[1]米宝明,万卫星,郁春景,等.18F-FDGPET和CT判断肺结核病灶活动性的比较[J].国际放射医学核医学杂志,2012,36(3):151-153.[doi:10.3760/cma.j.issn.1673-4114.2012.03.007]
　MI Bao-ming,WAN Wei-xing,YU Chun-jing,et al.Comparison between 18F-FDG PET and CT in evaluating the activity of pulmonary tuberculosis[J].International Journal of Radiation Medicine and Nuclear Medicine,2012,36(3):151-153.[doi:10.3760/cma.j.issn.1673-4114.2012.03.007]
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18F-FDGPET和CT判断肺结核病灶活动性的比较(/HTML)
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
36
期数:
2012年第3期
页码:
151-153
栏目:
临床核医学
出版日期:
2012-05-25

文章信息/Info

Title:
Comparison between 18F-FDG PET and CT in evaluating the activity of pulmonary tuberculosis
作者:
米宝明;  万卫星;  郁春景;  尤徐阳;  徐巧玲;  陈峰;  杜晓庆
苏州大学附属第四医院核医学科, 无锡 214062
Author(s):
MI Bao-ming;  WAN Wei-xing;  YU Chun-jing;  YOU Xu-yang;  XU Qiao-ling;  CHEN Feng;  DU Xiao-qing
Department of Nuclear Medicine, the Fourth Affiliated Hospital of Soochow University, Wuxi 214062, China
关键词:
结核; 肺; 氟脱氧葡萄糖F18; 正电子发射断层显像术; 体层摄影术; X线计算机
Keywords:
Tuberculosis; pulmonary; Fluorodeoxyglucose F18; Positron emission tomography; Tomography; X-ray computed
DOI:
10.3760/cma.j.issn.1673-4114.2012.03.007
摘要:
目的 评价18F-FDGPET和CT两种影像学方法对肺结核病灶活动性判断的差异。方法 对18F-FDGPET.CT显像中发现的31例肺结核病例,分别用CT图像和PET图像对肺结核病灶是否活动进行判断,然后对两种影像学方法的结果进行比较。结果 两种方法判断结果一致者26例,不一致者5例。6例CT诊断为非活动性肺结核者(愈合病灶),PET均判断为非活动性病灶;16例CT示病灶大部分钙化、伴有少许索条影(陈旧性病灶)并诊断为非活动性肺结核者中,5例PET判断为活动性病灶,其中3例病灶为结节的未钙化部分放射性轻度浓聚,2例为索条影伴有放射性轻度浓聚;9例CT诊断为活动性肺结核者,PET均判断为活动性病灶。结论 18F-FDGPET在判断愈合后的结核病灶和完全处于活动期的结核病灶时,与CT判断结果一致,但在对陈旧性结核病灶是否存在残余活动性病灶的判断上优于CT。
Abstract:
Objective To compare the difference between ISF-FDG PET and CT for evaluating the activity of pulmonary tuberculosis. Methods 18F-FDG PET-CT was performed in 31 pulmonary tuberculosis patients, the activity of the tuberculosis lesions was evaluated by PET and CT images, the results of the two imaging methods were compared separately. Results The results obtained with the two imaging methods were consistent in 26 cases and inconsistent in 5 cases. 6 cases which CT diagnosed as inactive tuberculosis (healed lesions) were also judged as inactive lesions by PET imaging. In 16 cases, CT displayed that most of the lesions were calcified and associated with little streaks and diagnosed as inactive tuberculosis (obsolete lesions), among them PET judged 5 cases as active lesions, of which 3 cases with partly calcified lesion associated with mild radioactive uptake, 2 cases with streaks associated with mild radioactive uptake. 9 cases which CT diagnosed as active pulmonary tuberculosis, PET judged as active lesions too. Conclusions 18F-FDG PET and CT have the same judgment in diagnosing healed and active tuberculosis lesions, while 18F-FDG PET is superior to CT in evaluating the active lesions residue in obsolete lesions.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2012-02-27。
通讯作者:万卫星(Email:wwxjs@126.com)
更新日期/Last Update: 1900-01-01