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氟代脱氧葡萄糖在PET/CT致痫灶定位显像中的应用
引用本文:王永玲,张工化,王清理,王芬.氟代脱氧葡萄糖在PET/CT致痫灶定位显像中的应用[J].中国基层医药,2010,17(21):2919-2920,3026.
作者姓名:王永玲  张工化  王清理  王芬
作者单位:漯河市中心医院PET/CT科,河南省漯河,462000
摘    要:目的探讨正电子药物18F氟代脱氧葡萄糖(18F-FDG)在正电子发射计算机(断层PET/CT)脑显像致痫灶定位中的应用。方法对32例癫痫患者行18F-FDG脑三维PET/CT显像,将其定位结果与头皮脑电图(EEG)、颅脑CT或MRI结果进行比较。结果PET/CT阳性检出率为90.6%(29/32),其中低代谢灶27例,高代谢灶2例,正常3例;EEG阳性检出率为65.6%(21/32),常规脑部CT或MRI阳性检出率为31.0%(10/32)。结论18F-FDG在PETJCT脑显像中对癫痫的定位诊断有较高的灵敏性和准确性。

关 键 词:氟脱氧葡萄糖F18  正电子发射断层显像技术

Application of 18F-FDG PET/CT in epileptogenic zone localization
WANG Yong-ling,ZHANG Gong-hua,WANG Qing-li,WANG Fen.Application of 18F-FDG PET/CT in epileptogenic zone localization[J].Chinese Journal of Primary Medicine and Pharmacy,2010,17(21):2919-2920,3026.
Authors:WANG Yong-ling  ZHANG Gong-hua  WANG Qing-li  WANG Fen
Institution:. Department of PET/ CT Division, The Central Hospital of Luohe, Luohe, Henan 462000, China
Abstract:Objective To discuss the application of 18F-FDG PET/CT in epileptogenic zone localization.Methods Tirty-two patients with epilepsies were studied with interictal 18F-FDG PET/CT cerebral imaging,and all of them had scalp EEG,CT or MRI results for comparision.Results The sensitivity of 18F-FDG PET/CT was 90.6%,27 patients(84.5%) showed focal hypometabolism,2 patients(6.3%) showed focal hypermetabolism and rest 3 patients(9.4%) had negative result.The sensitivity of EEG was 65.6%(21/32),the sensitivity of CT and MRI was 31.0%(10/32).Conclusion 18F-FDG PET/CT was a sensitive and accurate image modality in the localization of epileptic foci.
Keywords:Fluorodeoxyglucose F18  Positron-emission tomography
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