake allowed to quantify renal split function with good accuracy based on SRFPSMA-TOTAL or SRFSUV.","PeriodicalId":19238,"journal":{"name":"Nuklearmedizin-nuclear Medicine","volume":"62 4","pages":"244-251"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10150875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PET-Derived Increased Inflammation in Large Vessels is linked to Relapse-Free Survival in Patients with Giant Cell Arteritis. pet衍生的大血管炎症增加与巨细胞动脉炎患者的无复发生存有关。

IF 1.5 4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-08-01 DOI: 10.1055/a-2053-7191

Matthias Fröhlich, Marc Schmalzing, Andreas Buck, Thorsten A Bley, Konstanze V Guggenberger, Rudolf A Werner

{"title":"PET-Derived Increased Inflammation in Large Vessels is linked to Relapse-Free Survival in Patients with Giant Cell Arteritis.","authors":"Matthias Fröhlich, Marc Schmalzing, Andreas Buck, Thorsten A Bley, Konstanze V Guggenberger, Rudolf A Werner","doi":"10.1055/a-2053-7191","DOIUrl":"https://doi.org/10.1055/a-2053-7191","url":null,"abstract":"Background: Despite anti-inflammatory treatment, patients with giant cell arteritis (GCA) experience relapse. We aimed to determine respective relapse predictors focusing on [18F]fluorodeoxyglucose ([18F]FDG)-PET-based parameters.Material and methods: 21 therapy-naïve GCA patients received [18F]FDG-PET/CT. Patients were divided in two groups: those who relapsed during course of disease and those who did not. Median follow up was 15 months. [18F]FDG-PET/CT was analyzed for visual (PET vascular activity score [VAS]) and quantitative parameters, including Target-to-background-Ratio with liver (TBRliver) and jugular vein (TBRjv) serving as reference tissues. In addition, clinical parameters were tested.Results: 8/21 (38.1 %) had relapse. Clinical parameters could not significantly discriminate between relapse vs no-relapse, including age (p = 0.9) or blood-based inflammatory markers (white blood cell counts [WBC] and c-reactive protein [CRP], p = 0.72, each). PETVAS score could also not differentiate between respective subgroups (p = 0.59). In a quantitative assessment, TBRjv demonstrated a trend towards significance (p = 0.28). TBRliver, however, separated between patients with and without relapse (p = 0.03).Conclusion: [18F]FDG PET quantification of vessels may be useful to identify GCA patients prone to relapse during follow-up.","PeriodicalId":19238,"journal":{"name":"Nuklearmedizin-nuclear Medicine","volume":"62 4","pages":"229-234"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/47/f3/10-1055-a-2053-7191.PMC10477020.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10224759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Value of [18F]FDG PET/CT in diagnosis and management of spondylodiscitis. [18F]FDG PET/CT在脊柱炎诊断和治疗中的价值。

IF 1.5 4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-06-01 DOI: 10.1055/a-2042-9458

Constantin Lapa, Christoph Rischpler, Ralph Alexander Bundschuh, Alexander Dierks, Sigmund Lang, Georgi Wassilew, Volker Alt

引用次数: 0

The value of radioembolisation therapy on metastatic liver tumours - a single centre experience. 放射栓塞治疗转移性肝肿瘤的价值-单中心经验。

IF 1.5 4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-06-01 DOI: 10.1055/a-2026-0851

Ozgul Ekmekcioglu, Umut Erdem, Pelin Arican, Hikmet Ozvar, Ozgur Bostanci

{"title":"The value of radioembolisation therapy on metastatic liver tumours - a single centre experience.","authors":"Ozgul Ekmekcioglu, Umut Erdem, Pelin Arican, Hikmet Ozvar, Ozgur Bostanci","doi":"10.1055/a-2026-0851","DOIUrl":"https://doi.org/10.1055/a-2026-0851","url":null,"abstract":"Objective: Local treatments used in metastatic liver tumours efficiently control the disease and survival. Transarterial radioembolisation (TARE) is a safely used locoregional treatment method. We aim to investigate the impact of TARE on different kinds of metastatic liver tumours and the effect of pre-treatment clinical findings.Material and methods: The patients with metastatic liver tumours referred to our department for radioembolisation were retrospectively evaluated. All patients were given a Y-90 glass microsphere after being selected by the appropriate clinical and imaging criteria, lung shunt fraction levels, vascular investigation, and macro aggregated albumin (MAA) scintigraphy performed in the angiography unit.Results: Thirty-four (17 women, 17 men) patients were suitable for the treatment. Patients were treated with 115.88±47.84 Gy Y-90 glass Microspheres. The mean survival rate was 14.59±12.59 months after treatment. Higher survival rates were detected in patients who had higher pre-treatment serum albumin levels. The optimum cut-off value of albumin to predict response to treatment was 4 g/dl with 88.89% sensitivity, 62.50% specificity, 72.73% PPV and 83.33% NPV. Furthermore, one unit increase in age increased mortality 1.152 times in our patient group.Conclusion: Radioembolisation is a safe and efficient method for controlling metastatic liver disease. Albumin levels significantly affect predicting response; higher albumin levels are related to higher survival rates. Furthermore, older age positively correlated with mortality rates in our patient group.","PeriodicalId":19238,"journal":{"name":"Nuklearmedizin-nuclear Medicine","volume":"62 3","pages":"214-219"},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9512112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of dose reduction for [18F]FDG-PET/MR imaging of patients with non-lesional epilepsy. [18F]非病变性癫痫患者FDG-PET/MR成像减剂量的可行性

IF 1.5 4区医学

Nuklearmedizin-nuclear Medicine Pub Date : 2023-06-01 DOI: 10.1055/a-2015-7785

Hunor Kertész, Tatjana Traub-Weidinger, Jacobo Cal-Gonzalez, Ivo Rausch, Otto Muzik, Lalith Kumar Shyiam Sundar, Thomas Beyer

{"title":"Feasibility of dose reduction for [18F]FDG-PET/MR imaging of patients with non-lesional epilepsy.","authors":"Hunor Kertész, Tatjana Traub-Weidinger, Jacobo Cal-Gonzalez, Ivo Rausch, Otto Muzik, Lalith Kumar Shyiam Sundar, Thomas Beyer","doi":"10.1055/a-2015-7785","DOIUrl":"https://doi.org/10.1055/a-2015-7785","url":null,"abstract":"The aim of the study was to evaluate the effect of reduced injected [18F]FDG activity levels on the quantitative and diagnostic accuracy of PET images of patients with non-lesional epilepsy (NLE).Nine healthy volunteers and nine patients with NLE underwent 60-min dynamic list-mode (LM) scans on a fully-integrated PET/MRI system. Injected FDG activity levels were reduced virtually by randomly removing counts from the last 10-min of the LM data, so as to simulate the following activity levels: 50 %, 35 %, 20 %, and 10 % of the original activity. Four image reconstructions were evaluated: standard OSEM, OSEM with resolution recovery (PSF), the A-MAP, and the Asymmetrical Bowsher (AsymBowsher) algorithms. For the A-MAP algorithms, two weights were selected (low and high). Image contrast and noise levels were evaluated for all subjects while the lesion-to-background ratio (L/B) was only evaluated for patients. Patient images were scored by a Nuclear Medicine physician on a 5-point scale to assess clinical impression associated with the various reconstruction algorithms.The image contrast and L/B ratio characterizing all four reconstruction algorithms were similar, except for reconstructions based on only 10 % of total counts. Based on clinical impression, images with diagnostic quality can be achieved with as low as 35 % of the standard injected activity. The selection of algorithms utilizing an anatomical prior did not provide a significant advantage for clinical readings, despite a small improvement in L/B (< 5 %) using the A-MAP and AsymBowsher reconstruction algorithms.In patients with NLE who are undergoing [18F]FDG-PET/MR imaging, the injected [18F]FDG activity can be reduced to 35 % of the original dose levels without compromising.","PeriodicalId":19238,"journal":{"name":"Nuklearmedizin-nuclear Medicine","volume":"62 3","pages":"200-213"},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9518384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0