Lewis-Jones H, Colley S, Gibson D
Department of Radiology,University Hospital Aintree,Liverpool,UK.
Department of Radiology,University Hospital Birmingham NHS Trust,Birmingham,UK.
J Laryngol Otol. 2016 May;130(S2):S28-S31. doi: 10.1017/S0022215116000396.
This guideline is endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. This paper summarises the current imaging modalities in use for head and neck cancer evaluation. It highlights their role in the management with recommendations on modality choice for each cancer subsite. Recommendations • Offer appropriate radiological imaging, based on tumour extent, site and local expertise, to stage tumours and plan treatment for patients diagnosed with head and neck cancer. (G) • Consider positron emission tomography combined with computed tomography (PET-CT) imaging if conventional cross-sectional imaging identifies no primary site. (R) • Offer PET-CT imaging 12 weeks after non-surgical treatment to detect residual disease. (R).
本指南得到了英国参与头颈癌患者护理的专业协会的认可。本文总结了目前用于头颈癌评估的成像方式。重点介绍了它们在管理中的作用,并针对每个癌症亚部位的成像方式选择提出了建议。
建议
• 根据肿瘤范围、部位和当地专业知识,为诊断为头颈癌的患者提供适当的放射成像,以对肿瘤进行分期并规划治疗方案。(良好实践建议)
• 如果传统横断面成像未发现原发部位,考虑进行正电子发射断层扫描结合计算机断层扫描(PET-CT)成像。(推荐)
• 在非手术治疗12周后提供PET-CT成像以检测残留疾病。(推荐)