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胰高血糖素样肽-1受体PET/CT定位诊断胰岛素瘤的技术规范
引用本文:罗亚平,李方,于淼,邢小平,张太平,赵玉沛.胰高血糖素样肽-1受体PET/CT定位诊断胰岛素瘤的技术规范[J].协和医学杂志,2020,11(4):486-491.
作者姓名:罗亚平  李方  于淼  邢小平  张太平  赵玉沛
作者单位:1.中国医学科学院 北京协和医学院 北京协和医院核医学科, 北京 100730
基金项目:国家自然科学基金81501515公益性行业科研专项201402001
摘    要:胰岛素瘤的诊断和手术治疗依赖于准确的影像学检查定位。以胰腺β细胞为靶点的胰高血糖素样肽-1受体(glucagon-like peptide-1 receptor, GLP-1R)是近年来胰岛素瘤影像研究中的亮点, 推荐临床推广使用68Ga-exendin-4进行GLP-1R正电子发射断层显像/计算机体层成像(positron emission tomography/computed tomography, PET/CT)来定位诊断胰岛素瘤。本文介绍GLP-1R显像在胰岛素瘤中的应用概况, 并以68Ga-exendin-4 GLP-1R PET/CT显像为例, 介绍该技术的操作规范, 以期为临床提供借鉴。

关 键 词:胰高血糖素样肽-1受体    68Ga-exendin-4    胰岛素瘤    技术
收稿时间:2018-05-29

Procedure Guideline of Glucagon-like Peptide-1 Receptor Positron Emission Tomography/Computed Tomography in Localizing Insulinoma
Abstract:The diagnosis and surgical treatment of insulinoma is dependent on accurate localization with imaging modalities. Glucagon-like peptide-1 receptor (GLP-1R) imaging that targets pancreatic β cells has been highlighted for detecting insulinomas in recent years. Since the high sensitivity and specificity (se. 99%, sp. 100%) of GLP-1R imaging in localizing insulinoma, GLP-1R positron emission tomography/computed tomography (PET/CT) with 68Ga-exendin-4 is recommended to be introduced into clinical practice. This paper introduced the application of GLP-1R imaging in insulinoma, and took the GLP-1R PET/CT with 68Ga-exendin-4 as an example to elaborate the operation standard of this technique, aiming to provide a reference for clinical practice.
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