^(18)F-FDG PET显像在发热待查患者中筛查淋巴瘤的价值  

The value of ^(18)F-FDG PET imaging in fever of unknown origin for screening lymphoma

作　　者：华逢春[1] 刘永昌[1] 赵军[1] 管一晖[1] 左传涛[1] 林祥通[1] 

机构地区：[1]复旦大学附属华山医院核医学科PET中心,上海200235

出　　处：《中华核医学杂志》2004年第1期11-13,共3页Chinese Journal of Nuclear Medicine

摘　　要：目的　探讨18F 脱氧葡萄糖 (FDG)PET显像在长期发热患者中筛查淋巴瘤的价值。方法　对 5 9例长期发热患者 (发热持续时间至少 3周 ,测 3次体温超过 38 3℃ )的18F FDGPET显像资料进行回顾性分析 ,将18F FDGPET显像诊断结果与病理检查及随访结果进行比较。结果　 5 9例长期发热患者中有 8例PET显像示恶性淋巴瘤可能 ,最后均经病理检查确诊为淋巴瘤 ,其中 2例为霍奇金淋巴瘤 ,6例为非霍奇金淋巴瘤。结论　PET显像示长期发热的淋巴瘤患者其病变淋巴结可在正常范围内 (<1 0cm或在体内较深部位 )。对长期发热患者 ,18F FDGPET显像可初步筛查淋巴瘤及排除其他肿瘤 ,可为穿刺活组织检查提供定位信息。Objective To evaluate 18 F-fluorodeoxyglucose (FDG) PET imaging in fever of unknown origin for screening of lymphoma. Methods Fifty-nine patients with fever of unknown origin (fever more than three weeks,temperature over 38.3 ℃) underwent PET imaging with 18 F-FDG,the results were compared with the final diagnosis. Results Eight patients (13.6%) were diagnosed as lymphoma by PET imaging in the fifty-nine cases with fever of unknown origin,which were verified as two Hodgkin lymphoma and six non-Hodgkin lymphoma. Conclusions PET imagings can find the lesions of lymphoma with fever smaller than 1 cm or deep in body. 18 F-FDG PET imaging appears to be a valuable imaging procedure for screening of lymphoma in fever of unknown origin.

关 键 词：^18F—FD GPET显像 发热待查患者 筛查 淋巴瘤 脱氧葡萄糖 

分 类 号：R733.1[医药卫生—肿瘤]