不同影像检查方法对分化型甲状腺癌术后131I清甲治疗疗效预测的研究进展

Research progress of different imaging methods in predicting the efficacy of 131I ablation treatment in postoperative patients with differentiated thyroid carcinoma

分化型甲状腺癌(DTC)是最常见的头颈部恶性肿瘤之一,其清甲治疗疗效受残留甲状腺组织(以下简称残甲)的大小及其摄碘功能的影响。不同影像检查方法对残甲大小、摄碘功能的评估各有优缺点,对清甲治疗疗效也有不同的预测价值。部分SPECT/CT结合定量分析结果后可有效预测清甲治疗疗效。笔者综述了不同影像方法对DTC术后残甲大小和摄碘功能的评估以及131I清甲治疗疗效的预测价值,以期为临床工作者提供更有效的诊疗依据。

Differentiated thyroid cancer(DTC)is one of the most common malignant tumors in the head and neck region,and the efficacy of ablation treatment is affected by the residual thyroid tissue size and its iodine uptake function.Different imaging methods have their own advantages and disadvantages in evaluating residual thyroid tissue size and iodine uptake function,and have different predictive values for the efficacy of ablation treatment.SPECT/CT combined with quantitative analysis results can effectively predict the efficacy of ablation treatment.The authors review the evaluation of residual thyroid tissue size and iodine uptake function after DTC surgery using different imaging methods,as well as the predictive value of 131I therapy for the efficacy of ablation treatment,in order to provide more effective diagnostic and therapeutic basis for clinical workers.