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非小细胞肺癌(NSCLC)的放射学分期进展。

Advances in radiological staging of non-small cell lung cancer (NSCLC).

机构信息

Guy's and StThomas NHS Trust, Guy's Hospital, St Thomas Street, London, UK.

出版信息

Cancer Imaging. 2004 Feb 14;4 Spec No A(Spec No A):S22-4. doi: 10.1102/1470-7330.2004.0013.

DOI:10.1102/1470-7330.2004.0013
PMID:18215971
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1435343/
Abstract

Imaging plays a vital role in the management of non-small cell lung cancer including diagnosis, staging and follow-up. CT and magnetic resonance imaging (MRI) are used in staging and provide anatomical information but have well known limitations in differentiating reactive from malignant nodes, and fibrosis from active disease and in defining the extent of invasion. MRI with its superior soft tissue contrast provides optimal information on brachial plexus and central nervous system involvement. Functional imaging using 2-18 fluoro-deoxyglucose positron emission tomography is increasingly being used to provide unique information and when combined with anatomic imaging will provide better staging information for both local disease and the extent of metastases.

摘要

影像学在非小细胞肺癌的管理中起着至关重要的作用,包括诊断、分期和随访。CT 和磁共振成像(MRI)用于分期,提供解剖信息,但在区分反应性和恶性淋巴结、纤维化和活动性疾病以及确定侵袭范围方面存在明显的局限性。MRI 具有优越的软组织对比度,可提供最佳的臂丛神经和中枢神经系统受累信息。使用 2-18 氟脱氧葡萄糖正电子发射断层扫描进行功能成像,越来越多地用于提供独特的信息,并且当与解剖成像结合使用时,可为局部疾病和转移范围提供更好的分期信息。

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本文引用的文献

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The impact of PET on the management of lung cancer: the referring physician's perspective.正电子发射断层扫描(PET)对肺癌治疗的影响:转诊医生的观点
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T1 lung cancers: sensitivity of diagnosis with fluorodeoxyglucose PET.T1期肺癌:氟脱氧葡萄糖PET诊断的敏感性
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Differentiating benign and malignant pulmonary lesions with FDG-PET.利用氟代脱氧葡萄糖正电子发射断层扫描(FDG-PET)鉴别肺部良恶性病变。
Anticancer Res. 2001 Nov-Dec;21(6A):4153-7.
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An initial experience with FDG-PET in the imaging of residual disease after induction therapy for lung cancer.18F-氟代脱氧葡萄糖正电子发射断层扫描在肺癌诱导治疗后残留病灶成像中的初步经验。
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Clinical impact of (18)F fluorodeoxyglucose positron emission tomography in patients with non-small-cell lung cancer: a prospective study.(18)F氟脱氧葡萄糖正电子发射断层扫描在非小细胞肺癌患者中的临床影响:一项前瞻性研究。
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Comparative efficacy of positron emission tomography with fluorodeoxyglucose in evaluation of small (<1 cm), intermediate (1 to 3 cm), and large (>3 cm) lymph node lesions.氟脱氧葡萄糖正电子发射断层扫描在评估小(<1厘米)、中(1至3厘米)和大(>3厘米)淋巴结病变中的比较疗效。
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Staging non-small cell lung cancer with whole-body PET.利用全身正电子发射断层显像(PET)对非小细胞肺癌进行分期
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