[The application of fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography in inflammation and infectious disease]

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2020 Aug 25;37(4):730-735. doi: 10.7507/1001-5515.202002030.
[Article in Chinese]

Abstract

2-[ 18F]-fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography ( 18F-FDG PET/CT) combining positron emission tomography with computed tomography is used to evaluate the body's glucose metabolic changes under different conditions. In addition to its established role in oncological imaging, 18F-FDG PET/CT has clinical utility in suspected inflammation and infection. The technique can identify the source of infection in a timely fashion ahead of morphological changes, map the extent and severity of inflammation, guide the site for tissue biopsy and assess therapy response. This article reviewed the use of 18F-FDG PET/CT in infection and inflammation, such as fever of unknown origin, sarcoidosis, vessel vasculitis, osteomyelitis, joint prosthesis or implant-related complications, human immunodeficiency virus-related infections, and other indications, such as inflammatory bowel disease, so as to provide reference for clinicians to select 18F-FDG PET/CT to help them in the diagnosis and treatment of inflammatory diseases.

2-[ 18F]-氟-2-脱氧-D-葡萄糖( 18F-FDG)-正电子发射计算机断层显像/计算机断层扫描(PET/CT)融合了正电子发射计算机断层显像(PET)和计算机断层扫描(CT)成像技术,可评估不同状况下机体的糖代谢变化。目前该影像技术除了应用于肿瘤之外,也可在炎症和感染性疾病的诊疗中发挥重要作用。 18F-FDG PET/CT 能在形态学变化之前识别感染症状的来源、显示炎性病变累及范围、指导组织活检部位以及评估治疗反应。本文就 18F-FDG PET/CT 在炎性病变,如不明原因发热(FUO)、结节病、血管炎、骨髓炎、关节假体或植入物相关并发症、人类免疫缺陷病毒相关感染、炎性肠病以及其他炎性病变诊治中的应用进展进行综述,以期能为临床医师选择 PET/CT 帮助诊治炎性疾病提供参考。.

Keywords: 2-[18F]-fluoro-2-deoxy-D-glucose; infection; inflammation; positron emission tomography/computed tomography.

Publication types

  • Review

MeSH terms

  • Fluorodeoxyglucose F18
  • Humans
  • Inflammation
  • Positron Emission Tomography Computed Tomography*
  • Radiopharmaceuticals

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18

Grants and funding

国家自然科学基金资助项目(81271602)