11. 18f -氟脱氧葡萄糖和PET对已知间皮瘤患者的评价

Zubeldia JM, Abou-Zied M, Nabi HA
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引用次数: 22

摘要

目的:使用18f -氟脱氧葡萄糖(18FDG)的正电子发射断层扫描(PET)已广泛用于不同恶性肿瘤患者的分期。本研究的目的是比较18FDG-PET与计算机断层扫描(CT)在治疗恶性间皮瘤患者中的作用。方法:8例患者(男6例,女2例;平均年龄67岁,年龄范围53 - 78岁)于1997年3月至1998年11月期间接受了18FDG-PET扫描。禁食患者静脉注射10 mCi FDG后45分钟行颈、胸、上腹部PET扫描;在所有情况下都进行了衰减校正。并与CT及病理相比较。结果:3例患者PET与CT表现一致。5例PET表现优于CT(1例由广泛性病变降级为局限性病变,2例由局限性病变降级为广泛性病变,2例PET证实CT表现不明确)。在1例患者中,PET和CT未发现肿瘤局部扩散到膈膜和心包膜,而是显示疾病局限于胸膜间隙。结论:我们的研究结果表明PET比CT更准确地判断间皮瘤患者的分期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
11. Evaluation of Patients with Known Mesothelioma with 18F-Fluorodeoxyglucose and PET

Purpose: Positron Emission Tomography (PET) using 18F-Fluorodeoxyglucose (18FDG) has been extensively used to stage patients with different malignancies. The purpose of our study was to compare 18FDG-PET to Computed Tomography (CT) in the management of patients with malignant mesothelioma.

Methods: Eight patients (6 males, 2 females; mean age 67, range 53 to 78 years) underwent 18FDG-PET scan between March 1997 and November 1998. PET scan of the neck, thorax and upper abdomen was performed 45 minutes after the intravenous injection of 10 mCi of FDG in fasted patients; attenuation correction was applied in all cases. The findings were compared with CT and pathology.

Results: PET and CT were concordant in 3 patients. PET was superior to CT in 5 cases (1 patient was downgraded from widespread to localized disease, 2 patients were upstaged from localized to widespread disease, PET confirmed equivocal findings by CT in 2 cases). In 1 patient PET and CT missed local spread of tumor to diaphragm and pericardium, showing instead disease confined to pleural space.

Conclusions: Our results suggest that PET is more accurate than CT in the staging of patients with mesothelioma.

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