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[骨转移:诊断成像的新趋势]

[Bone metastases: new trends in diagnostic imaging].

作者信息

Herneth A M, Dominkus M, Kurtaran A, Lang Susanna, Rand T, Kainberger F

机构信息

Universitätsklinik für Radiodiagnostik, Währinger Gürtel 18-20, A-1090 Wien.

出版信息

Wien Med Wochenschr Suppl. 2002(113):92-4.

Abstract

Skeletal metastases are common in patients with cancers of the breast, lung, kidneys, prostate, and thyroid gland. Two main aspects have to be considered in diagnostic imaging. Screening in patients with known primary tumor. Triphasic Sczintigraphy is the imaging modality of choice for this purpose, however, whole-body-magnetic resonance imaging seems to be a potential alternative. Evaluation of suspicious skeletal lesions, which is currently dominated by magnetic resonance imaging. New perspectives for preoperative staging as well as for reconstruction- and implant-surgery are made available by multidetector-row-computed tomography. Non-invasive techniques, such as diffusion weighted imaging, positron emission tomography and positron emission tomography/computed tomography are now available, which seem to have potential for reliable tissue characterization. This feature is critical for monitoring treatment response in oncology.

摘要

骨转移在乳腺癌、肺癌、肾癌、前列腺癌和甲状腺癌患者中很常见。在诊断成像中必须考虑两个主要方面。对已知原发性肿瘤患者进行筛查。三相骨闪烁扫描是用于此目的的首选成像方式,然而,全身磁共振成像似乎是一种潜在的替代方法。对可疑骨病变的评估,目前以磁共振成像为主。多排探测器计算机断层扫描为术前分期以及重建和植入手术提供了新的视角。现在有了非侵入性技术,如扩散加权成像、正电子发射断层扫描和正电子发射断层扫描/计算机断层扫描,它们似乎具有可靠组织特征描述的潜力。这一特性对于监测肿瘤学中的治疗反应至关重要。

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