Boudghene F, Breittmayer F
Service de Radiologie, Hôpital Tenon, Paris.
Rev Mal Respir. 1992;9 Suppl 4:R287-93.
The evaluation of infra-diaphragmatic extension to the liver and the adrenal of non oat-cells bronchogenic carcinoma, is indicated to select the patients which may be operated. Thin slices (5 mm) on the adrenals have to be performed on the initial thoracic computed tomography, as ultrasonography (US) and MRI are less accurate. The exploration of the liver by US used as first imaging modality, may induce some false negative results, with useless surgery, and may be replaced by a CT of adrenal and liver. MRI doesn't seem actually without adapted contrast agents, significatively more efficient than CT, to detect metastases of the liver or adrenals.
评估非燕麦细胞支气管源性癌膈下向肝脏和肾上腺的侵犯情况，对于选择可能适合手术的患者具有重要意义。在最初的胸部计算机断层扫描时，需对肾上腺进行5毫米的薄层扫描，因为超声检查（US）和磁共振成像（MRI）的准确性较低。将超声检查作为肝脏的首选成像方式，可能会产生一些假阴性结果，导致不必要的手术，因此可被肾上腺和肝脏的计算机断层扫描（CT）所替代。实际上，如果没有合适的造影剂，磁共振成像在检测肝脏或肾上腺转移方面似乎并不比计算机断层扫描更有效。
