18F-FDG PET/CT在新型冠状病毒肺炎诊断中的应用

The application of 18F-FDG PET/CT in the COVID-19 diagnosis

  • 摘要: 新型冠状病毒肺炎(COVID-19)被发现以来,迅速蔓延,其早期诊断有利于患者的及时救治和疾病进一步传播的有效控制。目前,诊断的依据是流行病史、临床表现、影像学特征和逆转录聚合酶链式反应(RT-PCR)检测结果,其中RT-PCR检测到新型冠状病毒核酸阳性是COVID-19确诊的主要依据,影像学特征尤其是肺部高分辨率CT表现则是诊断该病的重要临床依据。作为一种被广泛应用的影像学方法,18F-FDG PET/CT在COVID-19中的价值仍未可知。笔者分析了18F-FDG PET/CT在COVID-19中的诊断和鉴别诊断的价值,以及评估COVID-19患者纵隔淋巴结受累情况方面的潜在应用,讨论了COVID-19患者肺外器官和组织受累可能出现的18F-FDG PET/CT影像学表现。

     

    Abstract: COVID-19 has been rapidly spreading since its discovery. Early diagnosis benefits the patients and helps control the spread of COVID-19. At present, the diagnosis of COVID-19 is based on epidemiology, clinical characteristics, imaging features, and reverse transcription-polymerase chain reaction (RT-PCR) test. The diagnosis of COVID-19 is confirmed by RT-PCR test, which detects a positive severe acute respiratory syndrome coronavirus 2 nucleic acid. Imaging features, especially lung high-resolution CT features, are essential for the clinical diagnosis of COVID-19. 18F-FDG PET/CT is a widely used imaging modality, but its value for COVID-19 diagnosis is still unknown. This review summarizes the potential value of 18F-FDG PET/CT for the diagnosis, differential diagnosis, and assessment of mediastinal lymph node involvement. The possible imaging features of extrapulmonary involvement in patients with COVID-19 are also discussed.

     

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