García-Figueiras Roberto, Padhani Anwar R, Baleato-González Sandra
Department of Radiology, Complexo Hospitalario de Santiago de Compostela (CHUS), Choupana s/n, Santiago de Compostela 15706, Spain.
Paul Strickland Scanner Centre, Mount Vernon Cancer Centre, Northwood, Middlesex HA6 2RN, UK.
Magn Reson Imaging Clin N Am. 2016 Feb;24(1):261-288. doi: 10.1016/j.mric.2015.08.003.
Cancer therapy is mainly based on different combinations of surgery, radiotherapy, and chemotherapy. Additionally, targeted therapies (designed to disrupt specific tumor hallmarks, such as angiogenesis, metabolism, proliferation, invasiveness, and immune evasion), hormonotherapy, immunotherapy, and interventional techniques have emerged as alternative oncologic treatments. Conventional imaging techniques and current response criteria do not always provide the necessary information regarding therapy success particularly to targeted therapies. In this setting, MR imaging offers an attractive combination of anatomic, physiologic, and molecular information, which may surpass these limitations, and is being increasingly used for therapy response assessment.
癌症治疗主要基于手术、放疗和化疗的不同组合。此外,靶向治疗(旨在破坏特定的肿瘤特征,如血管生成、代谢、增殖、侵袭性和免疫逃逸)、激素治疗、免疫治疗和介入技术已成为替代的肿瘤治疗方法。传统的成像技术和当前的反应标准并不总是能提供有关治疗成功与否的必要信息,尤其是对于靶向治疗。在这种情况下,磁共振成像提供了解剖、生理和分子信息的有吸引力的组合,这可能会超越这些限制,并且越来越多地用于治疗反应评估。