18F-氟脱氧葡萄糖的脑肿瘤PET

Non 18F-fluorodeoxyglucose PET imaging of brain tumors

  • 摘要: 由于大脑皮质的葡萄糖摄取相对较高,常规18F-氟脱氧葡萄糖(18F-FDG)PET对于脑肿瘤,特别是低度恶性脑肿瘤的显像有较大的局限性.近年来,各种特异性更高的放射性示踪剂如11C-甲硫氨酸(11C-MET),11C-胆碱(11C-choline),18F-氟脱氧胸苷(18F-FLT)等越来越多地应用于脑肿瘤显像.非18F-FDG的放射性示踪剂在脑肿瘤的显像中均具有脑本底摄取低、肿瘤影像对比度好、对低级别胶质瘤敏感性较高的优点,在脑肿瘤的诊断、鉴别诊断、放疗计划的制定及疗效监测等方面比18F-FDG有着明显的优势.

     

    Abstract: Due to the high uptake of the (18F-fluoroleoxyjlucose,18F-FDG) in brain cortex, the conventional way of PET imaging for the brain tumors has been limited, especially when the tumor is of low WHO grade. Lately, some more specific PET imaging agents (11C-methionine,11C-choline,18F-fluorothymidine, etc.) have been developed and are being applied to the PET imaging of brain tumors. The common advantages of these new agents are low background uptake, high contrast of tumor imaging and higher sensitivity for low-grade gliomas. These new agents are expected to make better application in diagnosis, differential diagnosis, planning of radiotherapy and treatment effectiveness monitering of brain tumors than 18F-FDG. This article will make a brief introduction of the application of these non-18F-FDG agents in aspects mentioned above.

     

/

返回文章
返回