Department of Radiology, Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London, W6 8RF, UK.
Department of Radiology, Imperial College Healthcare NHS Trust, St Mary's Hospital, Praed Street, London, W2 INY, UK.
Curr Oncol Rep. 2017 Nov 6;19(12):85. doi: 10.1007/s11912-017-0640-3.
Magnetic resonance imaging (MRI) is the optimal modality for local staging of gynecological tumors. Advances in functional MRI with diffusion-weighted and dynamic contrast-enhanced sequences provide more detailed information regarding tumor cellularity, vascularity, and viability. Fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) now has an established role in imaging for gynecological cancers, particularly staging of locally advanced cervical cancers and pre-salvage exenterative therapy in relapsed gynecologic tumors. Novel PET tracers, targeting other aspects of tumor biology, are being evaluated although none are currently in routine clinical use. New PET/MR scanners have the potential to combine the strengths of both modalities in one sitting. This review covers advances in gynecologic imaging concentrating on cervical, endometrial, and ovarian cancers.
磁共振成像(MRI)是妇科肿瘤局部分期的最佳方式。功能 MRI 技术的进步,包括扩散加权和动态对比增强序列,提供了关于肿瘤细胞密度、血管生成和活力的更详细信息。氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(FDG PET/CT)在妇科癌症的影像学诊断中具有明确的作用,特别是局部晚期宫颈癌的分期以及复发性妇科肿瘤的挽救性前切除术的治疗前评估。目前虽然没有在常规临床中使用,但正在评估针对肿瘤生物学其他方面的新型 PET 示踪剂。新型 PET/MR 扫描仪有可能在一次检查中结合两种模式的优势。这篇综述涵盖了妇科影像学的进展,重点介绍了宫颈癌、子宫内膜癌和卵巢癌。
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