| PET／CT对分化型甲状腺癌转移的诊断价值 |
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| 引用本文： | 张金赫,尹吉林,王欣璐,全江涛,李向东. PET／CT对分化型甲状腺癌转移的诊断价值[J]. 华南国防医学杂志, 2008, 22(6): 7-9 |
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| 作者姓名： | 张金赫 尹吉林 王欣璐 全江涛 李向东 |
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| 作者单位： | 广州军区广州总医院核医学科,广州,510010 |
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| 基金项目： | 广东省医药卫生科研项目 |
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| 摘 要： | 目的评价^18F-FDGPET／CT对分化型甲状腺癌转移的诊断价值。方法20例经手术确诊的分化型甲状腺癌患者，并已行1次或多次^131I治疗，行^18F-FDG PET／CT检查后，与治疗后全身^131I扫描结果比较，比较其在初次及多次^131I治疗后检查发现病灶的情况，并对两种检查的一致性进行对比。结果20例患者中，PET／CT发现病灶数与^131I全身扫描发现病灶数无显著性差异；但结果显示在首次治疗后^131I扫描发现病灶数少于PET／CT，第2、3次治疗后^131I扫描发现病灶数多于PET／CT，多次治疗后^131I扫描发现病灶数又少于PET／CT。结论 ^1F-FDGPET／CT和治疗后^131I全身扫描在分化型甲状腺癌转移诊断方面均有较高价值，临床应用中应视具体情况选择，两者配合应用具有较高临床诊断价值。
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| 关 键 词： | 甲状腺肿瘤 PET/CT 碘放射性同位素 |
Diagnostic Value of PET/CT in Differentiated Thyroid Carcinoma |
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| Affiliation: | ZHANG Jin-he , YIN J i-lin , WANG Xin lu , et al. (Department of Nuclear Medicine, Guangzhou General Hospital, Guangzhou Military Command, Guangzhou Guangdong 510010, China) |
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| Abstract: | Objective To investigate the diagnostic value of PET/CT in differentiated thyroid carcinoma （DTC）. Methods Twenty patients with surgically proved DTC underwent both PET/CT and 131 I whole body scan. The meta static lesions displayed by ^131I whole body imaging were counted and compared with those shown on PET/CT. Results All 20 patients were divided into 3 groups： group A underwent 131^I whole body scan once, group B twice or thrice, and group C more than thrice. The metastatic lesions displayed by PET/CT in group A and C were more than those in group B, but without significant difference. Furthermore, a consistency analysis of the two methods showed good accordance. Conclusion Both PET/CT and 131I whole body scan have important diagnostic values for DTC. They can be complementarily used in clinic. |
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| Keywords: | PET/CT |
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