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Category: medicinemedicine

Позитронно-эмиссионная томография

1.

Позитронно-эмиссионная
томография
Подготовили
студентки группы ЛД4-С21
Сизова Дарина, Тригуб Мария, Москаленко Дарья.

2.

ЧТО ТАКОЕ ПЭТ, ПЭТ/КТ?
ПЭТ
ПЭТ/КТ
Это современный высокочувствительный
метод ядерной диагностики, позволяющий
оценить различные метаболические
процессы, происходящие в органах и тканях.
В основе метода лежит возможность
отслеживать распределение в организме
биологически активных соединений,
меченных позитрон-излучающими
радиоизотопами.
Это позитронно-эмиссионная
томография, совмещенная с
компьютерной томографией – позволяет
при одном исследовании изучить
физиологические и патофизиологические
процессы, а также сопоставить их с
анатомо-топографическими
особенностями строения органов и
тканей.

3.

ИСТОРИЯ МЕТОДА ПЭТ/КТ
Первые изображения работы мозга,
полученные на позитронно-эмиссионном
томографе в августе 1976 года
● Первые попытки конструкторских разработок
ПЭТ-сканеров были сделаны в 1970-е Майклом
Тер-Погосяном. Известен как «отец позитронноэмиссионной томографии»
● Впервые в Институте радиологии США было
получено ПЭТ изображение головного мозга.
● Развитие ПЭТ началось, одновременно с
магнитно-резонансной томографией (МРТ) в
1970-е годы и МРТ была быстро внедрена в
клиническую практику.
● Переворотным в развитии ПЭТ стал 1979г.,
когда ученые синтезировали
(18F)фтордезоксиглюкозу (18F-ФДГ).
● В 2001г. был начат серийный выпуск первого
совмещенного ПЭТ/КТ сканера,
предназначенного для получения так
называемого совмещенного – анатомофункционального изображения.

4.

передовым
ПЭТ томография относится к
методам,
позволяет обнаружить болезнь даже тогда, когда человек не
испытывает никаких симптомов, что позволяет вовремя
провести лечение, повысить шансы на полное выздоровление.

5.

Что показывает ПЭТ?
Обследование ПЭТ позволяет распознать
изменения в организме на клеточном
уровне, провести оценку структур органа,
получить подробную информацию о
патологическом процессе, распознать
опухоли от 5-6 мм и другие нарушения с
наибольшей тщательностью. В
зависимости от исследуемой области и
направления медицины, данный вид
исследования позволяет определить
следующие клинические состояния:
Онкология:
• стадия злокачественности;
• размер и локализация опухоли;
• разновидность образования;
• метастазы и их распространение;
• оценка результатов химиотерапии
или лучевой терапии.
Кардиология:
• области с нарушенным
кровообращением;
• тромбы, закупорки крупных и
мелких сосудов;
• динамика после лечения инфаркта.
Неврология:
• расположение и злокачественность
внутричерепных опухолей;
• эпилептические участки;
• изменения в сосудах.

6.

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Table of contents
01
02
03
Abstract
Introduction
Case presentation
04
05
06
Discussion
Conclusion
Roadmap

8.

01
Abstract

9.

Case presentation
Patient profile
Clinical findings
Diagnostic workup
Include essential demographic
information such as age,
gender, and medical history.
Describe the patient's chief
complaint and the timeline of
symptoms leading to the
diagnosis
Present an overview of the
patient's physical examination
findings, laboratory test results
and any imaging or diagnostic
procedures. Highlight key
abnormalities that aid in the
diagnosis
Outline the diagnostic process,
including the reasoning behind
the chosen investigations and
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interpretation and their
contribution to reaching the
final diagnosis

10.

Conclusion
Challenge
Success
Lessons
Address any diagnostic
challenges, emphasizing
the importance of
thorough investigation
and clinical reasoning
Highlight successful
outcomes achieved
through the chosen
treatment approach,
showcasing effectiveness
Summarize valuable
lessons learned, providing
insights to guide future
clinical decision-making
and enhance care
Significance
Research
Summary
Emphasize the case's
educational value, impact
on medical knowledge,
professional development,
and learning
Identify areas for future
investigation that have
emerged from the case,
stimulating
advancements
End with a concise
concluding statement,
summarizing the overall
significance of the case

11.

50,000
Patients on the study
20,000
5,000
Received placebo treatment
Had secondary effects

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14.

This is a table
Age
Gender
M. history
Symptoms
Diagnosis
Patient 1
45
Male
Hypertension
Symptom
Diagnosis 1
Patient 2
32
Female
Asthma
Symptom
Diagnosis 2
Patient 3
60
Male
Diabetes
Symptom
Diagnosis 3
Patient 4
50
Female
None
Symptom
Diagnosis 4
Patient 5
28
Male
None
Symptom
Diagnosis 5
Patient 6
70
Female
Osteoarthritis
Symptom
Diagnosis 6

15.

Milestones reached
Initial presentation
with chief complaint
Diagnostic evaluation
and investigations
Confirmation of
the diagnosis
Initiation of
appropriate treatment
Monitoring response
for treatment
Resolution of
presenting symptoms
Follow-up assessment
for outcomes
Case discussion and
lessons learned

16.

Case presentation: medical history
About the patient
Patient’s age
2 years old
Gender
Female
Medical
conditions
Seizures
Previous
treatments
None reported
Introduction
She has been experiencing these
symptoms for the past 2 days, with
the pain increasing in intensity
and frequency
Key findings
Summarize the most important or relevant
aspects of the patient's medical history
Use bullet points to present the key
findings in a clear and organized manner
Conclusions
1
In this section, summarize the key
findings from the medical history
2
Provide an overview of the
implications for the current diagnosis
and treatment plan

17.

Discussion
Introduction:
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Mention the purpose of the discussion and what will be covered
Main discussion:
Present different perspectives and opinions on the findings, based on the literature and other
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Use bullet points to highlight key arguments and counterarguments
Address any limitations or weaknesses of the study and suggest potential solutions or areas for
further research
Conclusions:
Summarize the key points of the discussion and their implications for clinical practice or future research
Offer any final recommendations or take-home messages for the audience

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Outcomes and recommendations
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2
3
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Outcome
Outcome
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recommendation
D. Write your
recommendation

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