| 131I SPECT/CT在分化型甲状腺癌术后淋巴结转移中应用价值的研究进展 |
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| 引用本文： | 殷海霞,赵德善.131I SPECT/CT在分化型甲状腺癌术后淋巴结转移中应用价值的研究进展[J].国际放射医学核医学杂志,2022,46(9):565-570. |
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| 作者姓名： | 殷海霞 赵德善 |
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| 作者单位： | 山西医科大学第二医院核医学科，太原 030001 |
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| 摘 要： | 分化型甲状腺癌（DTC）是最常见的内分泌系统恶性肿瘤，早期易发生淋巴结转移。131I全身显像联合SPECT/CT（简称131I SPECT/CT）常可发现残留和（或）漏诊的淋巴结转移灶，可能会改变患者的术后再分期及危险度分层，从而影响后续的手术或131I治疗的方式选择。131I治疗是DTC术后颈部淋巴结转移的有效治疗方法之一，而131I SPECT/CT可以诊断淋巴结转移灶。笔者对131I SPECT/CT在DTC术后淋巴结转移的诊断及治疗中的应用价值进行综述。
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| 关 键 词： | 碘放射性同位素 分化型甲状腺癌 近距离放射疗法 淋巴转移 体层摄影术，发射型计算机，单光子 体层摄影术，X线计算机 |
| 收稿时间： | 2021-08-18 |
Research progress on the application value of 131I SPECT/CT in postoperative lymph node metastasis in patients with differentiated thyroid cancer |
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| Haixia Yin,Deshan Zhao.Research progress on the application value of 131I SPECT/CT in postoperative lymph node metastasis in patients with differentiated thyroid cancer[J].International Journal of Radiation Medicine and Nuclear Medicine,2022,46(9):565-570. |
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| Authors: | Haixia Yin Deshan Zhao |
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| Affiliation: | Department of Nuclear Medicine, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China |
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| Abstract: | Differentiated thyroid cancer (DTC) is the most common endocrine malignancy, which is prone to lymph node metastasis in the early stage. 131I whole body scan combining with SPECT/CT (called 131I SPECT/CT for short) can often detect residual and/or missed lymph node metastasis, which may change the postoperative staging and risk stratification of patients, affect subsequent surgical or 131I therapy options. 131I therapy is one of the effect methods for the treatment of postoperative cervical lymph node metastasis in DTC. Metastatic lymph nodes can be diagnosed by 131I SPECT/CT. This article reviews the application value of 131I SPECT/CT in the diagnosis and treatment of postoperative lymph node metastasis in patients with differentiated thyroid cancer. |
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