Lai Gillian, Rockall Andrea G
Department of Diagnostic Imaging, St. Bartholomew's Hospital, Barts and The London NHS Trust, London, UK.
Semin Ultrasound CT MR. 2010 Oct;31(5):363-76. doi: 10.1053/j.sult.2010.07.006.
The accurate identification and characterization of lymph nodes is essential in staging gynecologic malignancies. The presence of nodal metastases carries important prognostic and therapeutic significance. Identification of metastatic lymph nodes on imaging can help in treatment planning, disease response, and detection of disease recurrence. In this article, the strengths and weakness of the currently available imaging modalities will be discussed. Evolving techniques, such as diffusion-weighted imaging, magnetic resonance lymphography with nanoparticles, 18-flurodeoxyglucose positron emission tomography/computed tomography, lymphoscintigraphy, and more novel techniques will also be reviewed.
准确识别和表征淋巴结对于妇科恶性肿瘤的分期至关重要。淋巴结转移的存在具有重要的预后和治疗意义。在影像学上识别转移性淋巴结有助于治疗方案的制定、疾病反应评估以及疾病复发的检测。在本文中，将讨论当前可用成像模态的优缺点。还将综述一些不断发展的技术，如扩散加权成像、纳米颗粒磁共振淋巴造影、18氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描、淋巴闪烁造影以及更多新颖的技术。
