PET probe-guided surgery

被引:29
作者
Gulec, Seza A. [1 ]
机构
[1] Goshen Hlth Syst, Ctr Canc Care, Goshen, IN USA
关键词
target to background ratio; recurrent/metastatic lesions; gamma probe;
D O I
10.1002/jso.20862
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Intraoperative localization of PET-positive recurrent/metastatic lesions can be facilitated using a hand-held PET probe. PET probe is a high-energy gamma probe designed to process the 511 keV photons of PET tracers. Intraoperative gamma probe performance is a function of radiopharmaceutical uptake, clearance kinetics, and probe engineering, all determining the target to background ratio (TBR) and detection threshold. A minimum TBR of 1.5:1 is needed in the operative field for the operating surgeon to be comfortable the differences between tumor tissue and normal adjacent tissue are real. Due to high-energy photon fluxes, achieving a satisfactory TBR intraoperatively is challenging and requires development of a clinically feasible PET-probe guided surgery protocol.
引用
收藏
页码:353 / 357
页数:5
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