Department of Radiology, Dana Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02115, USA.
Cancer Imaging. 2012 Apr 27;12(1):109-17. doi: 10.1102/1470-7330.2012.0023.
Amyloidosis comprises a rare spectrum of protein deposition diseases that diffusely or focally affect any organ. Amyloid's variable clinical presentation and nonspecific disease course often cause it to evade early diagnosis. This pictorial essay aims to familiarize radiologists with the pathophysiology of amyloidosis, to describe the basic classifications of amyloidosis, and to use multimodality imaging to illustrate its varied appearance throughout the body. This review highlights the diagnostic challenge of interpreting radiographic studies in patients with hematologic malignancies and concurrent amyloidosis. Radiologists should consider amyloid in chronically ill patients or patients with hematologic malignancies who have unusual/unexpected imaging findings.
淀粉样变包括一组罕见的蛋白沉积疾病谱,这些疾病可弥漫性或局灶性地影响任何器官。淀粉样变多变的临床表现和非特异性病程常导致其早期诊断困难。本影像学专题旨在使放射科医生熟悉淀粉样变的病理生理学,描述淀粉样变的基本分类,并使用多模态成像来展示其在全身的各种表现。本综述强调了在伴有血液恶性肿瘤的患者中解释放射影像学研究的诊断挑战。对于有异常/意外影像学发现的慢性疾病患者或血液恶性肿瘤患者,放射科医生应考虑淀粉样变的可能。