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女性盆腔恶性肿瘤的影像学:MRI、CT 和 PET/CT 检查——第 2 部分。

Imaging of female pelvic malignancies regarding MRI, CT, and PET/CT: Part 2.

机构信息

Department of Diagnostic and Interventional Radiology, Medical School, University of Heidelberg, Heidelberg, Germany.

出版信息

Strahlenther Onkol. 2011 Nov;187(11):705-14. doi: 10.1007/s00066-011-4002-z. Epub 2011 Oct 28.

DOI:10.1007/s00066-011-4002-z
PMID:22037656
Abstract

PURPOSE

To compose diagnostic standard operating procedures for both clinical and imaging assessment for vulvar and vaginal cancer, for vaginal sarcoma, and for ovarian cancer.

METHODS

The literature was reviewed for diagnosing the above mentioned malignancies in the female pelvis. Special focus herein lies in tumor representation in MRI, followed by the evaluation of CT and PET/CT for this topic.

CONCLUSION

MRI is a useful additional diagnostic complement but by no means replaces established methods of gynecologic diagnostics and ultrasound. In fact, MRI is only implemented in the guidelines for vulvar cancer. According to the current literature, CT is still the cross-sectional imaging modality of choice for evaluating ovarian cancer. PET/CT appears to have advantages for staging and follow-up in sarcomas and cancers of the ovaries.

摘要

目的

为外阴和阴道癌、阴道肉瘤以及卵巢癌的临床和影像学评估编写诊断标准操作程序。

方法

对女性盆腔中上述恶性肿瘤的诊断文献进行了回顾。本文特别关注 MRI 中肿瘤的表现,然后评估 CT 和 PET/CT 在该主题中的应用。

结论

MRI 是一种有用的附加诊断补充手段,但绝不能替代妇科诊断的既定方法和超声检查。事实上,MRI 仅在外阴癌的指南中得到应用。根据目前的文献,CT 仍然是评估卵巢癌的首选横断面成像方式。对于肉瘤和卵巢癌的分期和随访,PET/CT 似乎具有优势。

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本文引用的文献

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Analysis of various malignant neoplasms detected by FDG-PET cancer screening program: based on a Japanese Nationwide Survey.基于日本全国性调查的 FDG-PET 癌症筛查项目检测到的各种恶性肿瘤分析。
Ann Nucl Med. 2011 Jan;25(1):45-54. doi: 10.1007/s12149-010-0428-0. Epub 2010 Oct 17.
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FDG-PET/CT in advanced ovarian cancer staging: value and pitfalls in detecting lesions in different abdominal and pelvic quadrants compared with laparoscopy.在晚期卵巢癌分期中 FDG-PET/CT:与腹腔镜相比,在检测不同腹部和盆腔象限病变中的价值和陷阱。
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局部晚期外阴癌的MRI分期:从解剖结构到临床放射学表现。多学科外阴癌团队观点。
J Pers Med. 2021 Nov 18;11(11):1219. doi: 10.3390/jpm11111219.
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Preoperative Prediction of Metastasis for Ovarian Cancer Based on Computed Tomography Radiomics Features and Clinical Factors.基于计算机断层扫描影像组学特征和临床因素的卵巢癌转移术前预测
Front Oncol. 2021 Jun 10;11:610742. doi: 10.3389/fonc.2021.610742. eCollection 2021.
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The Complementary Role of Imaging and Tumor Biomarkers in Gynecological Cancers: An Update of the Literature.影像学与肿瘤生物标志物在妇科癌症中的互补作用:文献综述
Asian Pac J Cancer Prev. 2018 Feb 26;19(2):309-317. doi: 10.22034/APJCP.2018.19.2.309.
6
The impact of FDG-PET/CT in the management of patients with vulvar and vaginal cancer.18F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(FDG-PET/CT)在外阴和阴道癌患者管理中的影响
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