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18F-FDG PET/CT在诊断腹膜后纤维化中的价值

张立欧 孙洪赞 卢再鸣

中国临床医学影像杂志2017,Vol.28Issue(4):264-267,272,5.
中国临床医学影像杂志2017,Vol.28Issue(4):264-267,272,5.

18F-FDG PET/CT在诊断腹膜后纤维化中的价值

The value of 18F-FDG PET/CT in the diagnosis of retroperitoneal fibrosis

张立欧 1孙洪赞 1卢再鸣1

作者信息

  • 1. 中国医科大学附属盛京医院放射科,辽宁沈阳 110004
  • 折叠

摘要

Abstract

Objective:To investigate the value of 18F-FDG PET/CT imaging in the diagnosis of retroperitoneal fibrosis.Materials and Methods:A retrospective analysis of 18 cases with retroperitoneal fibrosis from January 2013 to October 2016 confirmed by imaging examination with clinical follow-up of more than one year (10 cases) and pathology (8 cases) was performed,including 7 cases in the active phase and 11 cases in the inactive phase with evidence from serum laboratory findings(obviously hige C reactive protein and erythrocyte sedimentation rate).Results:The CT images of 18 patients showed irregular soft tissue masses in retroperitoneum,with unclear boundaries often involving the abdominal aorta,iliac artery,ureter and so on.Five of the 7 patients in the active phase were initially diagnosed,with increased FDG uptake in the masses on PET images.The rest 2 patients had already begun their steroid treatment since 2 and 2.5 months ago respectively,with no significant increase in FDG metabolism on PET images.In the 11 patients with inactive retroperitoneal masses which were initially diagnosed,the FDG metabolism varied.Conclusion:18F-FDG PET/CT can clearly show the range of retroperitoneal fibrosis by CT,and FDG metabolism on PET is helpful to determine whether the lesion is in the active phase and to evaluate the effect of steroid treatment.

关键词

腹膜后纤维化/氟脱氧葡萄糖F18/正电子发射断层显像术

Key words

Retroperitoneal fibrosis/Fluorodeoxyglucose F18/Positron-emission tomography

分类

医药卫生

引用本文复制引用

张立欧,孙洪赞,卢再鸣..18F-FDG PET/CT在诊断腹膜后纤维化中的价值[J].中国临床医学影像杂志,2017,28(4):264-267,272,5.

中国临床医学影像杂志

OACSTPCD

1008-1062

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