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Study on tau related disease pattern of Alzheimer′s disease based on 18F-APN-1607 PET imaging 基于18F-APN-1607 PET成像的阿尔茨海默病tau相关疾病模式研究
Pub Date : 2020-04-25 DOI: 10.3760/CMA.J.CN321828-20200205-00034
Jian-Fang Ning, Jiehui Jiang, Chunhua Liu, Wei-qi Bao, Ming Li, Jiaying Lu, Ling Li, C. Zuo, Y. Guan
Objective Exploring tau related disease pattern (tauRDP) in the brain of Alzheimer′s disease (AD) patients based on 18F-APN-1607 PET scan. Methods 18F-APN-1607 PET images were collected from 17 AD patients (6 males and 11 females, age: (61.7±12.3) years, Mini-Mental State Examination (MMSE) score: 17.6±7.9) and 10 normal controls (NC; 6 males and 4 females, age: (61.2±4.7) years) from Huashan Hospital of Fudan University. The scaled subprofile model (SSM) based on principal component analysis (PCA) technique was used to construct the tauRDP. Then the expression value of tauRDP in each sample was calculated. The differences on tauRDP expression values between AD patients and NC were compared by independent-sample t test. Pearson correlation analysis was used to analyze the correlation between tauRDP expression values and MMSE values in AD patients. Results The tauRDP area mainly included: precentral gyrus, dorsolateral superior frontal gyrus, middle frontal gyrus, inferior frontal gyrus of opercular part, inferior frontal gyrus of triangular part, supplementary motor area, medial superior frontal gyrus, left median cingulate and paracingulate gyri, right cuneus, superior occipital gyrus, middle occipital gyrus, postcentral gyrus, superior parietal gyrus inferior parietal, but supramarginal and angular gyri, supramarginal gyrus, angular gyrus, precuneus and middle temporal gyrus. There were significant differences (t=4.395, P<0.001) between AD group (12.6±8.0) and NC group (0.0±1.0) in tauRDP expression values. The tauRDP expression values were correlated with MMSE values in AD group significantly (r=-0.566, P=0.018). Conclusions TauRDP established basing on SSM/PCA method can be used to quantitatively express the abnormal spatial distributions of tau deposition. Expression value of tauRDP has the potential to initially assess the severity of AD. Key words: Alzheimer disease; Tau proteins; Benzothiazoles; Positron-emission tomography
目的基于18F-APN-1607 PET扫描,探讨阿尔茨海默病(AD)患者大脑中tau相关疾病模式(tauRDP)。方法收集复旦大学华山医院17例AD患者(男6例,女11例,年龄:(61.7±12.3)岁,简易精神状态检查(MMSE)评分:17.6±7.9)和10例正常对照(NC;男6例、女4例,年龄(61.2±4.7)岁)的18F-APN-1607 PET图像。使用基于主成分分析(PCA)技术的缩放子文件模型(SSM)来构建tauRDP。然后计算每个样品中tauRDP的表达值。通过独立样本t检验比较AD患者和NC患者之间tauRDP表达值的差异。采用Pearson相关分析法分析AD患者tauRDP表达值与MMSE值之间的相关性。结果tauRDP区主要包括:中央前回、额上背外侧回、额中回、额盖部额下回、三角部额下回、辅助运动区、额中上回、左中扣带和扣带旁回、右楔、枕上回、枕中回、中央后回,顶叶上回顶叶下回,但缘上回和角回、缘上回、角回、楔前叶和颞中回。tauRDP表达值在AD组(12.6±8.0)和NC组(0.0±1.0)之间存在显著差异(t=4.395,P<0.001)。AD组tauRDP表达值与MMSE值显著相关(r=-0.566,P=0.018)。结论基于SSM/PCA方法建立的tauRDP可用于定量表达tau沉积的异常空间分布。tauRDP的表达值具有初步评估AD严重程度的潜力。关键词:阿尔茨海默病;Tau蛋白;苯并噻唑;正电子发射断层扫描
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引用次数: 0
Prognostic value of 18F-FDG PET/CT imaging and related factors for patients with classic Hodgkin lymphoma before or after autologous stem cell transplantation 18F-FDG PET/CT显像及相关因素对经典霍奇金淋巴瘤患者自体干细胞移植前后预后的价值
Pub Date : 2020-03-25 DOI: 10.3760/CMA.J.CN321828-20190729-00149
Wenli Qiao, Jiahua Niu, Wenya Jin, Y. Xing, Tai-song Wang, Jian-hua Song, Jinhua Zhao
Objective To assess the predictive value of 18F-fluorodeoxyglucose (FDG) PET/CT imaging and relevant factors in the prognosis of patients with classic Hodgkin lymphoma (cHL) before or after autologous stem cell transplantation (ASCT). Methods From January 2008 to June 2017, 55 cHL patients (28 males, 27 females; age: (28.8±9.6) years) confirmed by pathology in Shanghai General Hospital were retrospectively included. 18F-FDG PET/CT imaging was performed before ASCT in 43 cases and after ASCT in 34 cases (22 patients underwent the imaging both before and after ASCT). Patients were divided into positive group (≥4) and negative group (<4) according to 18F-FDG PET/CT imaging results using Deauville 5-point scale. The predictive value of relevant factors in the prognosis was evaluated with progression-free survival (PFS) and overall survival (OS) using Kaplan-Meier survival analysis and log-rank test. Hazard ratio (HR) was calculated by Cox regression model. Results Of 55 cHL patients, 29 (53%) had a progression of disease after a median follow-up of 8 months, and 11 (20%) patients died after a median follow-up of 29.5 months, with the 3-year PFS rate of 46.4% and OS rate of 84.5%. Significant differences of PFS rate were found between patients with or without B symptoms, between patients with or without large mediastinal mass, between patients with international prognostic score (IPS) of 0-2 and those with IPS of 3-7, among patients with different effect of salvage chemotherapy (complete remission (CR), partial remission (PR) + stable disease (SD), progressive disease (PD)), and between patients with negative or positive PET/CT imaging results before or after ASCT (χ2 values: 5.52-20.01, HR: 2.21(95% CI: 1.56-3.12)-5.51(95% CI: 1.86-16.33), all P<0.05). B symptoms and large mediastinal mass were also prognostic factors for OS rate (HR: 5.28(95% CI: 1.14-24.51) and 4.27(95% CI: 1.24-14.79), both P<0.05). The combination of 18F-FDG PET/CT imaging before and after ASCT was statistically significant for predicting PFS (χ2=11.28, P<0.01). Multivariate survival analysis showed that the risk of progression in patients with positive PET/CT results after ASCT was significantly higher than those with negative results (HR=6.20, P<0.01), and the risk of death in patients with B symptoms was significantly higher than those without B symptoms (HR=5.28, P<0.05). Conclusion 18F-FDG PET/CT imaging results after ASCT have important values for predicting PFS in cHL patients after ASCT, and B symptoms can be used as an important prognostic indicator of OS after ASCT. Key words: Lymphoma; Stem Cells; Transplantation, autologous; Positron-emission tomography; Tomography, X-ray computed; Deoxyglucose
目的评价18F-氟脱氧葡萄糖(FDG)PET/CT显像及相关因素对经典霍奇金淋巴瘤(cHL)患者自体干细胞移植(ASCT)前后预后的预测价值。方法回顾性分析2008年1月至2017年6月在上海总医院经病理证实的55例cHL患者(男28例,女27例,年龄(28.8±9.6)岁)。43例患者在ASCT前进行18F-FDG PET/CT成像,34例患者在ASCT后进行18F-FDG PET/CT成像(22例患者同时在ASCT前后进行了成像)。根据多维尔5分量表18F-FDG PET/CT成像结果,将患者分为阳性组(≥4)和阴性组(<4)。使用Kaplan-Meier生存分析和log秩检验,用无进展生存期(PFS)和总生存期(OS)评估相关因素对预后的预测价值。采用Cox回归模型计算危险比。结果55例cHL患者中,29例(53%)患者在中位随访8个月后病情进展,11例(20%)患者在中位数随访29.5个月后死亡,3年PFS率为46.4%,OS率为84.5%,在国际预后评分(IPS)为0-2的患者和IPS为3-7的患者之间,在具有不同挽救化疗效果(完全缓解(CR)、部分缓解(PR)+稳定疾病(SD)、进行性疾病(PD))的患者中,ASCT前后PET/CT阴性或阳性的患者之间(χ2值:5.52-2001,HR:2.21(95%CI:1.56-3.12)-5.51(95%CI:1.86-16.33),均P<0.05),ASCT前后18F-FDG PET/CT联合显像预测PFS具有统计学意义(χ2=11.28,P<0.01)。多因素生存分析显示,ASCT后PET/CT结果阳性患者的进展风险显著高于阴性患者(HR=6.20,P<0.01),结论ASCT后18F-FDG PET/CT显像结果对预测ASCT后cHL患者的PFS具有重要价值,B症状可作为ASCT后OS的重要预后指标。关键词:淋巴瘤;干细胞;自体移植;正电子发射断层扫描;层析成像,X射线计算机;脱氧葡萄糖
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引用次数: 0
Effect of guidance template selection on physical dosimetry parameters of 125I seeds implantation for recurrent/metastatic carcinoma of head and neck 引导模板选择对125I粒子植入头颈部复发/转移癌物理剂量学参数的影响
Pub Date : 2020-03-25 DOI: 10.3760/CMA.J.CN321828-20190719-00136
Junma Xu, Feitong Wang, Yuechao Yu, Junjie Wang
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引用次数: 0
Localization of primary hyperparathyroidism: a case report 原发性甲状旁腺功能亢进定位1例
Pub Date : 2020-03-25 DOI: 10.3760/CMA.J.CN321828-20200225-00068
Xuezhu Wang
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引用次数: 0
Research progress of PET metabolic radiomics PET代谢放射组学研究进展
Pub Date : 2020-03-25 DOI: 10.3760/CMA.J.CN321828-20190708-00125
Feihu Xie
In recent years, the development of artificial intelligence technology has promoted the rise of radiomics, which makes image analysis tools, especially texture analysis, extensively concerned in image analysis of PET. In the study of radiomics, tools for image feature analysis such as texture analysis can extract rich information about pathological tissues from the imaging data to describe the characteristics of tumors, judge the prognosis, and evaluate the curative effect of tumors. This review mainly summarizes the research status, progress, challenges and foreground of texture analysis in PET metabolic radiomics. Key words: Radiomics; Metabolism; Positron-emission tomography; Trends
近年来,人工智能技术的发展促进了放射组学的兴起,使得图像分析工具,特别是纹理分析在PET图像分析中受到广泛关注。在放射组学的研究中,纹理分析等图像特征分析工具可以从成像数据中提取丰富的病理组织信息,用于描述肿瘤的特征,判断预后,评价肿瘤的疗效。本文主要综述了PET代谢放射组学中织构分析的研究现状、进展、挑战和前景。关键词:放射组学;新陈代谢;正电子发射断层扫描;趋势
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引用次数: 0
Room construction and installation of integrated PET/MR 一体化PET/MR的房间建造和安装
Pub Date : 2020-03-25 DOI: 10.3760/CMA.J.CN321828-20190926-01328
W. Ruan, Fang Liu, Yongxue Zhang
The integrated PET/MR overcomes the problem of interferences between PET and the strong magnetic field of MRI, realizing the simultaneous acquisition of two modalities, which is a milestone in the field of medical imaging. The use of PET/MR requires the radiopharmaceutical as well as avoids interferences to the homogeneity of main magnetic field and stability of radio-frequency field from surrounding environment. Therefore, the site selection and layout design about integrated PET/MR are more complicated than the single mode system, and the results of installation and debugging should satisfy two imaging modalities (imaging quality and quantitative accuracy). In this paper, the room construction, installation and debugging of integrated PET/MR are discussed, which can supply a reference about key issues in the construction of similar projects. Key words: Facility Design and Construction; Tomography, emission-computed; Magnetic resonance imaging
集成的PET/MR克服了PET与MRI强磁场干扰的问题,实现了两种模态的同时采集,这在医学成像领域具有里程碑意义。PET/MR的使用需要放射性药物,同时避免了周围环境对主磁场均匀性和射频场稳定性的干扰。因此,集成PET/MR的选址和布局设计比单模系统更复杂,安装和调试的结果应该满足两种成像模式(成像质量和定量精度)。本文对PET/MR一体化机房的施工、安装和调试进行了探讨,可为类似工程施工中的关键问题提供参考。关键词:设施设计与施工;层析成像,发射计算机;磁共振成像
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引用次数: 0
Predictive value of phase analysis of gated myocardial perfusion imaging for major adverse cardiac events in patients with coronary artery disease 门控心肌灌注成像相位分析对冠心病患者主要心脏不良事件的预测价值
Pub Date : 2020-03-25 DOI: 10.3760/CMA.J.CN321828-20190816-00171
S. Luo, Z. Yao, Congxia Chen, Xu Li, Yue Guo, Zhiguo Yu, Yuyi Zhang
Objective To evaluate the value of phase analysis of gated myocardial perfusion imaging (GMPI) in predicting major adverse cardiac events (MACE) in patients with coronary atherosclerotic heart disease. Methods Patients who underwent two-day rest-stress GMPI in the Department of Nuclear Medicine of Beijing Hospital from September 2012 to January 2014 were selected as observed subjects and analyzed retrospectively. The general clinical information, GMPI images and related parameters including phase standard deviation (PSD), phase histogram bandwidth (PBW), entropy, left ventricular ejection fraction (LVEF), summed stress score (SSS), peak ejection rate (PER), peak filling rate (PFR) were noted. Patients were followed up until the onset of MACE (cardiac death, nonfatal myocardial infarction, and late revascularization within 60 d after GMPI). χ2 test, independent-sample t test or Wilcoxon rank sum test were used to compare data between different groups. The independent risk factors of MACE were obtained by Cox proportional risk regression model. Kaplan-Meier survival curve analysis was used to analyze the cumulative survival rate without MACE. Results A total of 505 patients (235 males, 270 females, median age: 73 years) were followed up successfully, with a median follow-up period of 55.6(52.0, 60.5) months. There were 54 cases (10.7%) with MACE: 6 patients with cardiac death, 27 patients with non-fatal myocardial infarction, and 21 patients with late revascularization. The incidence of hypertension and hyperlipidemia in patients with MACE was significantly higher than that in patients without MACE (χ2 values: 4.126, 6.021, both P 80°), abnormal entropy(>58 J·mol-1·K-1) and SSS≥12 were independent risk factors for MACE (odds ratio(OR) values: 2.795(95% CI: 1.259-6.201), 3.213(95% CI: 1.468-7.029), 3.640 (95% CI: 1.999-6.628), all P 26.7°), abnormal PBW group and abnormal entropy group were 51.2%, 63.2% and 46.7%, which were significantly lower than those of normal PSD group (92.3%; χ2=77.768, P<0.05), normal PBW group (94.2%; χ2=77.741, P<0.05) and normal entropy group (92.8%; χ2=117.437, P<0.05). The 5-year cumulative MACE-free survival rate (31.7%) of patients with abnormal PBW and SSS≥12 was significantly lower than that of patients with normal PBW or patients with abnormal PBW and SSS<12 (80.1%-94.4%; χ2=185.4, P<0.01). The combination analysis of entropy and SSS showed similar results. Conclusions PBW and entropy obtained by GMPI phase analysis are independent risk factors for predicting MACE in coronary artery disease. GMPI phase analysis is useful for coronary artery disease risk stratification. Key words: Coronary artery disease; Prognosis; Myocardial perfusion imaging; Tomography, emission-computed, single-photon; Tomography, X-ray computed; Technetium Tc 99m sestamibi
目的评价门控心肌灌注成像(GMPI)相位分析在预测冠状动脉粥样硬化性心脏病患者主要心脏不良事件(MACE)中的价值。方法选择2012年9月至2014年1月在北京医院核内科接受为期两天休息应激性GMPI的患者作为观察对象,进行回顾性分析。记录一般临床信息、GMPI图像和相关参数,包括相位标准差(PSD)、相位直方图带宽(PBW)、熵、左心室射血分数(LVEF)、总应力评分(SSS)、峰值射血率(PER)和峰值充盈率(PFR)。对患者进行随访,直到MACE发作(心脏死亡、非致命性心肌梗死和GMPI后60天内的晚期血运重建)。采用χ2检验、独立样本t检验或Wilcoxon秩和检验对不同组间数据进行比较。采用Cox比例风险回归模型得到MACE的独立危险因素。Kaplan-Meier生存曲线分析用于分析无MACE的累积生存率。结果共有505名患者(235名男性,270名女性,中位年龄:73岁)获得成功随访,中位随访期为55.6(52.0,60.5)个月。MACE共有54例(10.7%):6例心源性死亡,27例非致命性心肌梗死,21例晚期血运重建。MACE患者的高血压和高脂血症发生率显著高于非MACE患者(χ2值:4.126,6.021,均为P 80°)、异常熵(>58J·mol-1·K-1)和SSS≥12是MACE的独立危险因素(比值比(OR)值:2.795(95%CI:1.259-6.201)、3.213(95%CI+1.468-7.029)、3.640(95%CI=1.99-6.628),均为P 26.7°),异常PBW组和异常熵组分别为51.2%、63.2%和46.7%,显著低于正常PSD组(92.3%;χ2=77.768,P<0.05),正常PBW组(94.2%;χ2=77.741,P<0.05)和正常熵组(92.8%;χ2=117.437,P<0.05)后果结论PBW和GMPI相位分析得到的熵是预测冠心病MACE的独立危险因素。GMPI相位分析可用于冠状动脉疾病风险分层。关键词:冠状动脉疾病;预后;心肌灌注成像;层析成像,发射计算机,单光子;层析成像,X射线计算机;99m倍他米锝
{"title":"Predictive value of phase analysis of gated myocardial perfusion imaging for major adverse cardiac events in patients with coronary artery disease","authors":"S. Luo, Z. Yao, Congxia Chen, Xu Li, Yue Guo, Zhiguo Yu, Yuyi Zhang","doi":"10.3760/CMA.J.CN321828-20190816-00171","DOIUrl":"https://doi.org/10.3760/CMA.J.CN321828-20190816-00171","url":null,"abstract":"Objective \u0000To evaluate the value of phase analysis of gated myocardial perfusion imaging (GMPI) in predicting major adverse cardiac events (MACE) in patients with coronary atherosclerotic heart disease. \u0000 \u0000 \u0000Methods \u0000Patients who underwent two-day rest-stress GMPI in the Department of Nuclear Medicine of Beijing Hospital from September 2012 to January 2014 were selected as observed subjects and analyzed retrospectively. The general clinical information, GMPI images and related parameters including phase standard deviation (PSD), phase histogram bandwidth (PBW), entropy, left ventricular ejection fraction (LVEF), summed stress score (SSS), peak ejection rate (PER), peak filling rate (PFR) were noted. Patients were followed up until the onset of MACE (cardiac death, nonfatal myocardial infarction, and late revascularization within 60 d after GMPI). χ2 test, independent-sample t test or Wilcoxon rank sum test were used to compare data between different groups. The independent risk factors of MACE were obtained by Cox proportional risk regression model. Kaplan-Meier survival curve analysis was used to analyze the cumulative survival rate without MACE. \u0000 \u0000 \u0000Results \u0000A total of 505 patients (235 males, 270 females, median age: 73 years) were followed up successfully, with a median follow-up period of 55.6(52.0, 60.5) months. There were 54 cases (10.7%) with MACE: 6 patients with cardiac death, 27 patients with non-fatal myocardial infarction, and 21 patients with late revascularization. The incidence of hypertension and hyperlipidemia in patients with MACE was significantly higher than that in patients without MACE (χ2 values: 4.126, 6.021, both P 80°), abnormal entropy(>58 J·mol-1·K-1) and SSS≥12 were independent risk factors for MACE (odds ratio(OR) values: 2.795(95% CI: 1.259-6.201), 3.213(95% CI: 1.468-7.029), 3.640 (95% CI: 1.999-6.628), all P 26.7°), abnormal PBW group and abnormal entropy group were 51.2%, 63.2% and 46.7%, which were significantly lower than those of normal PSD group (92.3%; χ2=77.768, P<0.05), normal PBW group (94.2%; χ2=77.741, P<0.05) and normal entropy group (92.8%; χ2=117.437, P<0.05). The 5-year cumulative MACE-free survival rate (31.7%) of patients with abnormal PBW and SSS≥12 was significantly lower than that of patients with normal PBW or patients with abnormal PBW and SSS<12 (80.1%-94.4%; χ2=185.4, P<0.01). The combination analysis of entropy and SSS showed similar results. \u0000 \u0000 \u0000Conclusions \u0000PBW and entropy obtained by GMPI phase analysis are independent risk factors for predicting MACE in coronary artery disease. GMPI phase analysis is useful for coronary artery disease risk stratification. \u0000 \u0000 \u0000Key words: \u0000Coronary artery disease; Prognosis; Myocardial perfusion imaging; Tomography, emission-computed, single-photon; Tomography, X-ray computed; Technetium Tc 99m sestamibi","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"136-141"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44372269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of 13N-NH3, 11C-MET and 18F-FDG PET/CT imaging in the diagnosis and evaluation of cerebral glioma 13N-NH3、11C-MET和18F-FDG在脑胶质瘤诊断和评价中的比较
Pub Date : 2020-03-25 DOI: 10.3760/CMA.J.CN321828-20190724-00141
Yali Long, Qiao He, Bing Zhang, Xinchong Shi, C. Yi
Objective To compare the application of 13N-NH3, 11C-methionine (MET) and 18F-fluorodeoxyglucose (FDG) PET/CT imaging in the diagnosis and evaluation of suspected cerebral glioma. Methods From September 2010 to December 2017, ninety patients (54 males, 36 females; age: (40.0±14.0) years) in the First Affiliated Hospital of Sun Yat-sen University with suspected glioma based on clinical diagnosis, who underwent 13N-NH3, 11C-MET and 18F-FDG PET/CT imaging, were prospectively enrolled in the study. All patients were confirmed by histology or clinical and radiological follow-up. Images were interpreted by visual evaluation (higher radioactive uptake in lesions than that in the contralateral normal brain parenchyma was considered as positive (+ ), equal/lower were considered as negative (-)) and semi-quantitative analysis (the maximum standardized uptake value (SUV) of lesion (L) to the mean SUV of normal white matter (WM) (L/WM ratio)). Receiver operating characteristic (ROC) curve analysis was used and the area under curves (AUCs) were calculated and compared. The diagnostic efficacies of 3 imaging methods and the combination for diagnosing gliomas and the abilities to differentiating high-grade gliomas (HGG) and low-grade gliomas (LGG) were compared. Results In 90 patients, 30 HGG, 27 LGG, 10 non-glioma brain tumors and 23 non-neoplastic lesions (NNL) were diagnosed. On visual evaluation, the sensitivities for differentiating tumors from NNL were 62.7%(42/67), 94.0%(63/67) and 35.8% (24/67) for 13N-NH3, 11C-MET and 18F-FDG PET/CT respectively, while the specificities were 95.7%(22/23), 56.5% (13/23) and 65.2% (15/23), and the accuracies were 71.1%(64/90), 84.4%(76/90) and 43.3% (39/90). Taking the metabolic patterns of + /+ /+ , + /+ /- and + /-/- (11C-MET/13N-NH3/18F-FDG) as the diagnosis standard of tumor lesions, the specificity and accuracy of the combined method increased to 73.9%(17/23) and 88.9%(80/90) with the sensitivity remaining the same (94.0%, 63/67). ROC curve analysis (L/WM) showed that the sensitivity, specificity and AUC were 64.2%(43/67), 100%(23/23) and 0.819 for 13N-NH3 PET/CT, and 89.6%(60/67), 69.6%(16/23) and 0.840 for 11C-MET PET/CT (z=-0.316, P>0.05). The accuracy for differentiating high and low grade glioma were 86.0% (49/57), 87.7%(50/57) and 93.0%(53/57) for 13N-NH3, 11C-MET and 18F-FDG PET/CT, with the AUC of 0.896, 0.928 and 0.964, respectively (z values: -0.554 to 1.334, all P>0.05). Conclusions 13N-NH3 PET/CT imaging has remarkably high specificity but low sensitivity for the differentiation of brain tumors from NNL. 11C-MET PET/CT imaging was found to be highly useful for detection of brain tumors. However, like 18F-FDG, high MET uptake is frequently observed in some NNL. 13N-NH3, 11C-MET and 18F-FDG PET/CT imaging all appear to be valuable for evaluating the histological grade of gliomas, and the combination of them is more useful for the accurate diagnosis of glioma. Key words: Glioma; Pos
目的比较13N-NH3、11c -蛋氨酸(MET)和18f -氟脱氧葡萄糖(FDG) PET/CT成像在疑似脑胶质瘤诊断和评价中的应用。方法2010年9月~ 2017年12月收治90例患者,其中男54例,女36例;年龄:(40.0±14.0)岁,临床诊断疑似神经胶质瘤,在中山大学第一附属医院行13N-NH3、11C-MET、18F-FDG PET/CT显像,前瞻性入选研究。所有患者均经组织学或临床及放射学随访证实。图像通过视觉评价(病变处放射性摄取高于对侧正常脑实质为阳性(+),等/低为阴性(-))和半定量分析(病变处最大标准化摄取值(SUV) (L)与正常白质(WM)平均SUV (L/WM比))进行解释。采用受试者工作特征(ROC)曲线分析,计算曲线下面积(auc)并进行比较。比较3种影像学方法及联合诊断胶质瘤的诊断效果及对高级别胶质瘤(HGG)与低级别胶质瘤(LGG)的鉴别能力。结果90例患者中,HGG 30例,LGG 27例,非胶质瘤脑肿瘤10例,非肿瘤性病变23例。在视觉上,13N-NH3、11C-MET和18F-FDG PET/CT对NNL鉴别的敏感性分别为62.7%(42/67)、94.0%(63/67)和35.8%(24/67),特异性分别为95.7%(22/23)、56.5%(13/23)和65.2%(15/23),准确率分别为71.1%(64/90)、84.4%(76/90)和43.3%(39/90)。以+ /+ /+、+ /+ /-和+ /- - (11C-MET/13N-NH3/18F-FDG)的代谢模式作为肿瘤病变的诊断标准,联合方法的特异性和准确性分别提高到73.9%(17/23)和88.9%(80/90),敏感性保持不变(94.0%,63/67)。ROC曲线分析(L/WM)显示,13N-NH3 PET/CT的敏感性、特异性和AUC分别为64.2%(43/67)、100%(23/23)和0.819,11C-MET PET/CT的敏感性、特异性和AUC分别为89.6%(60/67)、69.6%(16/23)和0.840 (z=-0.316, P < 0.05)。13N-NH3、11C-MET和18F-FDG PET/CT对高、低级别胶质瘤的鉴别准确率分别为86.0%(49/57)、87.7%(50/57)和93.0%(53/57),AUC分别为0.896、0.928和0.964 (z值:-0.554 ~ 1.334,P值均为0.05)。结论13N-NH3 PET/CT对脑肿瘤与NNL的鉴别具有明显的高特异性和低敏感性。11C-MET PET/CT对脑肿瘤的检测有很高的应用价值。然而,像18F-FDG一样,在一些NNL中经常观察到高MET摄取。13N-NH3、11C-MET和18F-FDG PET/CT显像对胶质瘤的组织学分级均有价值,两者结合更有助于胶质瘤的准确诊断。关键词:胶质瘤;正电子发射断层扫描;断层扫描,x射线计算机;氨;蛋氨酸;脱氧葡萄糖
{"title":"Comparison of 13N-NH3, 11C-MET and 18F-FDG PET/CT imaging in the diagnosis and evaluation of cerebral glioma","authors":"Yali Long, Qiao He, Bing Zhang, Xinchong Shi, C. Yi","doi":"10.3760/CMA.J.CN321828-20190724-00141","DOIUrl":"https://doi.org/10.3760/CMA.J.CN321828-20190724-00141","url":null,"abstract":"Objective \u0000To compare the application of 13N-NH3, 11C-methionine (MET) and 18F-fluorodeoxyglucose (FDG) PET/CT imaging in the diagnosis and evaluation of suspected cerebral glioma. \u0000 \u0000 \u0000Methods \u0000From September 2010 to December 2017, ninety patients (54 males, 36 females; age: (40.0±14.0) years) in the First Affiliated Hospital of Sun Yat-sen University with suspected glioma based on clinical diagnosis, who underwent 13N-NH3, 11C-MET and 18F-FDG PET/CT imaging, were prospectively enrolled in the study. All patients were confirmed by histology or clinical and radiological follow-up. Images were interpreted by visual evaluation (higher radioactive uptake in lesions than that in the contralateral normal brain parenchyma was considered as positive (+ ), equal/lower were considered as negative (-)) and semi-quantitative analysis (the maximum standardized uptake value (SUV) of lesion (L) to the mean SUV of normal white matter (WM) (L/WM ratio)). Receiver operating characteristic (ROC) curve analysis was used and the area under curves (AUCs) were calculated and compared. The diagnostic efficacies of 3 imaging methods and the combination for diagnosing gliomas and the abilities to differentiating high-grade gliomas (HGG) and low-grade gliomas (LGG) were compared. \u0000 \u0000 \u0000Results \u0000In 90 patients, 30 HGG, 27 LGG, 10 non-glioma brain tumors and 23 non-neoplastic lesions (NNL) were diagnosed. On visual evaluation, the sensitivities for differentiating tumors from NNL were 62.7%(42/67), 94.0%(63/67) and 35.8% (24/67) for 13N-NH3, 11C-MET and 18F-FDG PET/CT respectively, while the specificities were 95.7%(22/23), 56.5% (13/23) and 65.2% (15/23), and the accuracies were 71.1%(64/90), 84.4%(76/90) and 43.3% (39/90). Taking the metabolic patterns of + /+ /+ , + /+ /- and + /-/- (11C-MET/13N-NH3/18F-FDG) as the diagnosis standard of tumor lesions, the specificity and accuracy of the combined method increased to 73.9%(17/23) and 88.9%(80/90) with the sensitivity remaining the same (94.0%, 63/67). ROC curve analysis (L/WM) showed that the sensitivity, specificity and AUC were 64.2%(43/67), 100%(23/23) and 0.819 for 13N-NH3 PET/CT, and 89.6%(60/67), 69.6%(16/23) and 0.840 for 11C-MET PET/CT (z=-0.316, P>0.05). The accuracy for differentiating high and low grade glioma were 86.0% (49/57), 87.7%(50/57) and 93.0%(53/57) for 13N-NH3, 11C-MET and 18F-FDG PET/CT, with the AUC of 0.896, 0.928 and 0.964, respectively (z values: -0.554 to 1.334, all P>0.05). \u0000 \u0000 \u0000Conclusions \u000013N-NH3 PET/CT imaging has remarkably high specificity but low sensitivity for the differentiation of brain tumors from NNL. 11C-MET PET/CT imaging was found to be highly useful for detection of brain tumors. However, like 18F-FDG, high MET uptake is frequently observed in some NNL. 13N-NH3, 11C-MET and 18F-FDG PET/CT imaging all appear to be valuable for evaluating the histological grade of gliomas, and the combination of them is more useful for the accurate diagnosis of glioma. \u0000 \u0000 \u0000Key words: \u0000Glioma; Pos","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"159-165"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44469422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experimental study of 99Tcm-3PRGD2 targeted receptor imaging on angiogenesis in rheumatoid arthritis 99Tcm-3PRGD2靶向受体显像对类风湿性关节炎血管生成的实验研究
Pub Date : 2020-03-25 DOI: 10.3760/CMA.J.CN321828-20190923-00208
Yun-long Su
Objective To investigate the feasibility of 99Tcm-hydrazinonicotinamide-(poly-(ethylene glycol))4-E[(poly-(ethylene glycol))4-c((Arg-Gly-Asp)fK)]2 (3PRGD2) in the early diagnosis of rheumatoid arthritis (RA). Methods Sixty female Wistar rats were divided into control group (n=10; injected with saline of 0.3 ml/piece) and collagen-induced arthritis (CIA) group (n=50; injected with type Ⅱ collagen emulsion of 0.3 ml/piece). Rats in 2 groups were subjected to 99Tcm-3PRGD2 planar imaging before modeling, 25 and 45 d after modeling. The changes of the target/non-target ratio (T/NT) of the lesion joint and mediastinum before and after modeling were measured and analyzed in CIA rats, and compared with rats in control group. Pathological examination was conducted. Repeated measures analysis of variance and independent-sample t test were used to analyze the data. Results Thirty-two rats in CIA group were successfully established, and obvious synovitis and synovial thickening, neovascularization were observed in the images. The T/NT of diseased joints in CIA group before modeling, 25 and 45 d after modeling were 0.158±0.023, 0.402±0.144, and 0.705±0.163 (F=286.924, P<0.01). The T/NT of diseased joints at 25 and 45 d after modeling were significantly different from those of control group (0.160±0.028 and 0.158±0.032; t values: -10.484 and -20.917, both P<0.01). Immunohistochemistry results showed positive expressions of vascular endothelial growth factor, αvβ3 and tumor necrosis factor-α in the synovial tissue in of diseased joints in rats of CIA group. Conclusion 99Tcm-3PRGD2 has high sensitivity for joint synovial neovascularization in rat rheumatoid arthritis models and is expected to be used for early diagnosis of RA. Key words: Arthritis, rheumatoid; Neovascularization, pathologic; Radionuclide imaging; Arginine-glycine-aspartic acid; Rats
目的探讨99Tcm肼基亚甲酰胺-(聚乙二醇)4-E[(聚乙二醇)-4-c(Arg-Gly-Asp)fK)]2(3PRGD2)在类风湿性关节炎(RA)早期诊断中的可行性。方法雌性Wistar大鼠60只,分为对照组(n=10,注射生理盐水0.3ml/只)和胶原诱导性关节炎(CIA)组(n=50,注射Ⅱ型胶原乳液0.3ml/支)。两组大鼠在建模前、建模后25天和45天接受99Tcm-3PRGD2平面成像。测量分析CIA大鼠模型建立前后病变关节和纵隔靶/非靶比值(T/NT)的变化,并与对照组大鼠进行比较。进行病理检查。采用重复测量方差分析和独立样本t检验对数据进行分析。结果CIA组成功建立32只大鼠滑膜,图像中可见明显的滑膜炎和滑膜增厚、新生血管形成。CIA组在造模前、造模后25和45d病变关节的T/NT分别为0.158±0.023、0.402±0.144、0.403±0.144,病变关节在造模后第25天和第45天的T/NT与对照组比较有显著性差异(0.160±0.028和0.158±0.032;T值分别为-10.484和-20.917,均P<0.01),αvβ3和肿瘤坏死因子-α表达。结论99Tcm-3PRGD2对大鼠类风湿性关节炎模型关节滑膜新生血管形成具有较高的敏感性,有望用于RA的早期诊断。关键词:关节炎、类风湿;新生血管,病理性;放射性核素成像;精氨酸-甘氨酸-天冬氨酸;大鼠
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引用次数: 0
18F-FDG PET/CT imaging of a case of intravascular large B-cell lymphoma 血管内大b细胞淋巴瘤1例的18F-FDG PET/CT成像
Pub Date : 2020-03-25 DOI: 10.3760/CMA.J.CN321828-20190709-00128
Xuetao Chen
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引用次数: 0
期刊
中华核医学与分子影像杂志
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