边艳珠,魏强,吴大勇,张文艳,李金福,刘永宁.18F-FDG 符合线路显像在非小细胞肺癌治疗前分期中的价值[J].中国医学影像技术,2006,22(11):1749~1751
18F-FDG 符合线路显像在非小细胞肺癌治疗前分期中的价值
Value of 18F-FDG coincidence SPECT in clinical staging of non-small cell lung cancer before treatment
投稿时间:2006-07-10  修订日期:2006-08-07
DOI:
中文关键词:  肺肿瘤  体层摄影术,发射型计算机  符合线路  氟脱氧葡萄糖 F18  临床分期
英文关键词:Lung neoplasms  Tomography, emission-computed  Coincidence  Fluorodeoxyglucose F 18  Clinical staging
基金项目:
作者单位E-mail
边艳珠 河北省人民医院核医学科河北 石家庄 050051 yanzhubian@yahoo.com.cn 
魏强 河北省人民医院核医学科河北 石家庄 050051  
吴大勇 河北省人民医院核医学科河北 石家庄 050051  
张文艳 河北省人民医院核医学科河北 石家庄 050051  
李金福 河北省人民医院核医学科河北 石家庄 050051  
刘永宁 河北省人民医院核医学科河北 石家庄 050051  
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中文摘要:
      目的 探讨18F-脱氧葡萄糖(18F-FDG)符合线路正电子显像在非小细胞肺癌(NSCLC)治疗前临床分期中的价值。方法 39例NSCLC患者在治疗前行18F-FDG符合线路正电子显像,并进行符合线路显像分期,将符合线路显像分期和CT分期结果进行比较。结果 18F-FDG符合线路显像使18例(46.15%,18/39)的临床总分期发生改变,均为分期升级,其中11例的治疗策略发生改变,由根治性手术治疗变为姑息性放疗或化疗。18F-FDG符合线路显像对NSCLC总分期的改变主要是通过对N和M分期的改变而实现的。结论 18F-FDG符合线路显像改变了46.15%(18/39)NSCLC患者的临床分期,影响了28.20%(11/39)的治疗策略。18F-FDG符合线路显像在NSCLC治疗前分期中有重要的参考价值。
英文摘要:
      Objective To evaluate the value of 18F-deoxyglucose (18F-FDG) coincidence SPECT in clinical staging of non-small cell lung cancer (NSCLC) before treatment. Methods Thirty-nine patients with NSCLC had been examined by 18F-FDG coincidence SPECT and staged by SPECT before treatment. The Results of 18F-FDG coincidence SPECT examination were compared with those of CT. Results The staging was upstaged in 18 patients because of 18F-FDG coincidence SPECT finding. The treatment strategy had been changed in 11 patients with NSCLC. The changing of clinical TNM staging mainly depended on changing of N or M sub-staging by 18F-FDG coincidence SPECT. Conclusion 18F-FDG coincidence SPECT has an important value on treatment strategy in NSCLC patients by changing clinical staging.
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