Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2021, Vol. 21 ›› Issue (11): 918-926. doi: 10.3969/j.issn.1672-6731.2021.11.002

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Chinese experts consensus on the optimized application of PET imaging in the diagnosis of dementia(2021 edition)

Congress of Neuro-Degenerative Diseases Committee of the Chinese Society of Microcirculation   

  • Received:2021-10-14 Online:2021-11-25 Published:2021-11-26

痴呆诊断中PET临床合理化应用中国专家共识(2021版)

中国微循环学会神经变性病专业委员会   

  • 通讯作者: 纪勇,300350天津市环湖医院神经内科,Email:jiyongusa@126.com

Abstract:

Dementia is a serious global public health problem, especially with the aging of the population. Its incidence will further increase. The onset of dementia is insidious, and the diagnostic framework characterized by clinical symptoms is less effective in practice. Biomarker has improved the accuracy of dementia diagnosis. PET imaging can reflect the pathological process of dementia in vivo and is an important imaging biomarker for the diagnosis of dementia. With the rapid increase in the number of PET equipment in large medical institutions, PET assessment for dementia patients has been gradually carried out during clinical diagnosis and treatment, but the current evidence of PET imaging in dementia still needs further research and improvement. So, it is necessary to plan a reasonable clinical dementia PET application guide based on the existing research evidence and the actual situation to optimize its application for the diagnosis of dementia.

Key words: Dementia, Positron-emission tomography, Expert consensus (not in MeSH), China

摘要:

痴呆是一项严重的世界性公共卫生难题,特别是随着人口老龄化的进程,其发病率逐渐升高。痴呆发病较为隐匿,以临床症状为特征的诊断框架在实际操作中效能较低,影像学标志物证据引入诊断系统使痴呆诊断的准确性大幅度提高。PET显像可以在体反映痴呆的病理学过程,是痴呆诊断的重要影像学标志物。随着国内PET设备在大型医疗机构的保有量迅速增长,临床诊疗过程中逐步开展针对痴呆患者的PET显像,但目前PET显像在痴呆中的应用证据尚待进一步完善。因此有必要在现有证据的基础上结合临床实践制定合理的临床痴呆诊断中PET应用中国专家共识,规范其在痴呆诊断中的应用。

关键词: 痴呆, 正电子发射断层显像术, 专家共识(非MeSH词), 中国