李前伟, 谭天秩. 18F-FDG PET在胰腺癌诊疗中的应用[J]. 中国肿瘤临床, 2006, 33(5): 296-299.
引用本文: 李前伟, 谭天秩. 18F-FDG PET在胰腺癌诊疗中的应用[J]. 中国肿瘤临床, 2006, 33(5): 296-299.
Li Qian-wei, Tan Tian-zhi. The Application of 18F-FDG PET in Diagnosis and Treatment of Pancreatic Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(5): 296-299.
Citation: Li Qian-wei, Tan Tian-zhi. The Application of 18F-FDG PET in Diagnosis and Treatment of Pancreatic Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(5): 296-299.

18F-FDG PET在胰腺癌诊疗中的应用

The Application of 18F-FDG PET in Diagnosis and Treatment of Pancreatic Cancer

  • 摘要: 正电子发射体层显像是目前唯一在活体分子水平完成生物学显示及定量评价体内生化改变的医学影像技术,其中放射性核素18F标记的2-脱氧葡萄糖(18F-FDG)在临床肿瘤学中已得到较为广泛的应用。现有临床研究资料表明,18F-FDGPET显像在胰腺癌中的作用主要包括:1)具有较高的诊断和鉴别诊断效能,敏感性、特异性与准确性分别为71%~100%、64%~100%与85%~93%;2)能较常规影像学方法检出更多的淋巴结及肝、肺等远处转移灶,提高准确的临床分期,指导制定合理的治疗方案;3)早期评价肿瘤对放化疗的响应和监测术后的复发与转移,为临床及时调整治疗方案和采取治疗措施提供客观、准确依据;4)通过定量分析肿瘤组织葡萄糖的代谢程度,可有效地判断胰腺癌患者的预后。

     

    Abstract: Positron emitter tomography (PET) is the unique medical image technique to complete the biologic manifestation and evaluate quantitatively the biochemical change in molecular level of hu-man body in vivo at present, in which 2-deoxy-2- 18Ffluoro-D-glucose ( 18F- FDG) PET has been wide-ly used in clinical oncology. Up to now, most clinical researches indicate that 18F-FDG PET has the following main roles in pancreatic cancer: a) to have the higher diagnosis and differential diagnosis effi-ciency, the sensitivity, specificity and accuracy is 71%-100% 、64%-100% and 85%-93% respectively;b) to detect more lymph node and distant metastases than CT, B-US and MRI, and help to enhance ac-curate clinical staging and choose reasonable treatment program; c) to evaluate the response of tumorsto the radiotherapy and chemiotherapy and detect the recurrence and metastasis after operation in theearly period, thus to provide an objective and accurate basis for the clinic adjusting therapy project and adopting treatment measure in time and D) to availably judge the prognosis of patients with pancreatic cancer through measureing the standardized uptake value (SUV) of 18F-FDG in tumors.

     

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