Guillerman R Paul, Voss Stephan D, Parker Bruce R
Department of Pediatric Radiology, Texas Children's Hospital, 6701 Fannin Street, Suite 470, Houston, TX 77030, USA.
Radiol Clin North Am. 2011 Jul;49(4):767-97, vii. doi: 10.1016/j.rcl.2011.05.004. Epub 2011 Jun 25.
Leukemia and lymphoma are the most common and third most common pediatric malignancies, respectively, and share cell lineages, but the clinical and imaging manifestations of these malignancies vary substantially. Along with providing pertinent details on classification, epidemiology, and treatment, this article reviews the current roles of imaging in the management of childhood leukemia and lymphoma, with attention to diagnosis, staging, risk stratification, therapy response assessment, and surveillance for disease relapse and adverse effects of therapy. Advances in functional imaging are also discussed to provide insights into future applications of imaging in the management of pediatric patients with leukemia and lymphoma.
白血病和淋巴瘤分别是最常见和第三常见的儿童恶性肿瘤,它们具有相同的细胞谱系,但这些恶性肿瘤的临床和影像学表现差异很大。除了提供有关分类、流行病学和治疗的相关细节外,本文还回顾了影像学在儿童白血病和淋巴瘤管理中的当前作用,重点关注诊断、分期、风险分层、治疗反应评估以及疾病复发和治疗不良反应的监测。还讨论了功能成像的进展,以深入了解影像学在儿童白血病和淋巴瘤管理中的未来应用。