Bennett W F, Bova J G
Department of Radiology, Ohio State University Hospitals, Columbus 43210.
Semin Surg Oncol. 1991 May-Jun;7(3):138-42. doi: 10.1002/ssu.2980070305.
Technical advances in imaging are barely keeping pace with the need for detailed pre-operative imaging in second-look surgery. Although the majority of intra-abdominal recurrence can be detected at surgery, pre-operative knowledge of possible sites of involvement will provide more efficient use of operative time. Dynamic incremental bolus CT is the modality of choice when evaluating these patients, even though magnetic resonance imaging is approaching, and may exceed, computed tomography in utility in the abdomen. Monoclonal antibody radioimmunoscintigraphy is useful for extra-abdominal sites of recurrence. Further technical advancement is needed to make it useful in the abdomen.
成像技术的进步几乎难以跟上二次手术中详细术前成像的需求。尽管大多数腹腔内复发在手术时能够被检测到，但术前了解可能受累的部位将更有效地利用手术时间。在评估这些患者时，动态增量团注CT是首选的检查方式，尽管磁共振成像正在接近，并且在腹部的应用中可能会超过计算机断层扫描。单克隆抗体放射免疫闪烁显像对于腹部外复发部位很有用。需要进一步的技术进步使其在腹部也能发挥作用。
