18F-FDG PET/CT显像中肝脏弥漫性摄取增高的鉴别诊断

Differential diagnosis of hepatic diseases with diffuse hepatic uptake increased in 18F-FDG PET/CT imaging

  • 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。

     

    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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