在 [68Ga]Ga-PSMA-11 PET/CT 模仿骨转移的活跃的腰椎脊髓炎上
Florian Rosar1, Caroline Burgard1, Raffaele Gargiulo1
1Department of Nuclear Medicine, Saarland University, 66421 Homburg, Germany.
Diagnostics (Basel, Switzerland)
|December 22, 2023
概括
-68 PSMA-11 PET/CT 扫描显示,转移性割抵抗性前列腺癌和活跃的腰椎脊髓炎都是PSMA阳性的. 这凸显了在PSMA阳性脊柱发现中需要考虑脊柱炎的必要性.
科学领域:
- 核医学是一种核医学.
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 转移性割抵抗性前列腺癌 (mCRPC) 的诊断和分期通常使用-68 PSMA-11 PET/CT.
- 前列腺特异性膜抗原 (PSMA) 是前列腺癌成像和治疗的目标.
- 脊髓炎等脊髓炎感染可能会出现复杂的成像发现.
研究的目的:
- 报告一个病例,其中[68Ga]Ga-PSMA-11 PET/CT确定了mCRPC和活跃的腰椎脊髓炎.
- 强调考虑脊髓瘤炎作为PSMA阳性脊髓病变的差异诊断的重要性.
主要方法:
- 一名71岁的mCRPC男性患者接受了Ga-PSMA-11 PET/CT扫描.
- 放射学解释的重点是识别脊柱中PSMA-avid病变,并评估脊髓瘤炎的迹象.
主要成果:
- [68 Ga]Ga-PSMA-11 PET/CT扫描显示,同时发现了转移性前列腺癌和活跃的腰椎脊髓瘤炎的PSMA阳性结果.
- 这些发现包括腰椎中PSMA吸收,其中涉及脊椎间空间和周围软组织.
结论:
- [68Ga]Ga-PSMA-11 PET/CT可以识别与前列腺癌同时发生的PSMA阳性脊髓瘤.
- 临床医生应在对PSMA阳性脊柱发现的差异诊断中考虑脊髓炎,特别是当脊椎间和软组织参与时.
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