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fapi最新视觉报道_国家税务总局电子发票服务平台(2024年12月全程跟踪)

内容来源：卡姆驱动平台所属栏目：热点更新日期：2024-12-01

fapi

PETCT也在进化[吃惊] 62岁男性，因为咳嗽1月，到某三甲医院做了胸部CT，发现肺占位并肺不张，气管镜诊断肺鳞癌。因为比较年轻，家属不甘心，经同行介绍来我们科。完善相关检查，全身增强CT，发现肝胃间淋巴结增大，还强化了，请影像科专家会诊，看着符合淋巴结转移的征象，我们决定做PET CT。 PET CT出来了，肝胃间淋巴结增大合并高代谢，符合淋巴结转移的征象。我们科在@河南省肿瘤医院@肺癌专家王启鸣博士带领下再讨论，肺鳞癌，肝胃间淋巴结转移的概率较低，这个位置如果不是，患者就是早期的，可以手术了。我跟PET CT中心李鹏博士再次沟通，他说还有个新办法，正在做科研的新的PETCT技术，可以帮助鉴别炎症和转移。我说，患者刚做过PETCT花了5800元，再做一次，还要花钱[可怜] 李鹏博士说，咱们给他免费做[嘻嘻][鼓掌]不收钱了昨天下午结果出来了，腹腔淋巴结是炎症，肺门淋巴结也是炎症，患者可以做手术了[good] 孜孜不倦，精益求精，是我们的追求[作揖] 注：李鹏博士说，新技术还是FAPI显像剂标记的肿瘤相关成纤维细胞（CAFs)，这种显像剂是肿瘤间质显像剂。肿瘤组织中该成分多，转移的话一般都会因含有该成分而显影。而炎性组织中通常不含该成分，一般都不摄取这种显像剂而不会显影。因此可以借此鉴别肿瘤相关的病变与炎性病变。咱们常用的FDG显像剂是肿瘤代谢显像剂，不光肿瘤会摄取，炎性组织因为含有葡萄糖转运蛋白也会摄取。所以两者有时会因为混战而难以鉴别。「向肿瘤说拜拜」「全民慢病健康科普计划」「医生日记」

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