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Ann Rheum Dis: Florbetapir[18F]正电子发射断层扫描:包涵体肌炎中肌肉淀粉样蛋白的识别及与多发性肌炎的鉴别

2019-02-16 xiangting MedSci原创

florbetapir[18F]淀粉样蛋白正电子发射断层扫描可以区分IBM与PM。

使用目前可用的工具来确诊包涵体肌炎(IBM)存在困难。许多患者最初被误诊为多发性肌炎(PM)。这项在英国成人神经肌肉中心进行的观察性研究探讨了淀粉样蛋白正电子发射断层扫描是否可以区分IBM和PM。

10例IBM患者和6例PM患者接受florbetapir[18F]正电子发射断层扫描和骨骼肌肉组织MRI。评估了感兴趣的骨骼肌区域florbetapir[18F] 标准化摄取值比率的差异。评估了florbetapir[18F]标准化摄取值比率与疾病严重程度指标(临床和骨骼肌MRI)之间的关联。

与PM相比,IBM患者所有评估区域的florbetapir[18F]标准化摄取值比率显著升高(总florbetapir[18F]标准化摄取值比率1.45(1.28至2.05)vs 1.01(0.80至1.22),p=0.005)。总florbetapir[18F]标准化摄取值比率≥1.28时,IBM的敏感性和特异性分别为80%和100%。

florbetapir[18F]淀粉样蛋白正电子发射断层扫描可以区分IBM与PM。成功利用该项检查有助于正确诊断临床试验的纳入,并避免潜在不必要的有害治疗。

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    2019-05-17 jml2009
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