Division of Oncology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA.
Pediatr Blood Cancer. 2013 Aug;60(8):1253-60. doi: 10.1002/pbc.24533. Epub 2013 Apr 9.
Contemporary medical imaging is a cornerstone of care for children with cancer. As 5-year survival rates for children with cancer exceed 80%, imaging technologies have evolved in parallel to include a wide array of modalities. Here, we overview the risks and benefits associated with commonly used imaging modalities and survey the current landscape of medical imaging for children with cancer. We find evidence-based imaging guidelines to assist in protocol development and to guide decision-making for optimal patient care are often lacking. The substantial variation in protocol-based recommendations for imaging both during and following therapy may hinder optimal clinical research and clinical care for children with cancer.
现代医学成像技术是儿童癌症治疗的基石。由于儿童癌症患者的 5 年生存率超过 80%,成像技术也在不断发展,包括多种模态。在这里,我们概述了常用成像方式的风险和益处,并调查了儿童癌症的医学成像现状。我们发现,缺乏基于证据的成像指南来协助制定方案,并为最佳患者护理做出决策。在治疗期间和之后,基于方案的成像推荐存在很大差异,这可能会阻碍儿童癌症的最佳临床研究和临床护理。