Department of Radiology, Guy's and St Thomas' NHS Trust, London, United Kingdom.
Department of Radiology, Guy's and St Thomas' NHS Trust, London, United Kingdom.
Semin Ultrasound CT MR. 2020 Aug;41(4):392-401. doi: 10.1053/j.sult.2020.04.008. Epub 2020 May 14.
Various surgical techniques exist for urinary diversion post cystectomy and each have different imaging features. This diverse range of surgical procedures can make imaging interpretation difficult and so familiarity with the postoperative anatomy is essential. Multiple imaging modalities and techniques are available for the radiologist's assessment including fluoroscopic studies, computed tomography, magnetic resonance, and radionuclide imaging. Knowledge of when each of these modalities is indicated and the typical imaging appearances is essential for early identification of postoperative complications and detection of tumor recurrence. This information enables the radiologist to make an accurate and early diagnosis and subsequently guide the management pathway for these patients.
各种用于膀胱癌术后尿流改道术的外科技术都具有不同的影像学特征。这种多样化的手术方法会使影像学解释变得困难,因此熟悉术后解剖结构至关重要。放射科医生可采用多种影像学方法和技术进行评估,包括透视研究、计算机断层扫描、磁共振和放射性核素成像。了解每种方法的适应证以及典型影像学表现对于早期识别术后并发症和肿瘤复发至关重要。这些信息使放射科医生能够做出准确和早期的诊断,并随后为这些患者指导治疗途径。