Iannessi Antoine, Ouvrier Matthieu John, Thariat Juliette, Marcy Pierre-Yves
Centre de lutte contre le cancer, Centre Antoine-Lacassagne, Département d'imagerie diagnostique et de radiologie interventionnelle, 33, avenue de Valombrose, 06189 Nice cedex 2, France.
Centre de lutte contre le cancer, Centre Antoine-Lacassagne, Département d'imagerie nucléaire, Nice, France.
Bull Cancer. 2014 May 1;101(5):469-80. doi: 10.1684/bdc.2014.1967.
The head and neck imaging plays a central role at all stages of the management of cancer. Indeed, the image allows the oncology planning, surgery and radiotherapy. It is a multimodal imaging and the advantages and limitations of each technique must be known. Good knowledge of cervical anatomy is a necessary prerequisite for communication with the multidisciplinary committee. The computerised tomodensitometry is the gold standard for the pharyngolarynx. The MRI is the modality of choice for the oral cavity, oropharynx and nasopharynx. Ultrasound allows a comprehensive study of cervical lymph nodes. Functional imaging and nuclear medicine are still under evaluation. However, the literature already allows establishing their usefulness where morphological imaging is limited. The diagnosis of subclinical metastatic lymph nodes, the differentiation between recurrence and post-treatment modifications, monitoring chemotherapy and radiation therapy planning are indications for which new imaging techniques are invaluable.
头颈部成像在癌症管理的各个阶段都起着核心作用。实际上,影像有助于肿瘤学规划、手术和放射治疗。它是一种多模态成像,必须了解每种技术的优缺点。熟悉颈部解剖结构是与多学科委员会沟通的必要前提。计算机断层扫描是咽喉部的金标准。磁共振成像(MRI)是口腔、口咽和鼻咽的首选检查方式。超声可全面研究颈部淋巴结。功能成像和核医学仍在评估中。然而,已有文献表明,在形态学成像受限的情况下,它们是有用的。亚临床转移性淋巴结的诊断、复发与治疗后改变的鉴别、化疗监测以及放射治疗规划都是新成像技术具有重要价值的应用指征。