[1]彭辽河,胡晓燕,李 杰,等. 18F-FDG PET/CT显像在肝细胞癌TACE术后残留或复发病灶检出中的应用价值[J].介入放射学杂志,2012,(08):636-640.
　PENG Liao- he,HU Xiao- yan,LI Jie,et al. Clinical application of 18F- FDG PET/CT imaging in detecting residual lesions or recurrence foci of hepatocellular carcinoma after TACE treatment[J].journal interventional radiology,2012,(08):636-640.
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 18F-FDG PET/CT显像在肝细胞癌TACE术后残留或复发病灶检出中的应用价值 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年08期
页码:
636-640
栏目:
肿瘤介入
出版日期:
2012-08-30

文章信息/Info

Title:
 Clinical application of 18F- FDG PET/CT imaging in detecting residual lesions or recurrence foci of hepatocellular carcinoma after TACE treatment
作者:
 彭辽河;  胡晓燕;  李 杰;  丁久荣;  邱大胜;  张建廷;  魏崇健
Author(s):
 PENG Liao- he;  HU Xiao- yan;  LI Jie;  DING Jiu- rong;  QIU Da?蛳 sheng;  ZHANG Jian- ting;  WEI Chong- jian.
 PET/CT Imaging Center， Hubei Cancer Hospital， Wuhan， Hubei Province 430079， China
关键词:
 ; 【关键词】 肝细胞癌;  经动脉导管化疗栓塞术;  体层摄影术;  发射型计算机;  体层摄影术;  X线计算机;  脱氧葡萄糖
文献标志码:
A
摘要:
 【摘要】 目的 探讨18F?蛳 FDG PET/CT显像在肝细胞癌（HCC）TACE术后残留或复发病灶检出中的应用价值。方法 收集23例经TACE治疗后HCC残留或复发患者临床及PET/CT检查资料，患者均于TACE治疗后1.5 ~ 7个月行全身18F?蛳 FDG PET/CT显像，1周内行DSA造影并接受介入治疗。重点评价2种检查方法对肿瘤残留或复发的显示能力。结果 全组23例患者均顺利完成PET/CT显像检查及DSA造影检查。DSA造影证实肝内肿瘤残留或复发灶46个，PET/CT显像检出肝内肿瘤残留或复发灶共45个。以DSA作为参考标准，PET/CT显示肿瘤残留或复发灶的灵敏度为97.8%（45/46），特异度为100%，准确率为97.9%（46/47）；PET/CT与DSA检出肿瘤残留或复发灶的结果比较差异无统计学意义 （P > 0.05）；两者检出肿瘤灶的吻合度差异有统计学意义，且吻合度较强（系数k = 0.657，P = 0.000）。另外，18F?蛳FDG PET/CT全身显像新发现肝外转移3例，其中双肺转移1例，右侧肾上腺及肝门区、腹膜后区淋巴结转移1例，左髂骨转移1例。结论 18F?蛳 FDG PET/CT显像能够准确、直观地显示经TACE治疗后HCC残留或复发病灶，且真实性和可靠性好；同时18F?蛳 FDG PET/CT全身显像检查是肿瘤远处转移探测最有效的方法，可较全面评估患者病情，协助临床确定个体化治疗方案具有重要价值。

参考文献/References:

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 （收稿日期：２０１2-０5-1０）
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