Mycobacterium tuberculosis infection in patients with cancer, the role of 18-fluorodeoxyglucose positron emission tomography for diagnosis and monitoring treatment response
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作者:
Hofmeyr, Ann
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机构:Peter MacCallum Canc Ctr, Dept Infect Dis, Melbourne, Vic, Australia
Hofmeyr, Ann
Lau, W. F. Eddie
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机构:Peter MacCallum Canc Ctr, Dept Infect Dis, Melbourne, Vic, Australia
Lau, W. F. Eddie
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机构:
Slavin, Monica A.
机构:
[1] Peter MacCallum Canc Ctr, Dept Infect Dis, Melbourne, Vic, Australia
[2] Peter MacCallum Canc Ctr, Ctr Mol Imaging, Melbourne, Vic, Australia
[3] Univ Melbourne, Dept Med Radiol, Melbourne, Vic, Australia
[4] Royal Melbourne Hosp, Ctr Clin Res Excellence Infect Dis, Melbourne, Vic, Australia
Active tuberculosis (TB) infection including asymptomatic and extrapulmonary disease may be detected with 18-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT). This report highlights the promising role of FDG-PET/CT for evaluation of TB in high-risk, immunocompromised patients with cancer. PET/CT performed for cancer evaluation may detect asymptomatic infection and guide definitive diagnosis. It may also be a useful tool in the assessment of latent TB, to exclude active disease prior to treatment. PET/CT has potential for monitoring response to anti-tuberculosis treatment. Metabolic response may indicate clinical response and guide duration of anti-microbial therapy. Crown Copyright (c) 2007 Published by Elsevier Ltd. All rights reserved.