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Review Reviews in endocrine & metabolic disorders. 2025 Jun 11. doi: 10.1007/s11154-025-09978-1 Q16.92024

Lights or shadows, a promising future for positron emission tomography in pituitary tumors: a systematic review

利与弊：垂体肿瘤领域正电子发射断层扫描展望：系统综述 翻译改进

Sabrina Chiloiro  1  2, Carmelo Caldarella  2  3, Alessandra Vicari  4  5, Simone Antonio De Sanctis  1  2, Antonella Giampietro  1  2, Pier Paolo Mattogno  2  6, Lauretti Liverana  2  6, Rosalinda Calandrelli  2  7, Tommaso Tartaglione  2  7, Simona Gaudino  2  7, Alessandro Olivi  2  6, Laura De Marinis  1  2, Francesco Doglietto  2  6, Antonio Bianchi  1  2, Maria Fleseriu  8, Alfredo Pontecorvi  1  2

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作者单位

  • 1 Dipartimento di Endocrinologia, Facoltà di Medicina e Chirurgia, Fondazione Policlinico Universitario A. Gemelli, Istituto di Ricovero e cura a carattere scientifico (IRCCS), Rome, Italy.
  • 2 Università Cattolica del Sacro Cuore, Rome, Italy.
  • 3 Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, UOC di Medicina Nucleare, Fondazione Policlinico Universitario A. Gemelli, Istituto di Ricovero e cura a carattere scientifico (IRCCS), Rome, Italy.
  • 4 Dipartimento di Endocrinologia, Facoltà di Medicina e Chirurgia, Fondazione Policlinico Universitario A. Gemelli, Istituto di Ricovero e cura a carattere scientifico (IRCCS), Rome, Italy. alessandra.vicari01@icatt.it.
  • 5 Università Cattolica del Sacro Cuore, Rome, Italy. alessandra.vicari01@icatt.it.
  • 6 Dipartimento di Neurochirurgia, Fondazione Policlinico Universitario A. Gemelli, Istituto di Ricovero e cura a carattere scientifico (IRCCS), Rome, Italy.
  • 7 Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario A. Gemelli, Istituto di Ricovero e cura a carattere scientifico (IRCCS), Rome, Italy.
  • 8 Pituitary Center, Departments of Medicine and Neurological Surgery, Oregon Health & Science University, Portland, OR, USA.

    • DOI: 10.1007/s11154-025-09978-1 PMID: 40498213

    摘要 中英对照阅读

    The diagnosis of pituitary adenomas (PAs), also called pituitary tumors or neuroendocrine tumors (PitNETs) currently involves assessment of blood/plasma hormone levels and traditional neuroradiological techniques, with magnetic resonance imaging (MRI) being of particular significance. However, Positron Emission Tomography- computerized tomography (PET-CT) has been gaining a more substantial role both for the diagnosis and management of PAs. The present systematic review analyzes the most widely used radiopharmaceuticals in the evaluation of pituitary disorders. We explore the potential utilization of PET with multiple radiopharmaceuticals for individualized diagnosis and therapeutic strategies, highlighting both the constraints and merits of this constantly evolving technique and application in clinical practice.

    Keywords: Acromegaly; Corticotroph adenoma; Cushing’s disease; Lactotroph adenoma; PET-TC; Pituitary adenoma; Prolactinoma; Somatotroph adenoma.

    Keywords：positron emission tomography; pituitary tumors; systematic review

    垂体腺瘤（PAs），也称为垂体肿瘤或神经内分泌肿瘤（PitNETs）的诊断目前涉及血液/血浆激素水平评估和传统的神经放射学技术，其中磁共振成像（MRI）尤为重要。然而，正电子发射断层扫描-计算机断层扫描（PET-CT）在垂体腺瘤的诊断和管理中的作用正在变得越来越重要。本系统性回顾分析了目前用于评估垂体疾病的最常用放射药物，并探讨了使用多种放射药物进行个体化诊断和治疗策略的可能性，同时强调这种不断发展的技术和应用在临床上的优势与局限。

    关键词：肢端肥大症；皮质醇瘤；库欣病；泌乳素腺瘤；PET-CT；垂体腺瘤；生长激素腺瘤。

    关键词：正电子发射断层扫描; 垂体肿瘤; 系统评价

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    期刊名：Reviews in endocrine & metabolic disorders

    缩写：REV ENDOCR METAB DIS

    ISSN：1389-9155

    e-ISSN：1573-2606

    IF/分区：6.9/Q1

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    Lights or shadows, a promising future for positron emission tomography in pituitary tumors: a systematic review