Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique最新文献_第2页

Apport de la TEP-TDM FDG dans la prise en charge des sarcomes osseux en pédiatrie FDG PET -TDM对儿科骨髓瘤管理的贡献

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-08-01 DOI: 10.1016/j.mednuc.2025.06.005

V. Isnardi , N. Jehanno , T. Cassou-Mounat , B. Jonca , P. Marec Berard

引用次数: 0

Prise en charge du lymphome en médecine nucléaire chez l’enfant : actualisation et particularité des lymphomes chez l’enfant 儿童核医学淋巴瘤管理：儿童淋巴瘤的现状与特点

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-08-01 DOI: 10.1016/j.mednuc.2025.06.006

Y. Al Tabaa , A. Théron

{"title":"Prise en charge du lymphome en médecine nucléaire chez l’enfant : actualisation et particularité des lymphomes chez l’enfant","authors":"Y. Al Tabaa , A. Théron","doi":"10.1016/j.mednuc.2025.06.006","DOIUrl":"10.1016/j.mednuc.2025.06.006","url":null,"abstract":"<div><div>Pediatric lymphomas account for 10–15% of childhood cancers, with treatment approaches tailored to histological subtypes such as Hodgkin lymphoma (HL), and non Hodgkin lymphomas (NHL), including Burkitt lymphoma, diffuse large B-cell lymphoma (DLBCL), and primary mediastinal B-cell lymphoma. The introduction of 18F-FDG-PET imaging has significantly transformed diagnostic and therapeutic strategies. PET enables accurate initial staging, early response assessment, and contributes to treatment de-escalation, especially in HL through Euronet protocols. In Burkitt lymphoma, PET's role is limited due to the urgency of treatment, though its high negative predictive value (93%) is notable. Pediatric DLBCL, being less aggressive, allows for PET-guided management analogous to adult practice. In primary mediastinal lymphoma, common in adolescents, interpretation challenges arise from residual low-grade metabolic uptake post-treatment, often reflecting inflammation rather than active disease. FDG-PET has become essential in personalizing pediatric lymphoma care, refining staging, and reducing overtreatment. Combined with recent advances in targeted therapies – such as anti-CD20 antibodies and CAR-T cells – this approach improves survival outcomes while minimizing long-term toxicity.</div></div>","PeriodicalId":49841,"journal":{"name":"Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique","volume":"49 4","pages":"Pages 249-255"},"PeriodicalIF":0.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766459","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

Boîterie fébrile chez l’enfant 孩子们的热盒子

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-08-01 DOI: 10.1016/j.mednuc.2025.06.004

A. Bourdon, T. Paunet

引用次数: 0

Les spécificités de la prise en charge des enfants en médecine nucléaire 核医学儿童保育的特点

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-08-01 DOI: 10.1016/j.mednuc.2025.06.001

L. Turpin

{"title":"Les spécificités de la prise en charge des enfants en médecine nucléaire","authors":"L. Turpin","doi":"10.1016/j.mednuc.2025.06.001","DOIUrl":"10.1016/j.mednuc.2025.06.001","url":null,"abstract":"<div><div>Après un rappel sur la problématique de l’exposition aux rayonnements ionisants chez les enfants, cet article décrit les principes généraux de gestion d’un examen scintigraphique en pédiatrie. L’article précise les modalités de gestion de l’anxiété et de la douleur chez les enfants et détaille les principes de communication (adaptée à l’âge) et de création d’un environnement médical favorable à la bonne réalisation d’une procédure de médecine nucléaire pédiatrique, depuis l’injection du radiopharmaceutique jusqu’aux acquisitions des images. Le positionnement de l’enfant, son hydratation et la gestion de ces mictions constituent également des facteurs garantissant l’obtention d’images de qualité optimale pour l’interprétation.</div></div><div><div>By revisiting the question of the exposure of pediatric populations to ionizing radiation, this manuscript explains the fundamental principles governing the administration of nuclear medicine procedures in the pediatric population. The discourse defines strategies to alleviate anxiety and discomfort in young patients and outlines communication principles appropriate to developmental stages, as well as the establishment of a supportive medical environment that facilitates the effective execution of pediatric nuclear medicine interventions, from radiopharmaceutical injection to the image acquisition phase. In addition, the positioning of the pediatric patient, as well as the appropriate management of hydration and urination, are essential elements that ensure that high-quality images are obtained for later interpretation.</div></div>","PeriodicalId":49841,"journal":{"name":"Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique","volume":"49 4","pages":"Pages 215-218"},"PeriodicalIF":0.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766452","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

Prise en charge d’une suspicion de maltraitance infantile : le point de vue du clinicien 从临床医生的角度处理虐待儿童的指控

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-08-01 DOI: 10.1016/j.mednuc.2025.06.003

L. Veneau

引用次数: 0

Prise en charge d’une suspicion de maltraitance chez l’enfant : le point de vue du médecin nucléaire 处理疑似虐待儿童的问题：核医生的观点

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-08-01 DOI: 10.1016/j.mednuc.2025.06.007

B. Jonca

引用次数: 0

Prise en charge de la maladie de Basedow dans l’Ouest algérien 控制阿尔及利亚西部的巴塞多病

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-06-03 DOI: 10.1016/j.mednuc.2025.04.002

I. Sefraoui Khelil , M. Chakouri

{"title":"Prise en charge de la maladie de Basedow dans l’Ouest algérien","authors":"I. Sefraoui Khelil , M. Chakouri","doi":"10.1016/j.mednuc.2025.04.002","DOIUrl":"10.1016/j.mednuc.2025.04.002","url":null,"abstract":"<div><div>Hyperthyroidism is a pathological condition marked by an excess of thyroid hormones in the bloodstream. The most common observed etiology is Graves’ disease. In order to establish the epidemiological profile of this disease in the Algerian west and evaluate its treatment in nuclear medicine, we conducted a retrospective, cross-sectional study from January 2014 to December 2023 at the University Hospital Establishment of Oran, including 180 folders of patients suffering from hyperthyroidism. We report a high prevalence of Graves’ disease (98.33%) with a notable female predominance of 72.88%. A peak incidence is noted across all genders between the ages of 31 and 50. In Algeria, radiotherapy with iodine 131 is generally indicated as a second line after antithyroid drugs treatment. In our study, one hundred and sixty-five patients have received radioactive activities administered empirically (extremes: 8–28 mCi). An activity below 15 mCi was administered to 67.27% of patients, between 15 mCi and 20 mCi to 30.3% of patients, and only 2.42% received an activity exceeding 20 mCi. A single dose was administered in 98.18% of cases, while only three patients (1.82%) received a second. Finally, the RAI therapy was successful in 85.83% of cases over a follow-up period ranged between 1 and 9 months. These observed results are promising and encourage healthcare professionals to consider the radiotherapy as an early treatment of Graves’ disease.</div></div>","PeriodicalId":49841,"journal":{"name":"Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique","volume":"49 5","pages":"Pages 278-283"},"PeriodicalIF":0.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120201","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

Connaissances et perception de la médecine nucléaire par les médecins exerçant au Bénin en 2024 2024年在贝宁执业的医生的核医学知识和认知

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-06-03 DOI: 10.1016/j.mednuc.2025.04.001

G.D. Houndetoungan , O.H. Fachinan , M.K.E. Hounkponou , C.A. Obey , B.F. Agboton , Y.F. Djohoun , G. Abogbo , T. Seguedeme , K.M. Amoussou-Guenou

{"title":"Connaissances et perception de la médecine nucléaire par les médecins exerçant au Bénin en 2024","authors":"G.D. Houndetoungan , O.H. Fachinan , M.K.E. Hounkponou , C.A. Obey , B.F. Agboton , Y.F. Djohoun , G. Abogbo , T. Seguedeme , K.M. Amoussou-Guenou","doi":"10.1016/j.mednuc.2025.04.001","DOIUrl":"10.1016/j.mednuc.2025.04.001","url":null,"abstract":"<div><div>The aim of this study was to assess the knowledge and perception of nuclear medicine among physicians practicing in Benin. This was a descriptive and analytical cross-sectional study conducted from December 2023 to July 2024. Knowledge of nuclear medicine was evaluated using a scoring system based on questions addressing the definition, components, and indications of this specialty. A total of 316 participants were included in the study. Their median age was 29.81 years (range: 22–56 years). Among them, 49.05% were specialists or in the process of specialization. Additionally, 22.15% of the participants had completed internships abroad. Regarding knowledge levels, 0.32% of respondents demonstrated a good level, 12.34% a moderate level, 22.47% an insufficient level, and 64.87% a poor level. Factors associated with an acceptable level of knowledge included having completed an internship abroad and the presence of a nuclear medicine department in the country where general medical training was received. Regarding perception, 67.09% of physicians considered nuclear medicine essential for optimal patient management, and 88.92% expressed a desire for its inclusion in general medical education. Physicians practicing in Benin demonstrated insufficient knowledge of nuclear medicine, primarily due to the limited routine practice of this specialty. However, their perception was favorable, supported by the imminent launch of a new nuclear medicine department at the International Hospital Center of Calavi in Benin.</div></div>","PeriodicalId":49841,"journal":{"name":"Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique","volume":"49 5","pages":"Pages 260-266"},"PeriodicalIF":0.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120204","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

Connaissances et perception de la médecine nucléaire par les médecins exerçant au Bénin en 2024 2024年在贝宁执业的医生的核医学知识和认知

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-06-03 DOI: 10.1016/j.mednuc.2025.04.001

G.D. Houndetoungan , O.H. Fachinan , M.K.E. Hounkponou , C.A. Obey , B.F. Agboton , Y.F. Djohoun , G. Abogbo , T. Seguedeme , K.M. Amoussou-Guenou

{"title":"Connaissances et perception de la médecine nucléaire par les médecins exerçant au Bénin en 2024","authors":"G.D. Houndetoungan , O.H. Fachinan , M.K.E. Hounkponou , C.A. Obey , B.F. Agboton , Y.F. Djohoun , G. Abogbo , T. Seguedeme , K.M. Amoussou-Guenou","doi":"10.1016/j.mednuc.2025.04.001","DOIUrl":"10.1016/j.mednuc.2025.04.001","url":null,"abstract":"<div><div>The aim of this study was to assess the knowledge and perception of nuclear medicine among physicians practicing in Benin. This was a descriptive and analytical cross-sectional study conducted from December 2023 to July 2024. Knowledge of nuclear medicine was evaluated using a scoring system based on questions addressing the definition, components, and indications of this specialty. A total of 316 participants were included in the study. Their median age was 29.81 years (range: 22–56 years). Among them, 49.05% were specialists or in the process of specialization. Additionally, 22.15% of the participants had completed internships abroad. Regarding knowledge levels, 0.32% of respondents demonstrated a good level, 12.34% a moderate level, 22.47% an insufficient level, and 64.87% a poor level. Factors associated with an acceptable level of knowledge included having completed an internship abroad and the presence of a nuclear medicine department in the country where general medical training was received. Regarding perception, 67.09% of physicians considered nuclear medicine essential for optimal patient management, and 88.92% expressed a desire for its inclusion in general medical education. Physicians practicing in Benin demonstrated insufficient knowledge of nuclear medicine, primarily due to the limited routine practice of this specialty. However, their perception was favorable, supported by the imminent launch of a new nuclear medicine department at the International Hospital Center of Calavi in Benin.</div></div>","PeriodicalId":49841,"journal":{"name":"Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique","volume":"49 5","pages":"Pages 260-266"},"PeriodicalIF":0.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120197","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

Prise en charge de la maladie de Basedow dans l’Ouest algérien 控制阿尔及利亚西部的巴塞多病

IF 0.2 4区医学

Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique Pub Date : 2025-06-03 DOI: 10.1016/j.mednuc.2025.04.002

I. Sefraoui Khelil , M. Chakouri

{"title":"Prise en charge de la maladie de Basedow dans l’Ouest algérien","authors":"I. Sefraoui Khelil , M. Chakouri","doi":"10.1016/j.mednuc.2025.04.002","DOIUrl":"10.1016/j.mednuc.2025.04.002","url":null,"abstract":"<div><div>Hyperthyroidism is a pathological condition marked by an excess of thyroid hormones in the bloodstream. The most common observed etiology is Graves’ disease. In order to establish the epidemiological profile of this disease in the Algerian west and evaluate its treatment in nuclear medicine, we conducted a retrospective, cross-sectional study from January 2014 to December 2023 at the University Hospital Establishment of Oran, including 180 folders of patients suffering from hyperthyroidism. We report a high prevalence of Graves’ disease (98.33%) with a notable female predominance of 72.88%. A peak incidence is noted across all genders between the ages of 31 and 50. In Algeria, radiotherapy with iodine 131 is generally indicated as a second line after antithyroid drugs treatment. In our study, one hundred and sixty-five patients have received radioactive activities administered empirically (extremes: 8–28 mCi). An activity below 15 mCi was administered to 67.27% of patients, between 15 mCi and 20 mCi to 30.3% of patients, and only 2.42% received an activity exceeding 20 mCi. A single dose was administered in 98.18% of cases, while only three patients (1.82%) received a second. Finally, the RAI therapy was successful in 85.83% of cases over a follow-up period ranged between 1 and 9 months. These observed results are promising and encourage healthcare professionals to consider the radiotherapy as an early treatment of Graves’ disease.</div></div>","PeriodicalId":49841,"journal":{"name":"Medecine Nucleaire-Imagerie Fonctionnelle et Metabolique","volume":"49 5","pages":"Pages 278-283"},"PeriodicalIF":0.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120199","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