| 18F-FDG PET/CT显像中肝脏弥漫性摄取增高的鉴别诊断 |
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| 引用本文： | 王振光,杨光杰. 18F-FDG PET/CT显像中肝脏弥漫性摄取增高的鉴别诊断[J]. 国际放射医学核医学杂志, 2020, 44(10): 655-660. DOI: 10.3760/cma.j.cn121381-201906019-00076 |
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| 作者姓名： | 王振光 杨光杰 |
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| 作者单位： | 青岛大学附属医院核医学科PET/CT中心 266100 |
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| 摘 要： | 肝脏摄取状态常作为18F-氟脱氧葡萄糖（FDG）PET/CT显像时图像质量评价、疗效评估和病变诊断的参照标准。但有时肝脏呈弥漫性、均匀性或非均匀性18F-FDG摄取增高,被称为“超级肝显像”。除生理和技术因素影响外,各种弥漫性肝实质疾病和肝脏恶性肿瘤都可导致肝脏对18F-FDG的摄取增高。笔者就此进行综述,旨在为临床鉴别诊断拓展思路。
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| 关 键 词： | 正电子发射断层显像术 氟脱氧葡萄糖F18 肝疾病 体层摄影术,X线计算机 超级肝显像 |
| 收稿时间： | 2019-06-14 |
Differential diagnosis of hepatic diseases with diffuse hepatic uptake increased in 18F-FDG PET/CT imaging |
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| Zhenguang Wang,Guangjie Yang. Differential diagnosis of hepatic diseases with diffuse hepatic uptake increased in 18F-FDG PET/CT imaging[J]. International Journal of Radiation Medicine and Nuclear Medicine, 2020, 44(10): 655-660. DOI: 10.3760/cma.j.cn121381-201906019-00076 |
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| Authors: | Zhenguang Wang Guangjie Yang |
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| Affiliation: | PET/CT Center of Nuclear Medicine Department, the Affiliated Hospital of Qingdao University, Qingdao 266100, China |
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| Abstract: | Hepatic uptake is often used as the reference standard for the evaluation of image quality, therapeutic efficiency and diagnosis of diseases in 18F-fluorodeoxyglucose (FDG) PET/CT imaging. However, the liver shows diffuse, homogeneous or heterogeneous high 18F-FDG uptake sometimes, called hepatic superscan. Except for biologic and technical factors, many diffuse hepatic parenchymal diseases and malignancies may increased the uptake of 18F-FDG by the liver. This paper reviews this in order to widen the view in clinical differential diagnosis. |
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