Department of Radiological Sciences, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MSN 220, Memphis, TN 38105-2794, USA.
Pediatr Radiol. 2011 Sep;41 Suppl 2(0 2):505-8. doi: 10.1007/s00247-011-2108-1. Epub 2011 Aug 17.
As the need for accurate diagnostic imaging often continues throughout a cancer survivor's life, imaging methods with the least toxicity must be used so as to provide needed information without contributing to long-term sequelae that might compound toxicities inherent with the primary disease and its treatment. In this regard, the costs, benefits and potential risks of post-therapy monitoring for disease recurrence warrant periodic review. Unfortunately, few analyses are available regarding the impact of surveillance imaging on the detection of disease recurrence, salvage rates of relapse disease and long-term survival outcomes for pediatric cancer survivors. This review will examine the role and limitations of surveillance imaging in pediatric oncology.
由于癌症幸存者在其整个生命周期中经常需要准确的诊断成像，因此必须使用毒性最小的成像方法，以便在不导致可能与主要疾病及其治疗相关的长期后遗症的情况下提供所需信息。在这方面，需要定期审查治疗后疾病复发监测的成本、效益和潜在风险。不幸的是，关于监测成像对疾病复发的检测、复发疾病的挽救率以及儿科癌症幸存者的长期生存结果的影响，几乎没有分析。本综述将探讨监测成像在儿科肿瘤学中的作用和局限性。
