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Positron emission tomography (PET-scan) is a well-established imaging modality in oncology. Using FDG, PET has also a wide range of applications in head and neck tumors for diagnosis, staging, monitoring of response to therapy, and detection of relapse. After a short technical introduction, the current indications of PET-FDG in head and neck tumors are reviewed. Present and future developments of PET are twofold: the use of new tracers for protein synthesis, cellular proliferation or detection of hypoxia etc., and the introduction of metabolic imaging as a adjunct to CT and MRI to determine target-volumes in radiation treatment planning. However, it has to be emphasized that a thorough clinical validation of the methods used is mandatory before their implementation in routine practice.
机译:正电子发射断层扫描(PET扫描)是肿瘤学中公认的成像方式。使用FDG,PET在头颈肿瘤中也具有广泛的应用,可用于诊断,分期,监测对治疗的反应以及检测复发。在简短的技术介绍之后,回顾了头颈肿瘤中PET-FDG的当前适应症。 PET的当前和未来发展有两个方面:使用新的示踪剂进行蛋白质合成,细胞增殖或检测缺氧等,以及将代谢成像作为CT和MRI的辅助手段来确定放射治疗计划中的目标体积。但是,必须强调的是,在常规实践中实施之前,必须对所用方法进行全面的临床验证。

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