Hoeffner Ellen G
Department of Radiology, University Hospital, University of Michigan, #UH-B2 A209, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0030, USA.
Hematol Oncol Clin North Am. 2016 Aug;30(4):899-920. doi: 10.1016/j.hoc.2016.03.010. Epub 2016 Jun 7.
Traditional and newer agents used to treat cancer can cause significant toxicity to the central nervous system. MRI of the brain and spine is the imaging modality of choice for patients with cancer who develop neurologic symptoms. It is important to be aware of the agents that can cause neurotoxicity and their associated imaging findings so that patients are properly diagnosed and treated. In some instances conventional MRI may not be able to differentiate posttreatment effects from disease progression. In these instances advanced imaging techniques may be helpful, although further research is still needed.
用于治疗癌症的传统药物和新型药物可对中枢神经系统造成显著毒性。对于出现神经症状的癌症患者,脑部和脊柱的磁共振成像(MRI)是首选的成像方式。了解可导致神经毒性的药物及其相关的影像学表现非常重要,以便对患者进行正确的诊断和治疗。在某些情况下,传统的MRI可能无法区分治疗后效应和疾病进展。在这些情况下,先进的成像技术可能会有所帮助,尽管仍需要进一步研究。