FrancophonIA/ELRC3.0 huggingface dataset:
English: It is also noted that FDG has been registered in childhood lymphoma for a long time, even though there were not at that time, more published data in children than currently in infection/inflammation.
Slovenian: Izpostavljeno je bilo tudi, da je FDG že dolgo registriran za otroške limfome, čeprav takrat ni bilo več objavljenih podatkov pri otrocih, kot jih je trenutno za okužbo/vnetje.
English: The technical performance - the superiority of FDG over all radiopharmaceutical comparators has been documented in articles, and is applicable to all the proposed settings of these indications.
Slovenian: Tehnična zmogljivost - superiornost FDG nad vsemi primerljivimi radiofarmaki je dokazana v člankih in se nanaša na vse predlagane okoliščine teh indikacij.
English: By this substitution of gallium-67 by FDG, radiation exposure is reduced by a factor 3-5, which is of major significance in children with benign conditions.
Slovenian: Če zamenjamo galij67 s FDG se izpostavitev sevanju zmanjša za faktor 3-5, kar je zelo pomembno za otroke z benignimi boleznimi.
English: This has been confirmed in 2000 by Meller: “Antibiotic and immunosuppressive therapy did not seem to influence the results of FDG scanning, as 66% of the patients who were treated exhibited a pathological uptake that clarified the cause of fever.”
Slovenian: To je leta 2000 potrdil Meller: „Videti je, da antibiotično in imunosupresivno zdravljenje ne vplivata na rezultate tomografije s FDG, saj smo pri 66 % zdravljenih bolnikov ugotovili patološki privzem, ki je pojasnil vzrok zvišane telesne temperature.“
English: Most data have been obtained with PET alone and are therefore still valid; one could only consider that they would represent the minimum performance that could be anticipated with PET/CT.
Slovenian: Večina podatkov je pridobljenih samo s PET in so še vedno veljavni; predpostavlja se lahko le, da predstavljajo najmanjšo zmogljivost, ki jo pričakujemo od preiskave PET/CT.
English: The CHMP agreed that the clinical efficacy (diagnostic performance and impact on diagnostic thinking) of PET/PET-CT with FDG had been adequately demonstrated.
Slovenian: CHMP se je strinjal, da je klinična učinkovitost (diagnostična zmogljivost in vpliv na diagnostično razmišljanje) preiskave PET/PET-CT s FDG zadostno dokazana.
English: The quality of the studies that have been retained for the analysis, after many other have been discarded, has been confirmed in published meta-analysis or recent review articles, in several settings.
Slovenian: Kakovost študij, ki so bile izbrane za analizo po izločitvi številnih izmed njih, je bila potrjena v različnih okoliščinah v objavljeni metaanalizi ali nedavnih časopisnih recenzijah.
English: As radiation protection is a part of safety, it is also noted that, although all the registered diagnostic radiopharmaceuticals are globally safe, FDG is thought to be among the safest, and much less irradiating than gallium-67 or indium-111.
Slovenian: Ker je varovanje pred sevanjem del varnosti, je poudarjeno tudi, da kljub splošni varnosti vseh registriranih diagnostičnih radiofarmakov FDG šteje med najvarnejše in da seva veliko manj kot galij67 in indij-111.
English: In a large majority of FDG studies published in oncology, cases of infection/inflammation have been reported as a source for false-positive findings: those FDG foci did not correspond to malignant tissue.
Slovenian: V veliki večini študij FDG, objavljenih na področju onkologije, so primeri okužb/vnetja navedeni kot vir lažno pozitivnih odkritij: žarišča FDG niso ustrezala malignemu tkivu.
English: The CHMP therefore agreed that the paediatric population aged less than 18 years should be included in the SmPC.
Slovenian: CHMP se zato strinja, da se pediatrično populacijo, mlajšo od 18 let, vključi v povzetek glavnih značilnosti zdravila.
English: In this setting, Walter (2005) reported a detection rate of pathological large vessel of 8/9=89% without treatment vs. 10/21=48% with corticosteroids.
Slovenian: Walter (2005) je ugotovil, da je v teh okoliščinah stopnja odkritja patološke velike žile 8/9=89 % brez zdravljenja in 10/21=48 % z zdravljenjem s kortikosteroidi.
English: The CHMP therefore agreed that the current wording of the SmPC concerning the use in children is adapted also for infection/inflammation (by deleting the word “oncology”).
Slovenian: CHMP se je zato strinjal, da se trenutno besedilo povzetka glavnih značilnosti zdravila o uporabi pri otrocih prilagodi tudi za okužbo/vnetje (s črtanjem besede „onkologija“).
English: Mahfouz (2005) performed 2,631 FDG-PET examinations in 1,110 patients with multiple myeloma for cancer staging and/or for the diagnosis of suspected infection.
Slovenian: Mahfouz (2005) je opravil 2 631 preiskav PET s FDG pri 1 110 bolnikih z multiplim mielomom zaradi razvrščanja raka in/ali diagnoze suma o okužbi.
English: However this is not the case for FDG which targets in vivo foci of activated leukocytes.
Slovenian: Vendar to ni težava pri uporabi FDG, ki je usmerjena v žarišča aktiviranih levkocitov in vivo.
English: It is clear that FDG is able to detect infection/inflammation as an incidental finding in patients referred for cancer.
Slovenian: Jasno je, da FDG zmore nenamerno odkriti okužbe/vnetja pri bolnikih, napotenih zaradi raka.
English: The CHMP therefore does not see the need for additional information to support the use of this technique in the ten requested infectious and inflammatory diseases and the proposed posology in these indications.
Slovenian: CHMP se zato dodatni podatki v podporo uporabi te tehnike za deset želenih okužb in vnetij ter predlaganemu odmerjanju pri teh indikacijah ne zdijo potrebni.
English: The CHMP therefore acknowledged that the technical performance and procedural convenience of FDG are of overall benefit in this indication.
Slovenian: Zaradi je tega CHMP potrdil, da sta tehnična zmogljivost in prikladnost postopka s FDG na splošno koristna za to indikacijo.
English: Gluscan is intended to be used in the oncological, cardiological, neurological indications and infectious or inflammatory diseases.
Slovenian: Zdravilo Gluscan je namenjeno za onkološke, kardiološke in nevrološke indikacije ter za okužbe oz. vnetne bolezni.
English: Corticosteroids have been shown to decrease profoundly or suppress FDG uptake.
Slovenian: Dokazano je, da privzem FDG izrazito zmanjšajo ali zavrejo kortikosteroidi.
English: The use of PET-CT is a matter of equipment of the PET centre and of professional guidelines (including the above mentioned Euratom Directive defining justification and optimisation of the irradiation), and does not need to be addressed in the SmPC, except when PET-CT has been shown to increase efficacy.
Slovenian: Uporaba PET-CT je odvisna od opremljenosti PET-središča ter strokovnih smernic (vključno z zgoraj omenjeno direktivo Euratom, ki opredeljuje upravičenost in optimizacijo sevanja), zato je ni treba obravnavati v SmPC, razen v primerih, kjer je dokazano, da PET-CT poveča učinkovitost.
English: The inconveniences and risks of 99mTc HMPAO in vitro labelled leukocytes are obvious: withdrawal of a large quantity of blood in a child for in vitro labelling and anaphylaxia.
Slovenian: Neprijetnosti in tveganja ob uporabi levkocitov, označenih s 99mTc HMPAO in vitro, so očitne: odvzem velike količine krvi otroku za označevanje in vitro in anafilaksija.
English: The safety data for the combined PET/CT technology does not differ from that of PET; the only difference being an increase in radiation dose, due to the low dose CT, which produces no detectable consequence.
Slovenian: Varnostni podatki kombinirane tehnologije PET/CT se ne razlikujejo od preiskave PET. Edina razlika je povečan odmerek sevanja zaradi nizkoodmerne preiskave CT, ki pa nima zaznavnih posledic.
English: It is intended to be used in patients with infectious or inflammatory diseases in the proposed settings.
Slovenian: Zdravilo je namenjeno uporabi pri bolnikih z okužbami oz. vnetnimi boleznimi v predlaganih okoliščinah.
English: It should be borne in mind that the pharmacodynamic effects of these drugs (e.g. corticosteroids) on leukocytes that are taking-up FDG is identical in all settings, and that there is no need for a setting-by-setting demonstration of the interference, even though the consequence on diagnostic thinking may be different from one setting to another.
Slovenian: Upoštevati je treba, da so farmakodinamični učinki teh zdravil (npr. kortikosteroidov) na levkocite, ki privzemajo FDG, enaki v vseh okoliščinah, zato dokaz interference ni potreben v vsaki okoliščini, čeprav se posledice diagnostičnega razmišljanja v okviru okoliščin razlikujejo.
English: GLUSCAN 500 500MBq/mL at calibration time
Slovenian: GLUSCAN 500 500 MBq/mL v času kalibracije
English: The Applicant also refers to some specific studies that have been performed for IBD (Lemberg 2005, Löffler 2006) in a total of 88 patients, and for chronic granulomatous disease with a gut lesion in 5 of the 7 patients of Güngör (2001), and to some children who have also been included in a series with other conditions (e.g. 13 children with FUO).
Slovenian: Predlagatelj se tudi sklicuje na nekatere specifične študije, ki so bile opravljene pri skupno 88 bolnikih z aktivno vnetno boleznijo črevesja (Lemberg 2005, Löffler 2006) in petih od sedmih bolnikov s kronično granulomatozno boleznijo z lezijo črevesja v študiji Güngörja (2001) ter nekaterih otrocih, ki so bili vključeni v nize z drugimi boleznimi (npr. 13 otrok z zvišano telesno temperaturo neznanega vzroka).
English: Thus the benefit/risk ratio is clearly favourable for FDG than for any of the other registered radiopharmaceuticals in the requested indication ‘Infectious and inflammatory diseases'.
Slovenian: Zato je razmerje koristnih učinkov in tveganja FDG bistveno boljše kot pri katerem koli od registriranih radiofarmakov za želeno indikacijo „Okužbe in vnetne bolezni“.
English: The first publication of a series in 7 patients with sarcoidosis dates from 1994 and a total of 1988 patients have been reported in published series for EU series from 1999 to 2009.
Slovenian: Prva objava niza 7 bolnikov s sarkoidozo je iz leta 1994, od leta 1999 do leta 2009 pa je bilo v objavljenih nizih iz EU skupno 1 988 bolnikov.
English: For the effect of a decrease in leukocytes counts in patients with leukocyte dysfunction, it has been demonstrated in myeloma patients (Mahfouz (2005)), that “FDG-PET can be diagnostic in the setting of severe neutropenia, unlike most other nuclear imaging techniques”.
Slovenian: V zvezi z učinkom zmanjšanja ravni levkocitov pri bolnikih z disfunkcijo levkocitov so pri bolnikih z mielomom (Mahfouz (2005)) dokazali, da „je preiskava PET s FDG v nasprotju s tehnikami nuklearnega slikanja lahko diagnostična v primerih hude nevtropenije“.
English: Gluscan is a radiopharmaceutical medicinal product composed of fludeoxyglucose (18F), abbreviated as FDG.
Slovenian: Gluscan je radiofarmak, sestavljen iz fludeoksiglukoze (18F), skrajšano FDG.
English: A high overall impact on patient management has been reported for the overall indication and for every specific disease.
Slovenian: Poročajo o visokem skupnem vplivu na obravnavo bolnika za skupno indikacijo in za vse posamezne bolezni.
English: A perfect positive predictive value (PPV) and a considerable impact on management were reported.
Slovenian: Ugotovili so idealno pozitivno napovedno vrednost in bistven vpliv na zdravljenje bolnika.
English: - satisfactory consideration has been given to situations such as patients with immunodeficiency, with leukocyte dysfunction and patients under specific concomitant medications affecting the viability and/or function of leukocytes (such as antibiotics, non-steroid anti-inflammatory drugs, etc)
Slovenian: - primerna obravnava je bila namenjena okoliščinam, ki vključujejo bolnike z imunskimi pomanjkljivostmi, disfunkcijo levkocitov in bolnike s specifičnimi sočasno uporabljenimi zdravili, ki vplivajo na viabilnost in/ali funkcijo levkocitov (kot so antibiotiki, nesteroidna protivnetna zdravila itn.)
English: A technique for specific imaging of tissues or structures with an abnormal content of activated white blood cells is likely to provide important information in the management of patients with infectious and inflammatory diseases.
Slovenian: Tehnika za specifično slikanje tkiv ali struktur z nenormalno vsebnostjo aktiviranih levkocitov verjetno omogoča podatke, ki so pomembni za zdravljenje bolnikov z okužbami oz. vnetnimi boleznimi.
English: Fludeoxyglucose (18F) is a glucose analogue which is accumulated in all cells using glucose as a primary energy source.
Slovenian: Fludeoksiglukoza (18F) je glukozni analog, ki se kopiči v vseh celicah, ki porabljajo glukozo kot primarni vir energije.
English: The particularity of the present application is that the proposed indication in infectious or inflammatory diseases is currently not part of the core SPC for FDG.
Slovenian: Posebnost te vloge je, da predlagana indikacija okužb oz. vnetnih bolezni trenutno ni del temeljnega povzetka glavnih značilnosti zdravila za FDG.
English: Concerning the diagnostic efficacy of fludeoxyglucose (18F) in patients with immunodeficiency, the Applicant has provided data from literature that demonstrates that FDG PET is effective in AIDS patients to detect malignancies and/or infectious disease.
Slovenian: Predlagatelj je v zvezi z diagnostično zmogljivostjo fludeoksiglukoze (18F) pri bolnikih z imunsko pomanjkljivostjo predložil podatke iz literature, ki dokazujejo, da je preiskava PET s FDG učinkovita pri odkrivanju malignih bolezni in/ali okužb pri bolnikih z aidsom.
English: These indications were each based on a biological process, i.e. glucose uptake by specific organs or tissues: increased uptake by the malignant cells, persistent uptake by the viable jeopardised myocardial cells and decreased uptake by the neurons of the cortex responsible for promoting epilepsy when patient is not presenting with a crisis.
Slovenian: Te indikacije temeljijo na biološkem procesu, tj. privzemu glukoze v specifičnih organih ali tkivih: povečan privzem v maligne celice, trajen privzem v viabilne, ogrožene miokardne celice ter zmanjšan privzem v nevrone korteksa, ki je odgovoren za pospeševanje epilepsije, ko bolnik ni v krizi.
English: It is obvious that in vitro labelling of circulating WBC, which is requested with some of the comparators (111In oxine or 99mTc HMPAO labelled WBC) is impeded by a poor leukocytes count.
Slovenian: Jasno je, da označevanje krožečih levkocitov in vitro, ki je potrebno pri nekaterih primerjalnih zdravilih (z 111In oksinom ali 99mTc HMPAO označeni levkociti), ovira nizka raven levkocitov.
English: GLUSCAN PL 500MBq/mL at calibration time
Slovenian: GLUSCAN PL 500 MBq/mL v času kalibracije
English: Conversely this is not a contra-indication as the non-attenuation corrected images of PET remain artefact-free.
Slovenian: Vendar to ni kontraindikacija, saj so slike PET, ki niso korigirane z atenuacijo, brez artefaktov.
English: The quality of data used for assessment of efficacy has been checked (homogeneity of the series in a given setting according to explicit inclusion criteria, images acquired according to an accepted protocol available for FDG and also for the comparator in comparative studies and description of the standard of truth obtained in all evaluable patients, except in case of a study of the impact on management only) and shown to be in line with the requirements of the Points to Consider (PtC) on the Evaluation of Diagnostic Products (CPMP/EWP/1119/98).
Slovenian: Preverjena je bila kakovost podatkov, uporabljenih za vrednotenje učinkovitosti (homogenost nizov v določenih okoliščinah glede na jasno določene vključitvene kriterije, slike, pridobljene s sprejetim protokolom za FDG in za primerjalno zdravilo v primerjalnih študijah ter opis standarda resnice, pridobljenega pri vseh ocenljivih bolnikih, razen v študiji vpliva na obravnavo), in ugotovljeno je bilo, da je skladna z zahtevami dokumenta „Vidiki, ki jih je treba upoštevati pri vrednotenju diagnostičnih zdravil“ (CPMP/EWP/1119/98).
English: The subheading ‘Population aged less than 18 years' under the section 4.2 Posology and method of administration has been amended, and the word “oncologic” has been deleted.
Slovenian: V poglavju 4.2 Odmerjanje in način uporabe je bil dopolnjen podnaslov „Bolniki, mlajši od 18 let“, črtana pa je bila beseda „onkološki“.
English: In this setting CT is of poor help due to artefacts induces by beam hardening in the vicinity of the metallic prosthesis.
Slovenian: V tem primeru je CT manj uporaben zaradi artefaktov, ki jih povzroči otrditev žarka v bližini kovinskih protez.
English: In the particular case of myeloma (which is now considered part of lymphoma) and indicates FDG as such, FDG has been deliberately used to search for infection prior to starting chemotherapy, in relation with the depletion of immunity and WBC.
Slovenian: V specifičnem primeru mieloma (ki zdaj šteje kot del limfomov), ki indicira FDG kot tako, so s FDG namenoma iskali okužbo pred začetkom kemoterapije pri bolnikih z zmanjšano imunostjo in nizkimi ravnmi levkocitov.
English: - the use of Gluscan can be recommended in children also, for indications of infectious and inflammatory diseases
Slovenian: - uporabo zdravila Gluscan se lahko priporoči tudi za indikacije okužb in vnetnih bolezni pri otrocih
English: Furthermore, the 99mTc HMPAO in vitro labelled leukocytes are not indicated for the whole spectrum covered by FDG, since non-circulating WBC involved in many chronic infectious and inflammatory conditions are not labelled, and the background in the bone marrow is high, impeding detection of foci in the axial skeleton.
Slovenian: Poleg tega pa levkociti, označeni s 99mTc HMPAO in vitro, niso indicirani za celoten razpon bolezni, ki ga pokriva FDG, saj nekrožeči levkociti, ki sodelujejo pri veliko kroničnih okužbah in vnetjih niso označeni, zato je signal ozadja iz kostnega mozga močan, kar otežuje odkrivanje žarišč v aksialnem skeletu.
English: - the body of evidence on infectious or inflammatory diseases considered in the evaluation of this wellestablished use dossier is a careful selection of the studies according to the criteria of the Points to Consider (PtC) on the Evaluation of Diagnostic Products (CPMP/EWP/1119/98) and limited to the best documented clinical settings
Slovenian: - dokazi o okužbah in vnetnih boleznih, ki so obravnavani pri vrednotenju te dokumentacije za dobro uveljavljeno uporabo, predstavljajo natančno izbrane študije po kriterijih dokumenta „Vidiki, ki jih je treba upoštevati“ pri vrednotenju diagnostičnih zdravil (CPMP/EWP/1119/98) ter le najbolje opisane klinične okoliščine
English: There is no impact on the SmPC at the moment since it has not been demonstrated that any of the settings of this indication significantly benefit from PET/CT fusion as compared to PET alone.
Slovenian: Trenutno ni vpliva na povzetek glavnih značilnosti zdravila, saj ni bilo dokazano, da je v kateri koli od teh indikacij kombinacija PET/CT bistveno koristnejša od preiskave samo s PET.
English: - the technical performance has been documented in articles, and is applicable to all the proposed infectious or inflammatory diseases
Slovenian: - tehnična zmogljivost je opisana v virih in se nanaša na vse predlagane okužbe ali vnetne bolezni
English: Although it is argued that the effective dose of irradiation from 99mTc labelled compounds is similar to that of FDG, the easiest to use 99mTc labelled comparator, immunoscintigraphy, is contraindicated in children for a well documented reason; that the occurrence of antibodies will impede further use.
Slovenian: Čeprav je sporno, da je učinkoviti odmerek sevanja iz spojin, označenih s 99mTc, podoben kot pri FDG, je najenostavnejša uporaba primerjalnega zdravila, označenega s 99mTc, tj. imunoscintigrafija, kontraindicirana pri otrocih zaradi dobro dokumentiranega vzroka, tj. pojava protiteles, ki preprečijo kasnejšo uporabo.
English: The total effective dose of FDG PET/CT with a low dose CT is less than that of a full contrast enhanced diagnostic CT of the same area.
Slovenian: V istem področju je skupni učinkoviti odmerek preiskave PET/CT s FDG in nizkoodmernim CT manjši od polnokontrastne izboljšane diagnostične preiskave CT.
English: The three indications oncology, cardiology and neurology are established in the core SmPC for this active substance.
Slovenian: Tri indikacije (onkologija, kardiologija in nevrologija) so določene v temeljnem povzetku glavnih značilnosti zdravila za to zdravilno učinkovino.
English: The use of FDG PET-CT has been reported in all of the 10 proposed indications in ‘Infectious or inflammatory diseases', except for the detection of infection of hip prostheses, at this point in time.
Slovenian: Uporaba PET-CT s FDG je bila do danes opisana za vseh 10 predlaganih indikacij „okužb ali vnetnih bolezni“, razen za odkrivanje okužb umetnih kolkov.
English: It was concluded that: that the intrinsic resolution of a PET scanner is twice as good as that of a gamma-camera with a low energy collimator used for technetium-99m and more than twice with a medium energy collimator used for gallium-67 or indium-111, that the waiting time for the patient (1h between injection and image acquisition) is the shortest of all registered radiopharmaceuticals in this field, that the other inconveniences/risks for the patient are less than those of gallium-67 (cumbersome patient preparation) or of labelled white blood cells (WBC) which requires withdrawal of a large quantity of blood and encompasses risk of errors in re-injection; that the dosimetry of FDG PET is similar to that of technetium-99m labelled products and more favourable than that of gallium-67 or indium-111 radiopharmaceuticals.
Slovenian: Ugotovljeno je bilo, da: je lastna ločljivost tomografa z emisijo pozitronov dvakrat boljša od kamere gama z nizkoenergijskim kolimatorjem za tehnecij-99m in več kot dvakrat boljša od srednjeenergijskega kolimatorja za galij-67 ali indij-111, je čakalna doba za bolnika (1 ura od injiciranja do zajema slike) najkrajša med vsemi registriranimi radiofarmaki, ki se uporabljajo na tem področju, so druge neprijetnosti/tveganja za bolnika manj pomembna kot pri galiju-67 (neudobna priprava bolnika) ali označenih levkocitih, kjer je potreben odvzem velike količine krvi in se možna tveganja napake pri ponovnem injiciranju, je dozimetrija preiskave PET s FDG podobna kot pri zdravilih, označenih s tehnecijem-99m, ter boljša kot pri radiofarmakih z galijem-67 ali indijem-111.
English: Fludeoxyglucose (18F) passes the blood-brain barrier, and epileptogenic foci exhibit a reduced glucose metabolism in the seizure free phases.
Slovenian: Fludeoksiglukoza (18F) prehaja možgansko-krvno bariero, epileptogena žarišča pa kažejo zmanjšano presnovo glukoze v fazah brez napadov.
English: The issue was referred to the CMD(h) and an assessment was carried out by the RMS.
Slovenian: Vprašanje je bilo posredovano usklajevalni skupini za postopek medsebojnega priznavanja in decentralizirani postopek v humani medicini CMD(h) in referenčna država članica je izvedla vrednotenje.
English: - a high impact on patient management has been reported for the overall indication and for every infectious or inflammatory diseases
Slovenian: - poročajo o visokem vplivu na obravnavo bolnika za skupno indikacijo in za vse posamezne okužbe ali vnetne bolezni
English: In conclusion the CHMP considers that the benefit-risk profile is favourable for Gluscan (FDG) in the indication ‘infectious or inflammatory diseases' addressed above.
Slovenian: V zaključku CHMP meni, da je razmerje med koristmi in tveganjem ob uporabi zdravila Gluscan (FDG) za zgoraj obravnavano indikacijo „okužbe in vnetne bolezni“ ugodno.
English: Fludeoxyglucose (18F) is also accumulated by the myocardium, especially during and after a reversible myocardial ischemia when an increased glucose uptake occurs into the myocardial cell.
Slovenian: Fludeoksiglukoza (18F) se kopiči tudi v miokardu, zlasti med reverzibilno miokardno ishemijo in po njej, saj se takrat poveča privzem glukoze v celice tega tkiva.