18F-FDG PET/CT for Image-Guided and Intensity-Modulated Radiotherapy

被引:108
作者
Ford, Eric C. [1 ]
Herman, Joseph [1 ]
Yorke, Ellen [2 ]
Wahl, Richard L. [3 ]
机构
[1] Johns Hopkins Univ, Dept Radiat Oncol & Mol Radiat Sci, Baltimore, MD 21231 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Med Phys, New York, NY 10021 USA
[3] Johns Hopkins Univ, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21231 USA
关键词
radiation therapy; IMRT; IGRT; FDG (fluorodeoxyglucose); FDG PET/CT; POSITRON-EMISSION-TOMOGRAPHY; CELL LUNG-CANCER; GROSS TUMOR VOLUME; 4-DIMENSIONAL COMPUTED-TOMOGRAPHY; STEREOTACTIC BODY RADIOTHERAPY; RADIATION-DOSE ESCALATION; BREATH-HOLD PET/CT; FDG-PET; NECK-CANCER; TARGET VOLUMES;
D O I
10.2967/jnumed.108.055780
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Advances in technology have allowed extremely precise control of radiation dose delivery and localization within a patient. The ability to confidently delineate target tumor boundaries, however, has lagged behind. F-18-FDG PET/CT, with its ability to distinguish metabolically active disease from normal tissue, may provide a partial solution to this problem. Here we review the current applications of F-18-FDG PET/CT in a variety of disease sites, including non-small cell lung cancer, head and neck cancer, and pancreatic adenocarcinoma. This review focuses on the use of F-18-FDG PET/CT to aid in planning radiotherapy and the associated benefits and challenges. We also briefly consider novel radiopharmaceuticals that are beginning to be used in the context of radiotherapy planning.
引用
收藏
页码:1655 / 1665
页数:11
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