FDG PET/CT 中文教科書


F-18 FDG PET/CT(氟-18去氧葡萄糖正子電腦斷層)在諸多癌症方面的應用,已經廣為接受。這幾年經過 National Oncology PET Registry(NOPR,美國國家癌症正子造影登錄系統)的努力與研究,也讓美國 Centers for Medicare & Medicaid Services(CMS)再度更新給付 F-18 FDG PET 的適應症。底下節錄一段 Society of Nuclear Medicine(美國核醫學會)網站發表的訊息(SNM Calls CMS PET Scan Decision a Major Benefit for Cancer Patients):
Now, all Medicare beneficiaries with certain cancers will be able to receive Medicare coverage for at least one PET scan, as prescribed by their physicians. The nine currently covered cancers— breast, cervix, colorectal, esophageal, head and neck, lymphoma, melanoma, non-small cell lung and thyroid—have all been expanded to cover the subsequent treatment strategy, in addition to initial diagnosis. Additionally, Medicare is now expanding coverage to include ovarian cancer and myeloma, making a total of eleven indications now covered for both the initial diagnosis and subsequent treatment strategy for patients. For all other cancers, PET coverage for subsequent treatment strategy evaluation requires participation in an approved Coverage with Evidence Development (CED) program, such as a modified NOPR.
之前我曾央請邱冠菁重製 National Oncology PET Registry 在這方面的表格,以供演講所需,如下所示:

重製自 NOPR 2009.01.07 版本。最新版本應依照 CMS 為主。

所以,讓更多醫療人員正確認識 F-18 FDG PET/CT 是一件很重要的事情。關於 F-18 FDG PET/CT 的英文書籍真的琳瑯滿目,年年推陳出新。就我所知,不論是醫學院學生、老師、學者或臨床醫療人員,許多人很想瞭解 F-18 FDG PET/CT 在腫瘤醫學方面的角色。中文 F-18 FDG PET/CT 教科書在台灣大多是原文中譯本,很高興台灣可以有自己的本土題材臨床教科書「FDG PET/CT 在癌症的應用」,更榮幸可以獲得兩位作者(新光醫院核醫科主任陳遠光醫師以及前台北慈濟醫院核醫科主任、現任為中山醫學大學附設醫院核醫科主任高潘福醫師)的贈書。

影像醫學已經邁入全新的世代,不管是影像融合或各種進階之 3D、4D 乃至 5D 應用,都是為了提升醫療品質,讓病患獲得更好的照護,這也是醫學的真義。