每年來華的醫(yī)學(xué)留學(xué)生人數(shù)增加,招生量擴(kuò)大,留學(xué)生用的性價(jià)比合適的教材需求越來越迫切。而現(xiàn)在沒有全國(guó)性編寫的成套教材可供選擇,出版后對(duì)教育部系列教材建設(shè)是一個(gè)完善和補(bǔ)充,對(duì)參編院校的理論建設(shè)教材體系也是一個(gè)契機(jī)和提升。
隨著核醫(yī)學(xué)顯像設(shè)備SPECT及PET的逐步普及應(yīng)用,核醫(yī)學(xué)與臨床各學(xué)科的關(guān)系日趨密切。核醫(yī)學(xué)分子影像成為影像診斷中不可或缺的部分。該教材除了注重核醫(yī)學(xué)基礎(chǔ)理論、基本技術(shù)及核醫(yī)學(xué)在各系統(tǒng)的臨床應(yīng)用外,重點(diǎn)按系統(tǒng)編寫,內(nèi)容主要根據(jù)臨床實(shí)用與需要考慮。為加深學(xué)生對(duì)核醫(yī)學(xué)影像的認(rèn)識(shí)和理解,精選大量原始彩色插圖,深入淺出,讓讀者易懂易學(xué)。此外,也突出了核素治療在臨床核醫(yī)學(xué)中的重要地位,體現(xiàn)出臨床核醫(yī)學(xué)是一門診斷與治療并重的學(xué)科。
譚建、教授、博士研究生導(dǎo)師,核醫(yī)學(xué)科主任,核醫(yī)學(xué)教研室主任。現(xiàn)任中華醫(yī)學(xué)會(huì)核醫(yī)學(xué)分會(huì)常委,中華醫(yī)學(xué)會(huì)核醫(yī)學(xué)分會(huì)腫瘤學(xué)組組長(zhǎng)。中國(guó)醫(yī)師協(xié)會(huì)核醫(yī)學(xué)醫(yī)師分會(huì)常委,中國(guó)醫(yī)師學(xué)會(huì)核醫(yī)學(xué)醫(yī)師分會(huì)醫(yī)師培訓(xùn)與考核委員會(huì)副主任。中國(guó)影像技術(shù)研究會(huì)核醫(yī)學(xué)分會(huì)副主任委員。天津醫(yī)學(xué)會(huì)核醫(yī)學(xué)分會(huì)主委。
Contents
目錄
PartⅠ Basic Principles
Chapter 1 Physics of Nuclear Medicine 3
RADIoACTIvITY AND RADIoACTIvE DECAY 3
INTERACTIoNS BETWEEN RADIATIoN AND MATTER 7
SUGGESTED READING 12
Chapter 2 Radiopharmaceuticals 13
ElEMENTS, RADIoNUClIDES, AND RADIoPHARMACEUTICAlS 13
PRoDUCTIoN oF RADIoNUClIDES 14
RADIoNUClIDE GENERAToRS 15
TECHNETIUM CHEMISTRY AND RADIoPHARMACEUTICAl PREPARATIoN 16
QUAlITY ASSURANCE oF TECHNETIUM-99MlABElED RADIoPHARMACEUTICAlS 16
SINGlE-PHoToN RADIoPHARMACEUTICAlS oTHER THAN TC-99M 17
DUAl PHoToN RADIoPHARMACEUTICAlS FoR PoSITRoN EMISSIoN ToMoGRAPHY 18
DISPENSING RADIoPHARMACEUTICAlS 18
SUGGESTED READING 19
Chapter 3 Radiation Detection and Instrumentation 20
CHARATERISTICS oF A RADIATIoN DETECToR 20
TYPES oF RADIATIoN DETECToRS 21
ANCIllARY EQUIPMENT 22
NUClEAR MEDICINE IMAGING 23
SUMMARY 27
SUGGESTED READING 28
Chapter 4 Single-Photon Emission Computed Tomography, Positron
Emission Tomography, and Hybrid Imaging 29
IMAGE RECoNSTRUCTIoN 29
SINGlE-PHoToN EMISSIoN CoMPUTED ToMoGRAPHY 35
PoSITRoN EMISSIoN ToMoGRAPHY 35
HYBRID PoSITRoN EMISSIoN
CoMPUTED ToMGRAPHY, SINGlEPHoToN CoMPUTED ToMoGRAPHY WITH CoMPUTED ToMoGRAPHY,
AND PoSITRoN EMISSIoN ToMoGRAPHY WITH MAGNETIC RESoNANCE 36 SUGGESTED READING 37
Chapter 5 Molecular Imaging 38
IMAGING TECHNIQUES 38
BIoMARkERS 39
REPoRTER GENE IMAGING AND GENE THERAPY 42
SUGGESTED READING 43
Part Ⅱ Clinical Nuclear Medicine
Chapter 6 Central Nervous System 47
CEREBRAl ANAToMY 47
CEREBRAl BlooD FloW AND METABolISM 48
ClINICAl APPlICATIoNS FoR CEREBRAl PERFUSIoN IMAGING 51
MovEMENT DISoRDERS 62
AMYloID IMAGING 63
CISTERNoGRAPHY 64
SUGGESTED READING 68
Chapter 7 Cardiac System 69
MYoCARDIAl PERFUSIoN SCINTIGRAPHY 69
PoSITRoN EMISSIoN ToMoGRAPHY oF THE HEART 97
RADIoNUClIDE vENTRICUloGRAPHY 104
MYoCARDIAl INFARCT AND AMYloIDoSIS IMAGING 111
SUGGESTED READING 111
Chapter 8 Endocrine System 113
THYRoID SCINTIGRAPHY AND UPTAkE STUDIES 113
PARATHYRoID SCINTIGRAPHY 121
SUGGESTED READING 124
Chapter 9 Oncology: Positron Emission Tomography 125
BACkGRoUND 125
IMAGE INTERPRETATIoN 127
ClINICAl USES oF PoSITRoN EMISSIoN ToMoGRAPHY IN oNColoGY 134
SUGGESTED READING 151
Chapter 10 Oncology: NonPositron Emission Tomography 152
PEPTIDE RECEPToR IMAGING 152
ADRENAl SCINTIGRAPHY 154
MoNoCloNAl ANTIBoDY IMAGING AND THERAPY 156
NoNSPECIFIC BINDING TUMoR AGENTS 160
lYMPHoSCINTIGRAPHY: THE SENTINEl lYMPH NoDE 162
INTRAARTERIAl RADIoACTIvE MICRoSPHERES 164
BoNE PAIN PAllIATIoN 165
SUGGESTED READING 167
Chapter 11 Skeletal Scintigraphy 169
BoNE SCAN 169
ClINICAl APPlICATIoN oF SkElETAl SCINTIGRAPHY 176
BoNE INFARCTIoN AND oSTEoNECRoSIS 191
oSTEoMYElITIS 193
FloURINE-18 SoDIUM FlUoRIDE PoSITRoN EMISSIoN ToMoGRAPHY 196
BoNE MINERAl MEASUREMENT 197
SUGGESTED READING 198
Chapter 12 Pulmonary System 199
PUlMoNARY EMBolISM 199
vENTIlATIoN PERFUSIoN SCINTIGRAPHY 199
RADIoPHARMACEUTICAlS 200
IMAGE INTERPRETATIoN 203
vENTIlATIoN-PERFUSIoN INTERPRETATIoN CRITERIA 207
oTHER ADDITIoNAl v/Q INTERPRETATIoN CRITERIA 212
SUGGESTED READING 212
Chapter 13 Infection and Inflammation 213
RADIoPHARMACEUTICAlS 213
ClINICAl APPlICATIoNS FoR INFECTIoN SCINTIGRAPHY 218
SUGGESTED READING 226
Chapter 14 Gastrointestinal System 227
ESoPHAGEAl MoTIlITY 227
GASTRoESoPHAGEAl REFlUX DISEASE 230
GASTRIC MoTIlITY SCINTIGRAPHY 231
INTESTINAl TRANSIT SCINTIGRAPHY 237
PRoTEIN-loSING ENTERoPATHY 239
HElICoBACTER PYloRI INFECTIoN 239
GASTRoINTESTINAl BlEEDING 239
HETERoToPIC GASTRIC MUCoSA 245
SUGGESTED READING 248
Chapter 15 Hepatobiliary System 249
CHolESCINTIGRAPHY 249
TECHNETIUM-99M RED BlooD CEll lIvER SCINTIGRAPHY 267
TECHNETIUM-99M SUlFUR ColloID lIvER AND SPlEEN IMAGING 270
SPlEEN SCINTIGRAPHY 272
TECHNETIUM-99M MACRoAGGREGATED AlBUMIN HEPATIC ARTERIAl PERFUSIoN
SCINTIGRAPHY 274
SUGGESTED READING 275
Chapter 16 Genitourinary System 277
RENAl ANAToMY AND FUNCTIoN 277
RENAl RADIoPHARMACEUTICAlS 278
DYNAMIC RENAl IMAGING TECHNIQUES 283
MEASURING RENAl
FUNCTIoN:EFFECTIvE RENAl PlASMA FloW(ERPF)AND GloMERUlAR
FIlTRATIoN RATE (GFR) 292
RENAl CoRTICAl IMAGING 292
SUGGESTED READING 294
Part Ⅲ Radionuclide Therapy Chapter 17
Nuclear Medicine Therapy 297
RADIoIoDINE THEARPY FoR HYPERTHYRoIDISM 297
MANAGEMENT oF HYPERTHYRoIDISM DUE To ToXIC MUlTINoDUlAR GoITER AND
ToXIC
ADENoMA 300
MANAGEMENT oF GD IN CHIlDREN AND ADolESCENTS 301
CANCER RISk AND RADIATIoN SAFETY REGARDING RADIoIoDINE THEARPY FoR
HYPERTHYRoIDISM 301
RADIoIoDINE THERAPY FoR THYRoID CANCER 302
METASTATIC BoNE PAIN THERAPY 309
SUGGESTED READING 311