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Does the Use of IV Contrast Enhanced CT for Attenuation Correction Affect Clinical Interpretation of Head and Neck PET/CT? 使用静脉增强CT进行衰减校正会影响头颈部PET/CT的临床解释吗?
Pub Date : 2011-09-14 DOI: 10.2174/1876388X01103010012
L. Hall, A. Struck, Christopher Guglielmo, C. Jaskowiak, Michael A. Wilson, S. Perlman
Purpose of Report: Evaluate the effect of IV contrast use with FDG PET/CT on clinical interpretation of PET images for head and neck cancer. Procedures: 20 consecutive patients referred for PET/CT and contrast enhanced CT of the head and neck had two sets of PET images obtained. One set used standard low dose CT for attenuation correction, and the other used IV contrast enhanced diagnostic quality CT for attenuation correction. Two blinded nuclear medicine physicians interpreted the results. Results: No statistically significant difference in clinical interpretation of the PET images was found. It was noted that PET scans attenuation corrected with IV contrast CTs had greater incidence of abnormal appearing lesions (P<0.01). Conclusion: It is reasonable to use contrast enhanced CT for attenuation correction in PET/CT of head and neck cancer. This would allow for a reduction in radiation dose delivered to patient.
报告目的:评价FDG PET/CT静脉造影剂对头颈癌PET图像临床解释的影响。方法:连续20例患者行PET/CT及头颈部增强CT检查,获得两组PET图像。一组使用标准低剂量CT进行衰减校正,另一组使用IV对比增强诊断质量CT进行衰减校正。两位盲眼核医学医生解释了结果。结果:两组PET影像的临床解释差异无统计学意义。注意到PET扫描衰减与IV对比ct校正后出现异常病变的发生率更高(P<0.01)。结论:应用增强CT对头颈部肿瘤PET/CT进行衰减校正是合理的。这样可以减少给病人的辐射剂量。
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引用次数: 3
Human subject with unexpected biodistribution of [11C]PK11195 具有意外生物分布的[11C]PK11195的人类受试者
Pub Date : 2011-07-06 DOI: 10.2174/1876388X01103010010
A. Roivainen, K. Någren, J. Virta, J. Rinne
[N-Methyl11 C](R)-1-(2-chlorophenyl)-N-(1-methylpropyl)-3-isoquinoline carboxamide [ 11 C]PK11195 is a widely used radiopharmaceutical for in vivo assessment of translocator protein 18 kDa (TSPO) activity using positron emission tomography. Here we present an interesting case of unusual distribution of [ 11 C]PK11195, that is a lack of uptake in tissues known for high expression of the TSPO.
[N-Methyl11 C](R)-1-(2-氯苯基)- n -(1-甲基丙基)-3-异喹啉羧酰胺[11 C]PK11195是一种广泛使用的放射性药物,用于使用正电子发射断层扫描在体内评估转运蛋白18 kDa (TSPO)活性。在这里,我们提出了一个有趣的[11 C]PK11195不寻常分布的案例,即在已知的高表达TSPO的组织中缺乏摄取。
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引用次数: 0
[18F]-FDG PET/CT Scan Detected Giant Cell Arteritis After Negative Temporal Artery Biopsy [18F]-FDG PET/CT扫描发现颞动脉活检阴性巨细胞动脉炎
Pub Date : 2011-04-07 DOI: 10.2174/1876388X01103010007
P. Medina-Quiroz, I. Martínez-Rodríguez, I. Banzo, R. Quirce, J. Jiménez-Bonilla, M. D. Arcocha, J. Carril
Giant Cell Arteritis is frequently associated to polymyalgia rheumatica. A 65-years old female patient with a 1- year history of polymyalgia rheumatica was admitted with clinical symptoms and laboratory data of a subacute inflammatory process. Cranial and whole-body CT scans were normal. A (18F)-FDG PET/CT scan showed an extensive increased uptake in the walls of the thoracic and abdominal aorta and also in the common carotid, subclavian and axillary arteries. Biopsy of temporal artery confirmed the diagnosis of giant cell arteritis.
巨细胞动脉炎常与风湿性多肌痛有关。一位65岁的女性患者,有1年的风湿多肌痛病史,因亚急性炎症过程的临床症状和实验室资料而入院。颅脑及全身CT扫描正常。A (18F)-FDG PET/CT扫描显示胸主动脉和腹主动脉壁以及颈总动脉、锁骨下动脉和腋窝动脉的摄取广泛增加。颞动脉活检证实巨细胞动脉炎的诊断。
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引用次数: 1
Detection of Extensive Metastases from Anaplastic Thyroid Cancer by F- 18 FDG-PET/CT F- 18 FDG-PET/CT检测间变性甲状腺癌广泛转移
Pub Date : 2011-01-24 DOI: 10.2174/1876388X01103010001
M. Vorster, M. Sathekge
Background: Survival with anaplastic thyroid cancer is dependent on how rapid multimodality treatment (chemotherapy, radiotherapy and surgery) and thus accurate assessment of the extent of the disease critical to predict prognosis and therapy planning. Methods & Results: We present a case of anaplastic cancer in a 54-year-old woman who presented with a supra-sternal lump which has decreased in size in response to chemo- and radiotherapy. CT and FDG-PET/CT scan were performed after therapy. CT demonstrated supra-sternal and lung metastases. FDG-PET/CT demonstrated the primary lesion and its distant widespread metastases, beyond the lung and supra-sternal mass. Conclusion: This case emphasizes the need for FDG PET/CT if there is equivocal clinical, laboratory, and radiological evidence of recurrence and metastases, especially if the suspected finding seems can be very unusual for metastatic lesions.
背景:间变性甲状腺癌的生存取决于多模式治疗(化疗、放疗和手术)的快速程度,因此准确评估疾病程度对预测预后和治疗计划至关重要。方法与结果:我们报告一例54岁女性间变性癌,她在化疗和放疗后出现胸骨上肿块,体积减小。治疗后行CT及FDG-PET/CT扫描。CT显示胸骨上及肺转移。FDG-PET/CT显示原发病变及其远处广泛转移,超出肺和胸骨上肿块。结论:本病例强调,如果有模棱两可的临床、实验室和放射学证据表明复发和转移,特别是如果可疑的发现似乎对转移性病变非常不寻常,则需要FDG PET/CT检查。
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引用次数: 1
Radiopharmaceuticals for Molecular Imaging 分子成像用放射性药物
Pub Date : 2010-12-14 DOI: 10.2174/1876388X01002010178
Yun-Sang Lee
Radiopharmaceuticals for molecular imaging involve careful consideration of the following two factors: radionuclide selection and specificity to the molecular target. In selecting a radionuclide, the specific decay mode, physical half-life, chemical properties, and method of production must be considered. For proper design of a radiopharmaceutical which targets a specific biological or disease process, structural features, including the size, charge, solubility, lipophilicity, and specific activity of the radiolabeled molecules, must be considered. Other factors, such as the rate of metabolism, plasma protein binding, and non-specific binding in non-target tissues, are also important in optimizing the in vivo behavior of radiolabeled molecules. There are several types of radiopharmaceuticals for molecular imaging that target a number of biochemical processes, such as blood flow or perfusion, metabolism, and specific receptors. With a better understanding of the properties of radiopharmaceuticals, including chemical, physical, and biological properties, radiopharmaceuticals can be properly used for molecular imaging of targets for biological or disease processes.
用于分子成像的放射性药物需要仔细考虑以下两个因素:放射性核素选择和对分子靶标的特异性。在选择放射性核素时,必须考虑其特定的衰变方式、物理半衰期、化学性质和生产方法。为了正确设计针对特定生物或疾病过程的放射性药物,必须考虑放射性标记分子的结构特征,包括大小、电荷、溶解度、亲脂性和特定活性。其他因素,如代谢速率、血浆蛋白结合和非靶组织的非特异性结合,在优化放射性标记分子的体内行为方面也很重要。有几种类型的放射性药物用于分子成像,针对一些生化过程,如血流或灌注、代谢和特定受体。随着对放射性药物特性的更好理解,包括化学、物理和生物特性,放射性药物可以适当地用于生物或疾病过程目标的分子成像。
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引用次数: 24
Molecular Imaging Using Bioluminescence 利用生物发光进行分子成像
Pub Date : 2010-12-14 DOI: 10.2174/1876388X01002010157
Byeong‐il Lee, J. Min
Recent progress in the development of non-invasive imaging technologies continues to strengthen the role of molecular imaging in biological research. Small animal imaging with bioluminescence has been validated recently in a variety of research models and have been shown to provide continuous quantitative monitoring of the location(s), magnitude, and time-variation of gene delivery and/or expression. This article reviews the role of in vivo bioluminescence imaging technologies as they have been used in imaging gene delivery and gene expression for molecular imaging applications. The studies published to date demonstrate that bioluminescence imaging tools will help to understand human diseases through small animal models. disease progression at a molecular pathological level; and (7) To create the possibility of achieving all of the above goals of imaging in a rapid, reproducible, and quantitative manner, so as to be able to monitor time-dependent experimental, developmental, environmental, and therapeutic influences on gene products in the same animal or patient. Diverse optical imaging technologies have been used to investigate molecular events in biology research which is focused on characterizing molecular interaction, signal transduction, enzyme activity, receptor/transporter status and biodistribution of various optical substrates (tracers). The underlying principles of in vitro optical imaging can now be tailored to in vivo optical imaging modalities such as bioluminescence and fluorescence imaging. The development, validation, and application of bioluminescence imaging techniques in living subjects should further enhance our understanding of disease mechanisms and go hand in hand with the development of molecular imaging (1-3).
近年来,非侵入性成像技术的发展不断加强了分子成像在生物学研究中的作用。生物发光小动物成像最近已经在各种研究模型中得到验证,并已被证明可以提供基因传递和/或表达的位置、大小和时间变化的连续定量监测。本文综述了体内生物发光成像技术在分子成像应用中用于基因传递和基因表达成像的作用。迄今为止发表的研究表明,生物发光成像工具将有助于通过小动物模型了解人类疾病。在分子病理水平上的疾病进展;(7)创造以快速、可重复和定量的方式实现上述所有成像目标的可能性,以便能够在同一动物或患者中监测随时间变化的实验、发育、环境和治疗对基因产物的影响。不同的光学成像技术已被用于研究生物学研究中的分子事件,其重点是表征分子相互作用、信号转导、酶活性、受体/转运体状态和各种光学底物(示踪剂)的生物分布。体外光学成像的基本原理现在可以调整为体内光学成像模式,如生物发光和荧光成像。生物发光成像技术在活体中的发展、验证和应用应进一步增强我们对疾病机制的理解,并与分子成像的发展齐头并进(1-3)。
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引用次数: 6
Preliminary Pre-Clinical Results and Overview on PET/MRI/Fluorescent Molecular Imaging PET/MRI/荧光分子成像的初步临床前结果及综述
Pub Date : 2010-12-14 DOI: 10.2174/1876388X01002010153
K. Kang
Molecular imaging is used for earlier detection, characterization of disease and an earlier assessment of treatment efficacy through imaging molecular/cellular events in living organisms. Fluorescent materials, radioisotopes and MRI enhancers as imaging probes, are being used for optical imaging, PET and MRI respectively. Each imaging modality has advantages and limitations regarding sensitivity, resolution, and tissue penetration of signal. Triple modal imaging combining PET/MRI/fluorescent probes will overcome the limitations of each modality. Recent advances in nano- biotechnology have identified many candidate probes for medical applications. Nanoparticles are able to carry fluorescent dyes, radioisotopes, drugs, genes, and targeting biomarkers. Triple modal nanoparticles could apply to sentinel node imaging by combined PET/MRI scanner for surgical plan and then to sentinel node detection by surgeons' view. Furthermore, if targeting function is added to multimodal nanoparticles as molecular probes, they are able to be used for diagnosis in vitro and in vivo, as well as therapeutic purposes. If nanotechnology and molecular imaging is combined, it could guide surgeons for minimal invasive but accurate surgery and physicans for personalized target therapy by validating the targeting efficiency using multimodal in vivo imaging.
分子成像通过对活生物体中的分子/细胞事件进行成像,用于早期检测、表征疾病和早期评估治疗效果。荧光材料、放射性同位素和核磁共振增强剂作为成像探针分别用于光学成像、PET和核磁共振成像。每种成像方式在灵敏度、分辨率和信号的组织穿透方面都有优点和局限性。结合PET/MRI/荧光探针的三模态成像将克服每种模态的局限性。纳米生物技术的最新进展已经确定了许多用于医学应用的候选探针。纳米颗粒能够携带荧光染料、放射性同位素、药物、基因和靶向生物标志物。三模态纳米颗粒可以应用于PET/MRI联合扫描的前哨淋巴结成像,以确定手术计划,然后应用于外科医生的前哨淋巴结检查。此外,如果将靶向功能添加到多模态纳米颗粒作为分子探针,它们能够用于体外和体内诊断,以及治疗目的。如果纳米技术和分子成像相结合,它可以指导外科医生进行微创但精确的手术,并通过使用多模态体内成像验证靶向效率来指导医生进行个性化的靶向治疗。
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引用次数: 9
Molecular Imaging Using PET/MRI Particle PET/MRI颗粒分子成像技术
Pub Date : 2010-12-14 DOI: 10.2174/1876388X01002010186
D. Hwang, H. Youn, D. S. Lee
With the remarkable progress of non-invasive molecular imaging techniques, the nanotechnology could provide powerful tools for development of diagnostic and therapeutic agents in bio-and nano-medicine field. Several imaging techniques including PET and MRI system have been developed for diagnosis, providing functional and anatomical information. Recently, the combined system of PET/MRI imaging modalities with nanoparticles allows the simultaneous monitoring of cancer localization and provides detailed information of nanoparticle distribution in vivo. A variety form of multimodal imaging probes has been developed to overcome the limitation of single imaging modality. In this review, we describe the technological advances associated with nanoparticle-based multimodal imaging system including PET/MRI in living subjects. First, we introduce the simple imaging strategy using optical or PET imaging tracer and the MR imaging approach using a variety of magnetic nanoparticles for the detection of cancer. Then, we cover the improved techniques for efficient targeting with multimodal imaging agents to lymph node area and engrafted cancer sites. In addition, we introduce a successful application of quadruple imaging nanoparticles for the evaluation of more accurate tumor distribution in clinical oncology. These results indicate that multimodal imaging strategy using nanoparticles can endow broad application in multidisciplinary field to monitor a variety of biological systems in a single investigation, and ultimately offer synergistic information for better understanding in diagnosis and therapy of human diseases.
随着非侵入性分子成像技术的显著进步,纳米技术将为生物和纳米医学领域的诊断和治疗药物的开发提供有力的工具。包括PET和MRI系统在内的几种成像技术已经发展用于诊断,提供功能和解剖信息。最近,PET/MRI成像模式与纳米颗粒的组合系统可以同时监测癌症的定位,并提供体内纳米颗粒分布的详细信息。多种形式的多模态成像探头已被开发,以克服单一成像模式的限制。在这篇综述中,我们描述了与纳米颗粒为基础的多模态成像系统(包括PET/MRI)相关的技术进展。首先,我们介绍了使用光学或PET成像示踪剂的简单成像策略以及使用各种磁性纳米颗粒检测癌症的MR成像方法。然后,我们介绍了多模态显像剂有效靶向淋巴结区域和移植肿瘤部位的改进技术。此外,我们还介绍了四重成像纳米颗粒在临床肿瘤学中更准确评估肿瘤分布的成功应用。这些结果表明,利用纳米颗粒的多模态成像策略在多学科领域具有广泛的应用前景,可以在一次调查中监测多种生物系统,并最终为更好地理解人类疾病的诊断和治疗提供协同信息。
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引用次数: 6
Multimodal Molecular Imaging In Vivo 体内多模态分子成像
Pub Date : 2010-12-14 DOI: 10.2174/1876388X01002010145
J. Paeng, D. Lee
In medical research and practice, imaging is now playing a crucial role. With rapidly developing molecular imaging, the role of in vivo imaging is expected to expand much more. In molecular imaging, one of the recent trends is multimodal imaging, which theoretically combines all the strengths of each imaging modality and consequently provides synergism. For this, many multimodal imaging probes have been developed so far. However, multimodal probe imaging is different from simple fusion images using multimodal imaging instruments. To maximize the effectiveness of multimodal in vivo imaging, practical application methods and delicate design of imaging probes are essential. Here, imaging instruments and probes for multimodal in vivo imaging are briefly reviewed and practical application is discussed.
在医学研究和实践中,成像现在起着至关重要的作用。随着分子成像技术的迅速发展,体内成像技术的作用有望进一步扩大。在分子成像中,最近的一个趋势是多模态成像,它在理论上结合了每种成像方式的所有优势,从而提供了协同作用。为此,迄今已开发了许多多模态成像探头。然而,多模态探针成像不同于使用多模态成像仪器的简单融合图像。为了最大限度地提高多模态体内成像的有效性,实际的应用方法和精细的成像探针设计是必不可少的。本文简要介绍了多模态体内成像的成像仪器和探针,并讨论了其实际应用。
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引用次数: 35
Technical Advances in Current PET and Hybrid Imaging Systems 当前PET和混合成像系统的技术进展
Pub Date : 2010-12-14 DOI: 10.2174/1876388X01002010192
J. Lee
The continuing efforts of investigators to achieve the best physical and clinical performances from PET (positron emission tomography) and related hybrid cameras (PET/CT and PET/MRI) have led to remarkable technical advances in hardware and software. Time of flight (TOF) information measurement, which has been enabled thanks to the invention of fast, heavy crystals and advances in fast light detection sensors and readout electronics, is used to obtain the PET images of better quality and lesion-detection performance. Statistical reconstruction with resolution recovery and measurements of depth of interaction (DOI) are the useful softwareand hardware-wise approaches for enhancing the spatial resolution of reconstructed PET images. These technical advances along with an expansive increase in the number of PET and PET/CT examinations performed are facilitating the widespread use of PET scanners with specific detector structures and arrangements for particular applications or organs. Combined multimodal imaging systems are also in the development mainstream of these
研究人员不断努力从PET(正电子发射断层扫描)和相关的混合相机(PET/CT和PET/MRI)中获得最佳的物理和临床性能,这导致了硬件和软件方面的显着技术进步。飞行时间(TOF)信息测量,由于快速,重晶体的发明和快速光检测传感器和读出电子设备的进步,已成为可能,用于获得质量更好的PET图像和病变检测性能。具有分辨率恢复的统计重建和相互作用深度测量(DOI)是提高重建PET图像空间分辨率的有效软件和硬件方法。随着PET和PET/CT检查数量的增加,这些技术的进步促进了PET扫描仪的广泛使用,PET扫描仪具有特定的探测器结构和安排,适用于特定的应用或器官。组合多模态成像系统也是其中的发展主流
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引用次数: 28
期刊
The open nuclear medicine journal
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