Roberts Charlotte, Liyanage Sidath H, Harry Vanessa N, Rockall Andrea G
Bart's Cancer Centre, King George V Wing, St Bartholomew's Hospital, West smithfield, London, EC1A 7BE, UK.
Womens Health (Lond). 2011 Jul;7(4):487-97. doi: 10.2217/whe.11.35.
Treatment options for carcinoma of the cervix are guided by tumor stage, and include radical surgery, in cases where the tumor is confined to the cervix, or concurrent chemotherapy and radiotherapy. In those cases treated with chemoradiation, the ability to monitor the response to treatment in order to adapt the management plan during its course may be beneficial. This approach has the potential to offer an individualized treatment plan, allowing for differences in behavior between tumors to be addressed early, rather than a 'one size fits all' treatment approach. This article aims to review the use of evolving functional imaging techniques including diffusion-weighted MRI, dynamic contrast-enhanced MRI, and PET as tools for the evaluation of response to treatment of uterine cervical carcinoma.
子宫颈癌的治疗方案取决于肿瘤分期,包括根治性手术(适用于肿瘤局限于子宫颈的情况)或同步放化疗。在接受放化疗的病例中,在治疗过程中监测治疗反应以便调整管理计划可能有益。这种方法有可能提供个性化的治疗方案,能够尽早应对肿瘤行为的差异,而不是采用“一刀切”的治疗方法。本文旨在综述不断发展的功能成像技术的应用,包括扩散加权磁共振成像(DWI-MRI)、动态对比增强磁共振成像(DCE-MRI)和正电子发射断层显像(PET),作为评估子宫颈癌治疗反应的工具。