激素治疗对绝经后妇女子宫内膜[18F]F-FDG PET 生理摄取的影响。

IF 2.5 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Ryusuke Nakamoto, Masahiro Yakami, Tomomi W. Nobashi, Hiroyoshi Isoda, Yuji Nakamoto
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引用次数: 0

摘要

目的:激素疗法、以雌激素为基础的激素替代疗法(HRT)和抗肿瘤激素疗法(如他莫昔芬)对绝经后妇女子宫内膜2-脱氧-2[18F]氟-D-葡萄糖([18F]F-FDG)正电子发射断层扫描(PET)生理摄取量的影响尚未确定。我们探讨了激素治疗(尤其是 HRT)对绝经后妇女子宫内膜生理摄取量的影响:将2016年6月至2023年4月期间接受激素治疗并使用PET/计算机断层扫描(CT)进行癌症筛查的绝经后妇女纳入激素治疗组(n = 21)。无激素治疗史的绝经后妇女被纳入对照组(n = 49)。首先,定量(SUVmax)和定性(4 级评分)比较对照组绝经时和绝经后至少 1 年的子宫内膜生理性摄取量,以评估绝经后子宫内膜何时不再显示明显的生理性 [18F]F-FDG 摄取量。比较了激素治疗组和对照组的子宫内膜摄取量。评估了激素治疗持续时间(月)与子宫内膜摄取量(SUVmax)之间的关系。此外,还比较了两组经阴道超声测量的子宫内膜厚度:结果:子宫内膜摄取量在质和量两方面均明显减少(P激素治疗可能会影响绝经后妇女子宫内膜的生理摄取量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The effect of hormone therapy on physiological uptake of the endometrium on [18F]F-FDG PET in postmenopausal women

The effect of hormone therapy on physiological uptake of the endometrium on [18F]F-FDG PET in postmenopausal women

The effect of hormone therapy on physiological uptake of the endometrium on [18F]F-FDG PET in postmenopausal women

Objective

The effects of hormonal therapy, estrogen-based hormone replacement therapy (HRT), and anti-tumor hormone therapy, such as tamoxifen, on the physiological uptake of the endometrium on 2-deoxy-2[18F]fluoro-d-glucose ([18F]F-FDG) positron emission tomography (PET) in postmenopausal women have not been determined. We explored the effect of hormone therapy, particularly HRT, on physiological uptake in the endometrium of postmenopausal women.

Materials and methods

Postmenopausal women receiving hormone therapy who underwent cancer screening using PET/computed tomography (CT) between June 2016 and April 2023 were included in the hormone therapy group (n = 21). Postmenopausal women with no history of hormone therapy were included in the control group (n = 49). First, the physiological endometrial uptake at menopausal age and at least 1 year thereafter was compared quantitatively (SUVmax) and qualitatively (4-point scale) in the control group, to assess when the endometrium ceased to show significant physiological [18F]F-FDG uptake after menopause. Endometrial uptake was compared between the hormone therapy and control groups. The association between HRT duration (months) and endometrial uptake (SUVmax) was evaluated. Endometrial thickness, measured using transvaginal ultrasonography, was also compared between the two groups.

Results

Endometrial uptake was significantly reduced both qualitatively and quantitatively (P < 0.05) at least 1 year after menopause in control patients, by which time most women (89.8%) no longer had significant endometrial uptake. The hormone therapy group (n = 21) showed higher FDG uptake in the endometrium compared to the control group (median SUVmax: 2.3 vs 1.9, P = 0.0011), as well as a higher visual score (P < 0.0001). HRT duration did not correlate with endometrial uptake (P = 0.097). Endometrial thickness in the hormone therapy group was significantly thicker than in the control group (median: 3.9 mm vs 1.8 mm, P = 0.002).

Conclusion

Hormone therapy may affect physiological uptake in the endometrium in postmenopausal women.

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来源期刊
Annals of Nuclear Medicine
Annals of Nuclear Medicine 医学-核医学
CiteScore
4.90
自引率
7.70%
发文量
111
审稿时长
4-8 weeks
期刊介绍: Annals of Nuclear Medicine is an official journal of the Japanese Society of Nuclear Medicine. It develops the appropriate application of radioactive substances and stable nuclides in the field of medicine. The journal promotes the exchange of ideas and information and research in nuclear medicine and includes the medical application of radionuclides and related subjects. It presents original articles, short communications, reviews and letters to the editor.
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