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理解和改善18F-Fluciclovine PET / CT报告:一个医生治疗指南生化复发的前列腺癌患者

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一位68岁男性的形象经历了放射治疗,其次是短期雄激素剥夺疗法。他被称为18F-fluciclovine成像,没有治疗,当他的PSA升至10.5 ng / mL。从他的研究显示五行的图片,展示不同强度的吸收。suv,吸收强度的半定量的测量,与更高的值表示更大的强度;与骨髓相比同级吸收在PET图像(黄色箭头)。第一(上)行:第一,左图像标识一个1.4厘米左闭孔节点(SUV: 7.6)(白色箭头)。蓝色箭头指向生理肠道吸收。黄色箭头指向生理吸收左髂骨髓的骨头。右边的图片是对应的CT视图;黄色箭头指向左边的闭孔节点。第二行:左图像显示髂总淋巴结转移的水平(SUV: 5.8)。 The blue arrow points to typical, heterogeneous bone marrow uptake (normal). The corresponding CT image on the right shows the node adjacent to the psoas muscle. Third row down: the left-hand image identifies a 1-cm aortocaval metastasis (SUV: 3.2). The yellow arrow on the corresponding CT view points to a lymph node at this site. Fourth row down: the left-hand image identifies a 1-cm left external iliac node (SUV: 3.5). The yellow arrow on the right points to the node on the CT view. Fifth (bottom) row: the left-hand image shows a 6-mm right obturator node (white arrow). Although the SUV is only 2.7, the node still clearly shows enhanced uptake compared to the adjacent iliac marrow. CT image on the right identifies the node (yellow arrow).
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