核素分子影像在炎症性肠病诊疗应用中的研究进展OA
Research progress of radionuclide molecular imaging in the diagnosis and treatment of inflammatory bowel disease
炎症性肠病是一类病因尚未明确的慢性非特异性肠道炎性疾病,疾病早期不易诊断,晚期并发症严重,严重降低患者生存质量,因此早期诊断、早期干预疾病至关重要.临床上常用的诊断手段如CT、MRI、超声、消化内镜等在其早期诊断方面具有一定的局限性,因此迫需求一种能早期发现疾病的方法.核素分子影像诸多的显像剂如WBC、FDG、FAPI、CD45及CXCR4等在各种炎症性疾病中的应用研究逐渐增多,上述显像剂在疾病的早期诊断、活性判断、并发症探测、疗效及预后评估中发挥重要作用,具有较高的临床转化价值.本文就核素分子影像在炎症性肠病诊疗中的研究进展进行总结和综述,深入分析其优缺点及应用前景,旨在为临床诊断炎症性肠病提供有力证据.
Inflammatory bowel disease(IBD)is a group of chronic nonspecific intestinal inflammatory disorders with an undefined etiology.Early diagnosis remains challenging,and severe late-stage complications significantly impair patients'quality of life,making early diagnosis and intervention critical.Commonly used clinical diagnostic methods,such as CT,MRI,ultrasound,and digestive endoscopy,have certain limitations in the early detection of IBD,underscoring an urgent need for sensitive and specific early diagnostic strategies suitable for molecular imaging research.An increasing number of studies have investigated the application of various radionuclide molecular imaging agents,such as WBC,FDG,FAPI,CD45 and CXCR4,in diverse inflammatory diseases.These molecular imaging agents play a pivotal role in early disease diagnosis,inflammatory activity assessment,complication detection,as well as therapeutic response monitoring and prognosis evaluation,exhibiting high potential for clinical translation in molecular imaging practice.This review summarizes the latest research progress of radionuclide molecular imaging in the diagnosis and treatment of IBD,comprehensively analyzes its advantages,disadvantages,and application prospects in the field of molecular imaging,and aims to provide robust evidence to support the clinical application of molecular imaging techniques in IBD diagnosis.
肖尧峰;陈易洪;杨振宇;冯悦;蔡亮
重庆医科大学附属第二医院核医学科,重庆 400010重庆医科大学附属第二医院核医学科,重庆 400010重庆医科大学附属第二医院核医学科,重庆 400010重庆医科大学附属第二医院核医学科,重庆 400010重庆医科大学附属第二医院核医学科,重庆 400010
炎症性肠病克罗恩肠病溃疡性结肠炎正电子发射断层成像单光子发射计算机断层成像
inflammatory bowel diseasecrohn's diseaseulcerative colitispositron emission tomographysingle photon emission computed tomography
《分子影像学杂志》 2026 (4)
541-548,8
重庆市自然科学基金一般项目(CSTB2024NSCQMSX0485)
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