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Angewandte Nuklearmedizin 2023; 46(04): 331-342
DOI: 10.1055/a-2178-6089
Live(r), Laugh, Love – Bildgebung und Therapie primärer und sekundärer Lebertumore
Übersicht

Primäre und sekundäre Lebertumore – aus Sicht der Nuklearmedizin

Primary and secondary liver tumors – the nuclear medicine perspective
Adrien Holzgreve
1   Klinik und Poliklinik für Nuklearmedizin, LMU Klinikum, LMU München, München, Deutschland
,
Harun Ilhan
1   Klinik und Poliklinik für Nuklearmedizin, LMU Klinikum, LMU München, München, Deutschland
2   DIE RADIOLOGIE, Radiologische, Strahlentherapeutische und Nuklearmedizinische PartG 1432, 80331 München, Deutschland
,
Lena M. Unterrainer
1   Klinik und Poliklinik für Nuklearmedizin, LMU Klinikum, LMU München, München, Deutschland
,
Malte Kircher
3   Klinik für Nuklearmedizin, Universitätsklinikum Augsburg, Medizinische Fakultät, Universität Ausgburg, Augsburg, Deutschland
,
Constantin Lapa
3   Klinik für Nuklearmedizin, Universitätsklinikum Augsburg, Medizinische Fakultät, Universität Ausgburg, Augsburg, Deutschland
,
Johanna S. Enke
3   Klinik für Nuklearmedizin, Universitätsklinikum Augsburg, Medizinische Fakultät, Universität Ausgburg, Augsburg, Deutschland
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Zusammenfassung

Konventionelle, radiologische Modalitäten wie die Ultraschalldiagnostik, CT- und MRT-Bildgebung sind der klinische Standard in der onkologischen Bildgebung primärer und sekundärer Lebertumore. In den letzten Jahrzehnten konnten nuklearmedizinische Verfahren, darunter insbesondere die PET/CT-Bildgebung, zusätzliche, molekulare Informationen liefern, die maßgeblich zur weiteren Optimierung der Stadieneinteilung und Risikostratifizierung beigetragen haben. Neben FDG als „Standard“-Radiopharmakon der PET/CT-Bildgebung werden in diesem Artikel weitere, spezifischere Radiopharmaka und neue Entwicklungen beschrieben.

Abstract

Conventional radiological modalities such as ultrasound, CT, and MRI are the clinical standard in oncological imaging of primary and secondary liver tumors. In recent decades, nuclear medicine, particularly PET/CT, provides additional, molecular information with the potential to further optimize staging and risk stratification. This article describes specific radiopharmaceuticals and new developments for PET imaging of primary and secondary liver tumors in addition to FDG as the “standard” PET/CT radiopharmaceutical.

Schlüsselwörter

Primäre und sekundäre Lebertumore - PET-CT - FDG - Somatostatin-Analoga - FAPI - DOPA - CXCR4

Keywords

Primary and secondary liver tumors - PET-CT - FDG - somatostatin analogs - FAPI - DOPA - CXCR4


Publication History

Article published online:
07 December 2023

© 2023. Thieme. All rights reserved.

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