PET CT in diagnosis and follow-up of lung cancer-复旦大学附属华山医院PET中心.pdfVIP

PET/CT in diagnosis and follow-up of lung cancer PET CENTER , HUASHAN HOSPITAL, FUDAN UNIVERSITY 复旦大学华山医院PET中心 PET CENTER HUASHAN HOSPITAL FUDAN UNIVERSITY History of PET/CT  1974 : first commercial PET  PET initially used in neurology, Whole-body PET scan started in 1992  1998.08: first combined PET/CT installed at the University of Pittsburgh Medical Center  2001 : first commercial PET/CT  2002 : first PET/CT with 16-slice CT  2004 : first 64-slice PET/CT introduced by RSNA  2007：first 64-slice HD PET/CT in SNM PET/CT in China  2002: first PET/CT was installed (Chang’an Hop. Xi’an, GE Discovery LS)  2003: first PET/CT with 16-slice CT in Asia and the Pacific was installed in Huashan Hopital  2004: Siemens HR PET/CT was installed in Peking Hop.  2007：first HD PET/CT with 64-slice CT of China was installed in Huashan  Domestic currents: PET/CT 70；PET 11 ；another 2 PET made in China 复旦大学华山医院PET中心 PET CENTER HUASHAN HOSPITAL FUDAN UNIVERSITY PET/CT 优势  显著缩短图像采集时间，增加病人流通量  提高病灶的精确定位，有助于鉴别FDG生理性摄取与 病变组织的摄取  PET/CT诊断的准确性优于单纯的PET或单纯的CT以 及PET与CT的视觉融合  CT的应用可避免FDG摄取阴性肿瘤的漏检  CT本身可提供诊断信息，重视诊断性CT的应用价值  治疗疗效的监测，弥补CT和PET的不足  引导下治疗（放疗、活检、介入治疗等） 复旦大学华山医院PET中心 PET CENTER HUASHAN HOSPITAL FUDAN UNIVERSITY 国外对PET/CT的肺癌医疗保险态度 美国Health Care Finance Administration (HCFA) PET Coverage  1998年批准肺癌单发结节的诊断  1999年肺癌单发结节的诊断和非小细胞肺癌(NSCLC) 分期  2000年12月肺癌诊断、分期及再分期  小细胞肺癌的PET显像2005年列入  欧洲 日本等类似的政策支持 中国？ 复旦大学华山医院PET中心 PET CENTER HUASHAN HOSPITAL FUDAN UNIVERSITY SIEMENS ECAT HR+ BIOGRAPH SENSATION 16 BIOGRAPH 64 HD Huashan hospital had established PET center in 1999 and renovated the PET (ECAT HR+) to PET/CT (Siemens biograph sensation 16 with PICO 3D) in 2003, and Siemens biograph sensation 64 HD in 2007 with h