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Experimental study of SPECT imaging with novel myocardial perfusion imaging tracer: 99Tcm-3SPboroxime 新型心肌灌注显像示踪剂99Tcm-3SPboroxime SPECT显像的实验研究
Pub Date : 2020-02-25 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.002
Xiao-Ying Xi, Zongyao Zhang, Lixia Zhang, Kai Han, Zuoquan Zhao
Objective To assess the superiority of 99Tcm-3SPboroxime (99Tcm-3SP for short) as a fast-myocardial perfusion imaging (MPI) tracer in normal and acute myocardial infarction (AMI) mini-swine. Methods 99Tcm-3SP and 99Tcm-Teboroxime (99Tcm-TEBO for short) were prepared. Approximately 370 MBq 99Tcm-3SP or 99Tcm-TEBO was injected intravenously in 2 healthy mini-swine separately. Dynamic planar images were acquired immediately after injection and continued for 20 min using a standard SPECT camera. The radioactivity uptakes in the heart, liver, and lungs were measured, and heart/liver and heart/lung ratios over time were calculated. Dynamic SPECT studies were performed in 4 normal swine and 1 AMI-swine using cadmium zinc telluride-SPECT (CZT-SPECT). List mode acquisitions were immediately started and continued for 15 min after intravenous injection of approximately 370 MBq 99Tcm-TEBO and 99Tcm-3SP. The injection of two radiotracers in the same swine was completed within 2 d. The radioactivity uptakes in heart and liver were measured, and heart/liver ratio was calculated. Image quality was also evaluated. Paired t test was used to analyze the data. Results The radiochemical purity of 99Tcm-TEBO or 99Tcm-3SP were both above 95%. The initial heart uptake of 99Tcm-3SP was very close to that of 99Tcm-TEBO (planar image, 2 min postinjection: 309.32×103vs 314.13×103 counts/MBq; SPECT image, 2 min postinjection (corrected): 7.96±0.87 vs 8.24±1.53, t=0.277, P>0.05), but the myocardial retention time was much longer than that of 99Tcm-TEBO (planar image, 20 min postinjection: 218.67×103vs 143.19×103 counts/MBq; SPECT image, 15 min postinjection (corrected): 6.76±0.45 vs 5.06±0.33, t=-12.412, P=0.001). The uptake of liver and heart/liver ratio between 99Tcm-TEBO and 99Tcm-3SP were similar (t values: -1.332-1.101, all P>0.05 within 15 min). SPECT MPI images demonstrated uniform tracer distribution with clearly visualizable myocardial boundary in normal myocardium and intense perfusion defect in infarct myocardium. High quality SPECT images could be obtained in any of the 5 min imaging windows over the first 15 min after injection of 99Tcm-3SP in normal swine and AMI-swine. Conclusion 99Tcm-3SP is a promising 99Tcm-labeled radiotracer for fast-MPI considering its high heart uptake, long myocardial retention time (20 min postinjection) and superior SPECT image quality. Key words: Myocardial perfusion imaging; Oximes; Boronic acids; Technetium; Tomography, emission-computed, single-photon; Swine
目的评价99Tcm-3SP作为快速心肌灌注显像(MPI)示踪剂在正常和急性心肌梗死(AMI)小型猪中的优越性。方法制备99Tcm-3SP和99Tcm-Teboroxine(简称99Tcm-TEBO)。在2头健康迷你猪中分别静脉注射约370MBq99Tcm-3SP或99Tcm-TEBO。注射后立即采集动态平面图像,并使用标准SPECT相机持续20分钟。测量心脏、肝脏和肺部的放射性吸收,并计算心脏/肝脏和心脏/肺部随时间的比值。使用碲化镉锌SPECT(CZT-SPECT)对4头正常猪和1头AMI猪进行了动态SPECT研究。立即开始列表模式采集,并在静脉注射约370MBq 99Tcm-TEBO和99Tcm-3SP后持续15分钟。两种放射性示踪剂在同一头猪体内的注射在2天内完成。测量心脏和肝脏的放射性吸收,并计算心脏/肝脏比率。还对图像质量进行了评估。采用配对t检验对数据进行分析。结果99Tcm-TEBO和99Tcm-3SP的放射化学纯度均在95%以上。99Tcm-3SP的初始心脏摄取与99Tcm-TEBO非常接近(平面图像,注射后2分钟:309.32×103vs 314.13×103计数/MBq;SPECT图像,注射2分钟(校正):7.96±0.87 vs 8.24±1.53,t=0.277,P>0.05),但心肌滞留时间远长于99Tcm-TEBO(平面图,注射后20min:21.867×103vs143.19×103计数/MBq;SPECT图像,注射后15min(校正):6.76±0.45 vs 5.06±0.33,t=-12.412,P=0.001)。SPECT MPI图像显示示踪剂分布均匀,在正常心肌中具有清晰可见的心肌边界,在梗死心肌中具有强烈的灌注缺陷。在正常猪和AMI猪中注射99Tcm-3SP后的前15分钟内,可以在5分钟成像窗口中的任何一个中获得高质量SPECT图像。结论99Tcm-3SP是一种有前途的99Tcm标记的快速MPI放射性示踪剂,因为它具有高的心脏摄取、长的心肌滞留时间(注射后20min)和优越的SPECT图像质量。关键词:心肌灌注成像;氧化物;硼酸;锝;层析成像,发射计算机,单光子;猪
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引用次数: 0
18F-FDG PET/CT imaging in primary small cell neuroendocrine carcinoma of vagina: a case report 原发性阴道小细胞神经内分泌癌18F-FDG PET/CT显像1例
Pub Date : 2020-02-25 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.008
T. Chen
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引用次数: 0
Application of radionuclide myocardial perfusion imaging in patients with chronic kidney disease 放射性核素心肌灌注显像在慢性肾病患者中的应用
Pub Date : 2020-02-25 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.011
Momo Sun
Cardiovascular disease is the leading cause of death in patients with chronic kidney disease (CKD) or even those after renal transplantation. Radionuclide myocardial perfusion imaging (MPI) is an available way to predict cardiac events and make risk stratification for CKD patients with cardiovascular diseases. Early detection and individualized treatment of patients with high-risk of cardiac events by MPI can prevent myocardial infarction and heart failure, thus improving the survival rate of this population. This article reviews the application of MPI in patients with CKD. Key words: Nephrosis; Chronic disease; Myocardial perfusion imaging; Trends
心血管疾病是慢性肾脏疾病(CKD)患者甚至肾移植术后患者死亡的主要原因。放射性核素心肌灌注成像(MPI)是CKD合并心血管疾病患者预测心脏事件和进行风险分层的有效方法。通过MPI对心脏事件高危患者进行早期发现和个体化治疗,可以预防心肌梗死和心力衰竭,从而提高该人群的生存率。本文就MPI在CKD患者中的应用进行综述。关键词:肾病;慢性疾病;心肌灌注显像;趋势
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引用次数: 0
Risk factors and survival analysis of iodine tolerance in distant metastatic thyroid cancer 远处转移性甲状腺癌碘耐受的危险因素及生存分析
Pub Date : 2020-02-25 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.007
H. Xia, Min Wu, Z. Dong
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引用次数: 0
Value of non-contrast-enhanced MR angiography combined with captopril renal scintigraphy in the diagnosis of renovascular hypertension 非增强MR血管造影联合卡托普利肾显像对肾血管性高血压的诊断价值
Pub Date : 2020-02-25 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.005
Li-gen Duan, Xiemei Ruan, Xinyu Wu, Junling Xu
Objective To evaluate the clinical value of non-contrast-enhanced MR angiography (NCE-MRA) combined with captopril renal scintigraphy (CRS) in the diagnosis of renovascular hypertension (RVH). Methods A total of 52 patients (33 males, 19 females; age: (54.5±16.3) years) with highly suspected RVH between January 2018 and October 2018 from Henan Provincial People′s Hospital were retrospectively analyzed. The examination data of NCE-MRA, basic renal dynamic imaging, CRS and digital subtraction angiography (DSA) were collected and reviewed. The renal artery stenosis (RAS) rate≥70% was the criterion for RVH diagnosed by DSA, which was considered as the gold standard. The diagnostic sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV) of NCE-MRA, CRS and NCE-MRA+ CRS were determined. The consistency between NCE-MRA and DSA was analyzed by Kappa test. The differences of diagnostic efficiencies between CRS and NCE-MRA + CRS were compared by χ2 test or Fisher exact test. Results There was a high consistency between NCE-MRA and DSA in the diagnosis of RVH (Kappa=0.81, 95% CI: 0.62-0.96; P<0.01). The diagnostic sensitivity, specificity, accuracy, PPV and NPV of NCE-MRA were 88.89%(24/27), 92.00%(23/25), 90.38%(47/52), 92.31%(24/26), and 88.46%(23/26) respectively, those of CRS were 81.48%(22/27), 72.00%(18/25), 76.92%(40/52), 75.86%(22/29) and 78.26%(18/23) respectively, and those of NCE-MRA+ CRS were 74.07%(20/27), 100%(25/25), 86.54%(45/52), 100%(20/20) and 78.12%(25/32) respectively. Compared with CRS, the specificity (P=0.01) and PPV (P=0.03) of NCE-MRA+ CRS in the diagnosis of RVH were increased. Conclusion NCE-MRA and CRS are effective in the diagnosis of RVH, and the combination of two methods can significantly improve the diagnostic specificity and PPV than CRS alone. Key words: Hypertension, renovascular; Radionuclide imaging; Captopril; Technetium Tc 99m pentetate; Magnetic resonance imaging
目的探讨非对比增强MR血管造影(NCE-MRA)联合卡托普利肾显像(CRS)诊断肾血管性高血压(RVH)的临床价值。方法52例患者(男33例,女19例;回顾性分析2018年1月至2018年10月河南省人民医院收治的高度疑似RVH患者(54.5±16.3)岁。收集并复习NCE-MRA、基本肾动态成像、CRS、数字减影血管造影(DSA)的检查资料。肾动脉狭窄(RAS)率≥70%为DSA诊断RVH的标准,作为金标准。测定NCE-MRA、CRS及NCE-MRA+ CRS的诊断敏感性、特异性、准确性、阳性预测值(PPV)和阴性预测值(NPV)。采用Kappa检验分析NCE-MRA与DSA的一致性。采用χ2检验或Fisher精确检验比较CRS与NCE-MRA + CRS诊断效率的差异。结果NCE-MRA与DSA诊断RVH的一致性较高(Kappa=0.81, 95% CI: 0.62 ~ 0.96;P < 0.01)。NCE-MRA的诊断敏感性、特异性、准确性、PPV和NPV分别为88.89%(24/27)、92.00%(23/25)、90.38%(47/52)、92.31%(24/26)和88.46%(23/26),CRS的诊断敏感性、特异性、准确性、PPV和NPV分别为81.48%(22/27)、72.00%(18/25)、76.92%(40/52)、75.86%(22/29)和78.26%(18/23),NCE-MRA+ CRS的诊断敏感性、特异性、准确性和PPV、NPV分别为74.07%(20/27)、100%(25/25)、86.54%(45/52)、100%(20/20)和78.12%(25/32)。与CRS相比,NCE-MRA+ CRS诊断RVH的特异性(P=0.01)和PPV (P=0.03)均有所提高。结论NCE-MRA和CRS对RVH的诊断是有效的,两种方法联合使用比单独CRS可显著提高诊断特异性和PPV。关键词:高血压;肾血管性;放射性核素成像;卡托普利;锝Tc 99m渗透;磁共振成像
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引用次数: 0
Protection management and procedures of nuclear medicine imaging during novel coronavirus (2019-nCov) infection epidemic period 新型冠状病毒(2019-nCov)感染流行期核医学影像的防护管理与程序
Pub Date : 2020-02-07 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.010
X. Lan, Xun Sun, C. Qin, W. Ruan, Jia Hu, J. Lin, Fan Hu, Ting Wang, Xiaotian Xia, Yongxue Zhang, R. An, Zairong Gao, Yan-yan Wu, L. Xiong
At the end of December 2019, acute respiratory infectious diseases caused by a new type of coronavirus were prevalent in Wuhan and other cities of China. Different from radiology examinations, the protocols of nuclear medical imaging examinations are complicated, in which more workplaces and staff are needed, resulting more complex management of patients and higher protection requirements. Combined with the characteristics of SPECT and PET imaging procedures, this paper puts forward some suggestions on the protective process of imaging examinations for patients with confirmed or suspected noval coronavirus infec- tion. The main purpose is to protect medical staff from virus infection, effectively reduce the risk of virus transmission during the examination process, and ensure the medical quality and safety. Key words: Coronavirus infections; Nuclear medicine; Protection and control
2019年12月底,由新型冠状病毒引起的急性呼吸道传染病在武汉和中国其他城市流行。与放射学检查不同,核医学成像检查的方案复杂,需要更多的工作场所和工作人员,导致患者管理更加复杂,防护要求更高。结合SPECT和PET成像程序的特点,对确诊或疑似新型冠状病毒感染患者的成像检查保护过程提出了一些建议。主要目的是保护医护人员免受病毒感染,有效降低检查过程中病毒传播的风险,确保医疗质量和安全。关键词:冠状病毒感染;核医学;保护和控制
{"title":"Protection management and procedures of nuclear medicine imaging during novel coronavirus (2019-nCov) infection epidemic period","authors":"X. Lan, Xun Sun, C. Qin, W. Ruan, Jia Hu, J. Lin, Fan Hu, Ting Wang, Xiaotian Xia, Yongxue Zhang, R. An, Zairong Gao, Yan-yan Wu, L. Xiong","doi":"10.3760/CMA.J.ISSN.2095-2848.2020.02.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-2848.2020.02.010","url":null,"abstract":"At the end of December 2019, acute respiratory infectious diseases caused by a new type of coronavirus were prevalent in Wuhan and other cities of China. Different from radiology examinations, the protocols of nuclear medical imaging examinations are complicated, in which more workplaces and staff are needed, resulting more complex management of patients and higher protection requirements. Combined with the characteristics of SPECT and PET imaging procedures, this paper puts forward some suggestions on the protective process of imaging examinations for patients with confirmed or suspected noval coronavirus infec- tion. The main purpose is to protect medical staff from virus infection, effectively reduce the risk of virus transmission during the examination process, and ensure the medical quality and safety. \u0000 \u0000Key words: \u0000Coronavirus infections; Nuclear medicine; Protection and control","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"105-107"},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46426462","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: 3
Value of pathogenic diagnosis of 18F-FDG PET/CT imaging in non-traumatic unilateral vocal cord paralysis 18F-FDG PET/CT显像对非创伤性单侧声带麻痹的病因诊断价值
Pub Date : 2020-01-25 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.01.004
Jiong Zheng
Objective To evaluate the diagnostic value of 18F-fluorodeoxyglucose (FDG) PET/CT imaging in non-traumatic unilateral vocal cord paralysis (UVCP) and compare the radioactive uptake in different lesions. Methods Clinical data of 62 patients (49 males, 13 females; age: (61.7±12.8) years) with non-traumatic UVCP (43 cases of left vocal cord paralysis and 19 cases of right) admitted to Ji′an Hospital from January 2016 to December 2018 were analyzed retrospectively. Pathological results, imaging or follow-up results were considered as the standard of final diagnosis. The diagnostic efficacy of PET/CT imaging for the primary cause was analyzed. The maximum standardized uptake values (SUVmax) of vocal cord in patients with different etiology were compared by independent-sample t test. Results According to the final diagnosis, the primary causes of UVCP were as follows: malignant tumors (n=44), inflammation (n=16), glomus jugulare tumor (n=1) and idiopathic UVCP (n=1). The diagnostic accuracy of PET/CT imaging for the primary cause was 90.32%(56/62): 44 cases were correctly diagnosed as malignant tumors, while 11 cases as inflammation, and 1 case as glomus jugulare tumor. Among 62 patients, 29 patients had increased SUVmax in the affected side (direct invasion group; further divided into tumor group (n=12) and non-tumor group (n=17)), and other 33 patients had increased SUVmax in the healthy side (indirect invasion group). SUVmax of the affected vocal cord in direct invasion group was higher than that in the healthy side (9.97±5.21 vs 2.43±0.62; t=8.14, P 0.05). Conclusions 18F-FDG PET/CT imaging has high diagnostic value in pathogenic diagnosis of non-traumatic UVCP. The different radioactive uptake of vocal cords in the affected side and the healthy side provides more accurate etiological information for clinical analysis. Key words: Vocal cord paralysis; Positron-emission tomography; Tomography, X-ray computed; Deoxyglucose
目的探讨18f -氟脱氧葡萄糖(FDG) PET/CT对非外伤性单侧声带麻痹(UVCP)的诊断价值,并比较不同病变的放射性摄取情况。方法62例患者的临床资料(男49例,女13例;回顾性分析2016年1月至2018年12月吉安医院收治的非外伤性UVCP患者(61.7±12.8)岁,其中左声带麻痹43例,右声带麻痹19例。病理结果、影像学或随访结果作为最终诊断的标准。分析PET/CT对主要病因的诊断效果。采用独立样本t检验比较不同病因患者声带最大标准化摄取值(SUVmax)。结果经最终诊断,UVCP的主要病因为:恶性肿瘤44例,炎症16例,颈静脉球瘤1例,特发性UVCP 1例。PET/CT对原发病因的诊断正确率为90.32%(56/62),其中恶性肿瘤44例,炎症11例,颈静脉球瘤1例。62例患者中,29例患者患侧SUVmax增高(直接侵袭组;进一步分为肿瘤组(n=12)和非肿瘤组(n=17),其余33例患者在健康侧(间接侵袭组)出现SUVmax增高。直接侵犯组患声带SUVmax高于健侧组(9.97±5.21 vs 2.43±0.62);t=8.14, p0.05)。结论18F-FDG PET/CT在非外伤性UVCP的病因诊断中具有较高的诊断价值。患侧和健康侧声带放射性摄取的差异为临床分析提供了更准确的病因信息。关键词:声带麻痹;正电子发射断层扫描;断层扫描,x射线计算机;脱氧葡萄糖
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引用次数: 0
Characteristics of primary mediastinal large B-cell lymphoma in 18F-FDG PET/CT imaging 原发性纵隔大b细胞淋巴瘤的18F-FDG PET/CT影像特征
Pub Date : 2020-01-25 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.01.001
Yangyang Li, Zhe Guo, Tiannyu Li, Li-jun Tang, L. Fan, C. Ding
Objective To investigate the characteristics of primary mediastinal large B-cell lymphoma (PMBL) in 18F-fluorodeoxyglucose (FDG) PET/CT imaging. Methods From July 2010 to April 2019, 18F-FDG PET/CT images of 27 patients (10 males, 17 females, median age 31 (19-57) years) with pathologically confirmed PMBL from the First Affiliated Hospital of Nanjing Medical University were retrospectively analyzed. The location, shape, density, presence of necrosis and calcification, and invasion around or beyond the lesions were observed. The maximum standardized uptake value (SUVmax), metabolic tumor volume (MTV) and total lesion glycolysis (TLG) were measured by automatic segmentation algorithm method. Spearman correlation analysis was used to evaluate the correlation between SUVmax or MTV or TLG and the maximum diameter or Ann Arbor staging. Results The lesions appeared as anterior mediastinal huge masses in 27 patients, and grew in the anterior mediastinal cross-regionally in 25 patients, lobulated at the edge in 24 patients. Low-density necrosis lesions were found in 18 patients. The lesions were surrounded by large blood vessels in 15 patients and tracheae were compressed in 12 patients. Lung tissues were invaded in 3 patients, abdominal lymph nodes and bone marrow were invaded in 1 patient, and no splenomegaly was found in 27 patients. The maximum diameter, SUVmax, MTV and TLG were (11.6±3.7) cm, 21.07 (15.78, 25.09), 190.43 (130.14, 350.75) cm3 and 2 165.54 (1 465.86, 4 185.21) g, respectively. There was no correlation between SUVmax and the maximum diameter of lesions (rs=-0.305, P=0.122), while MTV and TLG were positively correlated with the maximum diameter (rs values: 0.741, 0.532, both P 0.05). Conclusions PMBL mostly presents as large anterior mediastinal mass with the high 18F-FDG uptake in 18F-FDG PET/CT imaging, and the focal necrosis is common, while abdominal lymph nodes, spleen and bone marrow invasion are rare. MTV and TLG of lesions positively correlate with Ann Arbor staging. Key words: Lymphoma, large B-cell, diffuse; Mediastinum; Positron-emission tomography; Tomography, X-ray computed; Deoxyglucose
目的探讨原发性纵隔大B细胞淋巴瘤(PMBL)的18F-氟脱氧葡萄糖(FDG)PET/CT显像特点。方法回顾性分析2010年7月至2019年4月南京医科大学附属第一医院27例经病理证实的PMBL患者(男10例,女17例,中位年龄31(19-57)岁)的18F-FDG PET/CT图像。观察病变的位置、形状、密度、坏死和钙化的存在,以及病变周围或以外的侵袭。采用自动分割算法测量最大标准化摄取值(SUVmax)、代谢肿瘤体积(MTV)和总病变糖酵解(TLG)。Spearman相关分析用于评估SUVmax、MTV或TLG与最大直径或Ann Arbor分期之间的相关性。结果27例患者病变表现为前纵隔巨大肿块,25例患者病变在前纵隔跨区域生长,24例患者病变边缘分叶。18例患者出现低密度坏死灶。病变被大血管包围15例,气管受压12例。肺组织侵犯3例,腹腔淋巴结和骨髓侵犯1例,27例未发现脾肿大。最大直径、SUVmax、MTV和TLG分别为(11.6±3.7)cm、21.07(15.78,25.09)、190.43(130.14350.75)cm3和2165.54(1465.86,4185.21)g。SUVmax与病变最大直径无相关性(rs=0.305,P=0.122),而MTV和TLG与最大直径呈正相关(rs值:0.741,0.532,均P 0.05),脾脏和骨髓侵犯是罕见的。病变的MTV和TLG与Ann Arbor分期呈正相关。关键词:淋巴瘤,大B细胞,弥漫性;纵隔;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
The clinical value of combined 68Ga-SSA/18F-FDG PET/CT imaging in neuroendocrine neoplasms 68Ga-SSA/18F-FDG PET/CT联合成像在神经内分泌肿瘤中的临床价值
Pub Date : 2020-01-25 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.01.012
Shuai Zhao, Chao Cheng
Neuroendocrine neoplasms (NEN) are tumors that originate from neuroendocrine cells or peptidergic neurons. NEN can be found in a variety of organs with high heterogeneity in pathology and large difference in prognosis. Conventional imaging methods and pathological biopsy have important roles in the diagnosis of NEN, while both of them have limitations. Most NEN cells highly express several peptide receptors, especially somatostatin receptors (SSTR). Moreover, some of them have high glycolysis activity because of high proliferative activity. 68Ga-somatostatin analogs (68Ga-SSA) combined with 18F-fluorodeoxyglucose (18F-FDG) PET/CT imaging can comprehensively evaluate both the expression of SSTR and the activity of glycolysis in NEN, providing effective information for diagnosis, treatment, monitoring and prognosis. This review summarizes the current studies of combined 68Ga-SSA/18F-FDG PET/CT imaging in patients with NEN. Key words: Neuroendocrine tumors; Somatostatin; Gallium radioisotopes; Positron-emission tomography; Tomography, X-ray computed; Deoxyglucose; Trends
神经内分泌肿瘤(NEN)是起源于神经内分泌细胞或肽能神经元的肿瘤。NEN可在多种器官中发现,病理学异质性高,预后差异大。传统的影像学方法和病理活检在NEN的诊断中具有重要作用,但两者都有局限性。大多数NEN细胞高度表达几种肽受体,尤其是生长抑素受体(SSTR)。此外,它们中的一些由于具有高增殖活性而具有高糖酵解活性。68Ga生长抑素类似物(68Ga-SSA)与18F-氟脱氧葡萄糖(18F-FDG)PET/CT显像相结合,可以综合评价NEN中SSTR的表达和糖酵解活性,为诊断、治疗、监测和预后提供有效信息。本文综述了68Ga-SSA/18F-FDG PET/CT联合成像在NEN患者中的研究进展。关键词:神经内分泌肿瘤;生长抑素;镓放射性同位素;正电子发射断层扫描;层析成像,X射线计算机;脱氧葡萄糖;趋势
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引用次数: 0
Brain glucose metabolism network and connectivity in patients with somatoform disorders 体型障碍患者的脑糖代谢网络和连接性
Pub Date : 2020-01-25 DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.01.002
Zhiwei Pan, Jianfei Xiao, Qi Huang, Donglang Jiang, Shuhua Ren, Y. Guan, F. Xie, Da-liang Sun, Fengchun Hua
Objective To observe the alteration of brain glucose metabolic network in patients with somatoform disorders (SFD). Methods 18F-fluorodeoxyglucose (FDG) PET images of 18 SFD patients (10 males, 8 females; age: (39.5±12.0) years; illness duration: (3.67±3.20) years) and 21 matched healthy controls (13 males, 8 females; age: (43.9±8.4) years) in Huashan Hospital of Fudan University from October 2011 to December 2012 were enrolled to construct the brain glucose metabolic networks for 2 groups (SFD group, control group) respectively. Then the global network properties (normalized clustering coefficient, normalized shortest path length, small-worldness and global efficiency) and local parameters (clustering coefficient and betweenness centrality of the node) were calculated using the graph theory. Differences between 2 groups were compared by permutation test with 1 000 permutations. The top 20% (18/90) were classified as Hub nodes based on the results of clustering coefficient and betweenness centrality of the node. Results Small-worldness of SFD patients was similar to that of healthy controls (σ>1). There were decreased tendency in normalized clustering coefficient and global efficiency, and increased tendency in normalized shortest path length in SFD patients, but without significant differences (P>0.05). Compared to healthy controls, the betweenness centrality of left pallidum, left amygdala, left precuneus and right angular gyrus increased (permutation test, P<0.05); the betweenness centrality of left middle temporal gyrus, right superior occipital gyrus decreased (permutation test, P<0.05); the clustering coefficients of bilateral pallidum, bilateral thalamus, and left amygdala decreased (permutation test, P<0.05). Most changed Hub nodes (16/24) belonged to limbic system. Conclusion The changes of topological properties of brain glucose metabolic network in SFD patients including the decreased tendency of small-worldness and global efficiency, as well as the altered Hub nodes, may provide valid imaging evidences for brain dysfunction of somatization symptoms. Key words: Somatoform disorders; Metabolic networks and pathways; Brain; Positron-emission tomography; Deoxyglucose
目的观察躯体形式障碍(SFD)患者脑葡萄糖代谢网络的变化。方法18例SFD患者(男10例,女8例,年龄(39.5±12.0)岁;病程:(3.67±3.20)年)和复旦大学华山医院2011年10月至2012年12月21名匹配的健康对照(男13名,女8名,年龄:(43.9±8.4)岁),分别构建2组(SFD组、对照组)的脑葡萄糖代谢网络。然后使用图论计算全局网络属性(归一化聚类系数、归一化最短路径长度、小世界性和全局效率)和局部参数(聚类系数和节点的介数中心性)。通过1000个排列的排列检验比较两组之间的差异。根据节点的聚类系数和介数中心性结果,前20%(18/90)被归类为Hub节点。结果SFD患者的小世界性与健康对照组相似(σ>1)。SFD患者的归一化聚类系数和整体效率有降低的趋势,归一化最短路径长度有增加的趋势,但差异无统计学意义(P>0.05)。与健康对照组相比,左苍白球、左杏仁核、左楔前叶和右角回的介数中心性增加(排列检验,P<0.05);左颞中回、右枕上回介数中心性降低(排列检验,P<0.05);双侧苍白球、双侧丘脑和左侧杏仁核的聚类系数降低(排列检验,P<0.05),改变最多的Hub节点(16/24)属于边缘系统。结论SFD患者脑葡萄糖代谢网络拓扑性质的变化,包括小世界性和全局效率的下降趋势,以及Hub节点的改变,可能为躯体化症状的脑功能障碍提供有效的影像学证据。关键词:躯体形式障碍;代谢网络和途径;大脑;正电子发射断层扫描;脱氧葡萄糖
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中华核医学与分子影像杂志
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