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^(18)F-FDG PET/CT显像对淋巴瘤疗效评价的意义 被引量:5

The Value of 18F-FDG PET/CT in Evaluation of Response to Treatment in Lymphoma
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摘要 目的探讨18氟标记的脱氧葡萄糖(18F-FDG)PET/CT显像对淋巴瘤疗效评价的意义。方法回顾分析我院64例淋巴瘤治疗后18F-FDG PET/CT显像结果,与治疗后单纯CT结果进行对比分析,最终结果经病理和临床随访证实。结果最终共发现病灶219处,其中恶性208处,良性11处。18F-FDG PET/CT评价淋巴瘤治疗效果的灵敏度、特异性、准确性分别为99.52%(207/208)、90.91%(10/11)及99.09%(217/219),均明显优于单纯CT检查(P<0.05)。结论 18F-FDG PET/CT在淋巴瘤疗效评价方面明显优于CT,可为临床选择治疗方案提供早期客观的科学依据,是淋巴瘤疗效监测的有效手段。 Objective To evaluate the value of ^18F-fluorodeoxyglucose (FDG) PET/CT imaging in evaluation of response to treatment in lymphoma. Methods Sixty-four post-treatment patients with lymphoma were studied retrospectively. PET/CT images after therapy were compared with CT posttherapy results. The final diagnosis was based on pathology or clinical follow-ups. Results A total of 208 malignant lesions and 11 benign lesions were found in 64 patients in the study. The sensitivity, specificity and accuracy of ^18F-FDG PET/CT were 99.52% (207/208), 90.91% (10/11) and 99.09% (217/219), respectively. The difference was significant between PET/CT image and CT alone in sensitivity, specificity and accuracy (P 〈 0.05). Conclusion ^18F-FDG PET/CT is better than CT images in the evaluation of response to treatment in lymphoma and ^18F-FDG PET/CT examination will become one of the effective technizues in the future.
出处 《临床误诊误治》 2012年第1期71-74,共4页 Clinical Misdiagnosis & Mistherapy
基金 河北省普通高等学校强势特色学科肿瘤学组(冀教高2005[52]) 河北省卫生厅"医学科学研究重点课题计划"项目(20100437)
关键词 淋巴瘤 氟脱氧葡萄糖F18 正电子发射断层显像术 体层摄影术 发射型计算机 治疗结果 评价研究 Lymphoma Fluorodeoxyglucose, 18F PET Tomography, emission-Computed Treatment efficacy Evaluationstudy
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参考文献15

  • 1Cerci J J, Trindade E, Buccheri V, et al. Consistency of FDG-PET accuracy and cost-effectiveness in initial staging of patients with Hodgkin lymphoma across jurisdictions[ J ]. Clin Lymphoma Myeloma Leuk, 2011,11(4) :314-320.
  • 2Brepoels L, Stroobants S, Verhoef G. PET and PET/CT for response evaluation in lymphoma: current practice and de- velopments [ J ]. Leuk Lymphoma, 2007,48 (2) :270-282.
  • 3李国珍.临床CT诊断学[M].北京:中国科技出版社,1994.302-304.
  • 4Jerusalem G, Hustinx R, Beguin Y, et al. Evaluation of therapy for lymphoma [ J ]. Semin Nucl Med, 2005,35 ( 3 ) : 186-196.
  • 5Crocchiolo R, Fallanca F, Giovacchini G, et al. Role of 18FDG-PET/CT in detecting relapse during follow-up of pa- tients with Hodgkin's lymphoma [ J ]. Ann Hematol, 2009,88 (12) : 1229-1236.
  • 6Baba S, Abe K, Isoda T, et al. Impact of FDG-PET/CT in the management of lymphoma [ J ]. Ann Nucl Med, 2011,29 (10) :Epub ahead of print.
  • 7Hutchings M, Barrington S F. PET/CT for therapy response assessment in lymphoma [ J ]. J Nucl Med, 2009,50 ( Suppl 1 ) :21-30.
  • 8Spaepen K, Stroobants S, Dupont P, et al. Early restaging positron emission tomography with (18) F-fluorodeoxyglucose predicts outcome in patients with aggressive non-Hodgkin's lymphoma[J]. Ann Oneol, 2002,13(9) :1356-1363.
  • 9曹丰,陈跃.^(18)F-氟脱氧葡萄糖PET-CT在淋巴瘤中的应用[J].泸州医学院学报,2010,33(6):701-702. 被引量:2
  • 10王全师,吴湖炳,王明芳,郭晓君.^(18)F-FDG显像对淋巴瘤分期及疗效评价的价值[J].中华核医学杂志,2004,24(1):8-10. 被引量:30

二级参考文献45

  • 1谢毅 见:叶任高 主编.淋巴瘤[A].见:叶任高,主编.内科学:第5版[C].北京:人民卫生出版社,2002.640-648.
  • 2唐惟瑜,王凤英,朱雄增,等.恶性淋巴瘤.汤钊猷主编.现代肿瘤学[M].第2版.上海:上海医科大学出版社,2000.1290-1327.
  • 3Rodriguez M.Computed tomography,magnetic resonance imaging and positron emission tomography in non-Hodgkin's lymphoma[J].Acta Radiol,1998,417(Suppl):1.
  • 4Moog F,Bangerter M,Diederichs CG,et al.Extranodal malignant lymphoma:detection with FDG PET versus CT[J].Radiology,1998,206:475.
  • 5Gross BH,Glazer GM,Orringer MB,et al.Bronchogenic carcinoma metastatic to normal-sized lymphnodes:frequency and significance[J].Radiology,1988,166:71.
  • 6Gross BH,Glazer GM,Orringer MB,et al.Bronchogenic carcinoma metastatic too normal-sized lymphnodes:frequency and significance[J].Radiology,1988,166:71.
  • 7Rodriguez-Catarmo M,Jerkeman M,Ahlatrom H,et al.Residual mass in aggressive lymphoma-does size,measured by computed tomography,influence clinical outcome[J].Acta Oncol,2000,39:485.
  • 8王荣福.肿瘤:^(18)F-DG PET代谢显像[J].国外医学(放射医学核医学分册),1997,21(3):106-110. 被引量:13
  • 9Schoder H, Meta J, Yap C, et al. Effect of whole-body (18)F-FDG PET imaging on clinical staging and management of patients with malignant lymphoma[J]. J Nucl Med, 2001, 42(8): 1139-1143.
  • 10Klose T, Leidl R, Buchmann I, et al. Primary staging of lymphomas: cost-effectiveness of FDG-PET versus computed tomography[J]. Eur J Nucl Med, 2000, 27(10):1457-1464.

共引文献100

同被引文献100

  • 1李红,韩艳秋,王雪梅.PET/CT在淋巴瘤中的应用进展[J].中华临床医师杂志(电子版),2012,6(20):141-143. 被引量:6
  • 2谭洁,夏学鸣,李汉冲,许忠.非霍奇金淋巴瘤患者血清LDH、β_2-MG、CD44、Npt水平的动态检测和临床相关研究[J].现代肿瘤医学,2004,12(5):417-421. 被引量:9
  • 3李国珍主编.临床CT诊断学,北京,中国科学技术出版社,1994.
  • 4Cerci JJ, Trindade E, Buccheri V, et al. Consistency of FDG-PET accuracy and cost-effectiveness in initial staging of patients with Hodgkin lymphoma across jurisdictions. Clin Lymphoma Myeloma Leuk, 2011, 11(4): 314-320.
  • 5Jaffe ES, Harris NL, Stein H, et al. Pathology&Genetics: tumours of haematopoietic and lymphoid tissues. Lyon: IARC Press, 2001 : 239-244.
  • 6Grossbard ML.恶性淋巴瘤.周立强,李陶,译.北京:中国医药科技出版社,2010:330-352.
  • 7Spaepen K, Stroobants S, Dupont P, et al. Early restaging positronemission tomography with 18F-fluorodeoxyglucose predicts outcome in patients with aggressive non-Hodgkin's lymphoma. Ann Oncol, 2002, 13(9): 1356-1363.
  • 8Wong CY, Thie J, Parling-Lyneh K J, et al. Glucose-normalized standardized uptake value from 18F-FDG PET in classifying lymphomas. J Nucl Med, 2005, 46( 10): 1659-1663.
  • 9Stumpe KD, Urbinelli M, Steinert HC, et al. Whole-body positron emission tomography using fluorodeoxyglucose for staging of lymphoma: effectiveness and comparison with computed tomography. Eur J Nucl Med, 1998, 25(7 ) : 721-728.
  • 10Jerusalem G, Hustinx R, Beguin Y, et al. Evaluation of therapy for lymphoma. Semin Nuel Med, 2005, 35 (3): 186-196.

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