在癌症指示中的18F-FDG PET/CT期间进行评分:改善心血管风险分层和预防
Réjane Mazet1, Nouritza Torossian2, Mathilde Wanneveich3
1Nuclear Medicine Department, CHU ORLEANS, Orleans, France.
在18F-FDG PET/CT扫描上冠状动脉 (CAC) 评分可以重新分类瘤患者的心血管风险. 这种系统性评估有助于修改初级心血管疾病预防策略,以改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 冠状动脉 (CAC) 的评估是可行的18F-FDG PET/CT扫描用于瘤学.
- 心血管疾病 (CVD) 是癌症患者的一个重大问题.
研究的目的:
- 评估系统CAC评分对瘤患者心血管风险重新分类的影响.
- 为了确定CAC评分是否可以修改初级心血管疾病预防策略.
主要方法:
- 对190名接受18F-FDG PET/CT.的癌症患者进行前性研究.
- 收集有关心血管风险因素,病史和治疗方法的数据.
- 视觉和自动评估CAC得分;重新分类CV风险并与当前管理层进行比较.
主要成果:
- 在43%的患者中,CAC评分重新分类了心血管疾病风险.
- 近一半 (49%) 的患者需要改变初级心血管疾病预防,包括调整降脂疗法或开始心脏病随访.
- 观察到中度至重度CAC的显著流行.
结论:
- 对PET/CT成像进行系统的CAC评估为增强瘤患者心血管风险分层提供了有价值的工具.
- 这种方法可以导致对初级心血管疾病预防策略的个性化修改.
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