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正电子发射断层扫描/计算机断层扫描(PET/CT)在白血病中的应用:效用和未来方向。

PET/CT in leukemia: utility and future directions.

机构信息

Department of Nuclear Medicine and PET/CT, King Hussein Cancer Center (KHCC), .

Department of Radiology and Nuclear Medicine, School of Medicine, University of Jordan, Amman, Jordan, .

出版信息

Nucl Med Commun. 2024 Jul 1;45(7):550-563. doi: 10.1097/MNM.0000000000001846. Epub 2024 Apr 22.

Abstract

2-Deoxy-2-[ 18 F]fluoro- d -glucose PET/computed tomography ([ 18 F]FDG PET/CT) has proven to be a sensitive method for the detection and evaluation of hematologic malignancies, especially lymphoma. The increasing incidence and mortality rates of leukemia have raised significant concerns. Through the utilization of whole-body imaging, [ 18 F]FDG PET/CT provides a thorough assessment of the entire bone marrow, complementing the limited insights provided by biopsy samples. In this regard, [ 18 F]FDG PET/CT has the ability to assess diverse types of leukemia The utilization of [ 18 F]FDG PET/CT has been found to be effective in evaluating leukemia spread beyond the bone marrow, tracking disease relapse, identifying Richter's transformation, and assessing the inflammatory activity associated with acute graft versus host disease. However, its role in various clinical scenarios in leukemia remains unacknowledged. Despite their less common use, some novel PET/CT radiotracers are being researched for potential use in specific scenarios in leukemia patients. Therefore, the objectives of this review are to provide a thorough assessment of the current applications of [ 18 F]FDG PET/CT in the staging and monitoring of leukemia patients, as well as the potential for an expanding role of PET/CT in leukemia patients.

摘要

2-脱氧-2-[18F]氟代-d-葡萄糖正电子发射断层扫描/计算机断层扫描([18F]FDG PET/CT)已被证明是一种用于检测和评估血液恶性肿瘤,特别是淋巴瘤的敏感方法。白血病的发病率和死亡率不断上升引起了人们的高度关注。通过全身成像,[18F]FDG PET/CT 可全面评估整个骨髓,弥补了活检样本提供的有限见解。在这方面,[18F]FDG PET/CT 能够评估多种类型的白血病。[18F]FDG PET/CT 已被证明可有效评估骨髓外白血病的扩散、跟踪疾病复发、识别里希特转化以及评估与急性移植物抗宿主病相关的炎症活动。然而,它在白血病的各种临床情况下的作用仍未得到认可。尽管这些新型 PET/CT 示踪剂的使用较少,但一些新型 PET/CT 示踪剂正在研究中,以期在白血病患者的特定情况下使用。因此,本综述的目的是全面评估[18F]FDG PET/CT 在白血病患者分期和监测中的当前应用,以及 PET/CT 在白血病患者中可能扩大的作用。

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