核医学成像方法检测意外瘤及其对患者管理的影响:系统性审查
Roberta Costanzo1, Gianluca Scalia2, Lidia Strigari3
1Department of Biomedicine Neurosciences and Advanced Diagnostics, Neurosurgical Clinic, AOUP "Paolo Giaccone", School of Medicine, University of Palermo, Palermo, Italy.
Journal of cancer research and clinical oncology
|July 25, 2024
概括
核成像检测到0.9%的患者的偶发性瘤,经常改变治疗计划. 这些技术对于常规的癌症跟踪和改善患者护理非常有价值.
科学领域:
- 核医学就是核医学.
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 在核医学研究中经常发现偶发性瘤.
- 了解它们的检测和影响对于患者管理至关重要.
研究的目的:
- 系统地审查核成像在检测意外瘤中的作用.
- 评估偶然瘤检测对患者管理策略的影响.
主要方法:
- 按照PRISMA指南进行系统的文献搜索 (2022年2月至5月).
- 在核医学中,包括英语研究的病人有偶然的瘤发现.
- 提取和分析有关成像方式,意外瘤特征和管理变化的数据.
主要成果:
- 确定了92项研究 (64,884名患者);检测到611种偶然性瘤 (0.9%),最常见的是甲状腺.
- 使用FDG和胆标记物的PET/CT显示了最高的检测率.
- 在59%的病例中,偶发性瘤检测导致治疗策略的改变,对神经内分泌瘤和前列腺癌具有很高的敏感性.
结论:
- 核成像对于偶发性瘤检测至关重要,并对患者管理产生重大影响.
- 这些方法的高灵敏度支持将它们纳入常规瘤学后续检查中.
- 未来的研究应该专注于增强空间分辨率和超视觉应用.
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