hhgdheh]b zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · i?l - dl \hhgdheh]b z ª /1%& *,...
TRANSCRIPT
![Page 1: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/1.jpg)
- ј
Дату а пре е тац ја: . .
ј „ . . џ “, „ . ј“, ј , . ј
ј Sant Orsola Malphigi њ ,
ј ( 2014)
. -
![Page 2: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/2.jpg)
- ј
• • •
• ј
•
ј 8cm
/ -
•
ј
![Page 3: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/3.jpg)
њ - ј
-
2 о а оле е а аку улац ја о де ата дојка (SUV max 4.4) по т ак ла л ф ле д (SUV max 6.9).
NON SMALL CELL LUNG CANCER
LYMPHOMA
HEAD AND NECK CANCER
OESOPHAGEAL CANCER
![Page 4: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/4.jpg)
62
ј ј
ј :
68
ј
ј :
ј
![Page 5: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/5.jpg)
49 ј . : , .
: ( ј m.psoas)
.
![Page 6: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/6.jpg)
• К :
• П циј : 1 њ 15-25%
2 њ > 25%
• П и : > 25% њ ј
• и : 15% 25% , њ , ќ њ
ј ј њ FDG PET:
LYMPHOMA
BREAST CANCER
OESOPHAGEAL CANCER
NSCLC CANCER
RECTAL CANCER
ALMOST ALL SOLID MALIGNANCIES
![Page 7: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/7.jpg)
.
40
.
43
![Page 8: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/8.jpg)
ј LYMPHOMA
![Page 9: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/9.jpg)
COLORECTAL CANCER
HEAD AND NECK CANCER
NSCLC CANCER
OVARIAN CANCER
MELANOMA
BREAST CANCER
![Page 10: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/10.jpg)
ј ј
,
/
![Page 11: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/11.jpg)
Gould MK et al.
ACCURACY OF PЕ FOR DIAGNOSIS OF PULMONARY NODULES AND MASS LESIONS
JAMA 2001 (meta-analysis of 1474 lesions)
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– ј
![Page 13: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/13.jpg)
: Ј
( , ,
) ( , ) ј 50 :
•
EWING
•
•
•
• KAPOSI
• GIST
![Page 14: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/14.jpg)
:
~ 8 / 100.000 ~ 1 / 100.000
• 5 / 1.000.000 / . EWING 2 / 1.000.000 / .
• 5 / 1.000.000 / .
• 3 / 1.000.000 / .
• <1 / 1.000.000 / .
• KAPOSI 15 / 1.000.000 / .
• GIST 11 / 1.000.000 / .
![Page 15: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/15.jpg)
– -
• ј ј ј ј -
• ј
њ
•
• ј
• ј ј њ
• ј
![Page 16: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/16.jpg)
1. : Ј
- ј ј
12 / 14 (85.7%)
16 / 16 (100%)
Ј 11 / 11 (100%)
12 / 12 (100%)
EWING 9 / 9 (100%)
![Page 17: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/17.jpg)
И
![Page 18: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/18.jpg)
2. : Њ
ј
I (15 ) SUV = 3.38 ± 1.61
II (13 ) SUV = 5.44 ± 3.06
III (3 ) SUV = 7.10 ± 2.61
![Page 19: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/19.jpg)
2. : Њ
ј , 74% ј 39% ј
њ . ј ј .
њ
ј .
![Page 20: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/20.jpg)
Е в а
18F-FDG
![Page 21: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/21.jpg)
3. : -
- њ њ њ
ј ј .
![Page 22: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/22.jpg)
4. : - њ
-
њ
ј ( ј )
- ј
37 / 42 (88.1%)
11 / 12 (91.7%)
- ј
Ewing
38 / 40 (95.0%)
27 / 31 (87.1%)
![Page 23: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/23.jpg)
4. : њ
a
•FDG PET (33 ) 25 TP 8 TN
•CT (29 ) 18 TP 4 FN 5 TN 2 FP
•MR (8 ) 5 TP 1 FN 2 FP
![Page 24: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/24.jpg)
EWING’S SРRТOMР в
![Page 25: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/25.jpg)
5. : - ј
ј ј
њ ј .
ј .
ј
.
![Page 26: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/26.jpg)
ј
1.8
Ewing
ј
8
ј
< 2
ј
6.1
![Page 27: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/27.jpg)
в а а = 3.1
а в ја а
![Page 28: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/28.jpg)
- ј
- 96% 86%
86% 66%
92% 70%
6. : - Ј Ј
- њ њ . њ - ј ј , ј
њ
![Page 29: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/29.jpg)
7. :
- Њ
ј ѓ -
ј .
![Page 30: hHgdheh]b Zzdravstvo.gov.mk/wp-content/uploads/2015/12/... · I?L - DL \hHgdheh]b Z ª /1%& *, &/ 6 WìðXìîXîìíñ ... I?L -DL ihfZ]Z \h ijhp_gdZ gZ _\_glmZe_g j_pb^b\ gZ [he_klZ](https://reader034.vdocuments.pub/reader034/viewer/2022042218/5ec3ccbdd7e6705ee77bfa39/html5/thumbnails/30.jpg)
!
-