Schaefer P S, Burton B S
Department of Radiology, Walter Reed Army Medical Center, Washington, D.C.
Surg Clin North Am. 1989 Oct;69(5):911-45. doi: 10.1016/s0039-6109(16)44930-3.
Multiple imaging modalities are available today for the evaluation of the wide variety of pathologic processes that affect the chest wall. However, the evaluation of nearly all abnormalities still begins with conventional radiographs. Careful analysis of these films, along with the judicious use of chest fluoroscopy and conventional tomography, frequently can lead to the correct diagnosis without resorting to the more expensive modalities. However, the precise anatomic location and characterization of many lesions requires the cross-sectional imaging capabilities of CT or MRI. In the appropriate clinical settings, these newer modalities often yield important information that leads to a specific diagnosis or demonstrates the full extent of a disease process. They may also be helpful in providing anatomic localization of lesions for percutaneous biopsy or surgical planning.
如今，有多种成像方式可用于评估影响胸壁的各种病理过程。然而，几乎所有异常情况的评估仍始于传统的X光片。仔细分析这些片子，再合理运用胸部荧光透视和传统体层摄影术，常常无需借助更昂贵的成像方式就能得出正确诊断。然而，许多病变的确切解剖位置和特征需要CT或MRI的断层成像能力。在适当的临床环境中，这些更新的成像方式常常能提供重要信息，从而得出具体诊断或显示疾病过程的全貌。它们还可能有助于为经皮活检或手术规划提供病变的解剖定位。
