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淋巴瘤的分期和疗效评估影像学。

Imaging for Staging and Response Assessment in Lymphoma.

机构信息

From the Department of Radiology (S.A.J., J.R.), Department of Medicine (A.K., M.J.M.), and Molecular Imaging and Therapy Service, Department of Radiology (H.S.), Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY 10065.

出版信息

Radiology. 2015 Aug;276(2):323-38. doi: 10.1148/radiol.2015142088.

Abstract

Lymphoma comprises a heterogeneous group of diseases; remarkable advances have been made in diagnosis and treatment. Diagnostic imaging provides important information for staging and response assessment in patients with lymphoma. Over the years, staging systems have been refined, and dedicated criteria have been developed for evaluating response to therapy with both computed tomography (CT) and fluorine-18 fluorodeoxyglucose positron emission tomography (PET)/CT. The most recent system proposed for staging and response assessment, known as the Lugano classification, applies to both Hodgkin and non-Hodgkin lymphoma. The use of standardized criteria for staging and response assessment is important for making accurate treatment decisions and for determining the direction of further research. This review provides an overview of the updated CT and PET response criteria to familiarize the radiologist with the most important and clinically relevant aspects of lymphoma imaging. It also provides a short clinical update on lymphoma and the associated spectrum of imaging findings.

摘要

淋巴瘤是一组异质性疾病;在诊断和治疗方面取得了显著进展。诊断性影像学为淋巴瘤患者的分期和疗效评估提供了重要信息。多年来,分期系统得到了完善,并且针对 CT 和氟-18 氟代脱氧葡萄糖正电子发射断层扫描(PET)/CT 评估治疗反应制定了专门的标准。最近提出的用于分期和疗效评估的系统,称为 Lugano 分类,适用于霍奇金淋巴瘤和非霍奇金淋巴瘤。使用分期和疗效评估的标准化标准对于做出准确的治疗决策以及确定进一步研究的方向非常重要。本综述概述了更新的 CT 和 PET 反应标准,以使放射科医生熟悉淋巴瘤影像学的最重要和最具临床相关性的方面。它还提供了关于淋巴瘤及其相关影像学表现的简短临床更新。

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