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诊断全身扫描的说明:对指导方针的审查
Emran Askari1, Bahare Saidi2, Laura Evangelista3,4
1Department of Nuclear Medicine, School of Medicine, Mashhad University of Medical Sciences (MUMS), Mashhad.
诊断全身扫描 (DxWBIS) 在甲状腺癌治疗后的高风险患者中最有用. 需要进一步的研究,以建立更广泛的临床应用这个诊断工具.
科学领域:
- 核医学就是核医学.
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
背景情况:
- 诊断全身扫描 (DxWBIS) 在治疗甲状腺癌患者方面发挥着重要作用.
- 临床指南对DxWBIS的实用性提出了不同的观点.
研究的目的:
- 从有关使用全身扫描诊断指南中汇编关键陈述.
- 确定DxWBIS在临床实践中被认为有用的特定场景.
主要方法:
- 从2006年开始,对MEDLINE/PubMed,Google Scholar和Ovid数据库进行系统搜索.
- 包括指南和共识意见,不包括病例报告和临床试验.
- 审查现有文献,以确保全面的指导方针的识别.
主要成果:
- 分析了23条相关的指导方针和共识意见.
- DxWBIS的作用已被证实在131I治疗后,其他评估中证据有限.
- 近年来,对DxWBIS的适应症越来越多地受到讨论.
结论:
- 大多数指导方针支持在高风险患者中使用DxWBIS,特别是那些有复发潜力的患者.
- 需要进行额外的精心设计的研究来澄清和扩大DxWBIS的适用性.
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