Barentsz Jelle, Takahashi Satoru, Oyen Wim, Mus Roel, De Mulder Pieter, Reznek Rodney, Oudkerk Matthijs, Mali Wim
Department of Radiology, Radboud University Medical Center, PO Box 9101, 6500 HB Nijmegen, the Netherlands.
J Clin Oncol. 2006 Jul 10;24(20):3234-44. doi: 10.1200/JCO.2006.06.5946.
Imaging plays a vital role in the management of patients with cancer. Not only is it important for diagnosis, indicating sites of abnormality, and guiding biopsies, but it is also crucial in assessing disease extent and thereby determining treatment. In this review, conventional imaging techniques such as ultrasound, computed tomography, magnetic resonance imaging, and [18F]fluorodeoxyglucose-positron emission tomography are described, with attention to their mechanisms of action, and their strengths and weaknesses in diagnosis and staging of tumors. New developments are addressed and radiation safety issues are highlighted. In addition, we describe current and expected future uses of imaging techniques in oncology. Given that each technique has its inherent strengths and weaknesses, the combination of the methods will result in improved diagnosis, staging, and treatment prediction and monitoring.
成像在癌症患者的管理中起着至关重要的作用。它不仅对诊断很重要,可显示异常部位并指导活检,而且在评估疾病范围从而确定治疗方案方面也至关重要。在本综述中,描述了传统成像技术,如超声、计算机断层扫描、磁共振成像和[18F]氟脱氧葡萄糖-正电子发射断层扫描,重点关注它们的作用机制以及在肿瘤诊断和分期中的优缺点。讨论了新进展并强调了辐射安全问题。此外,我们描述了成像技术在肿瘤学中的当前及预期未来用途。鉴于每种技术都有其固有的优缺点,联合使用这些方法将改善诊断、分期以及治疗预测和监测。