Slanina J, Sigmund G, Hinkelbein W, Wenz W, Wannenmacher M
Abteilung Strahlentherapie, Radiologische Universitätsklinik Freiburg.
Radiologe. 1988 Jan;28(1):20-8.
A group of 36 patients who received mantle field irradiation for Hodgkin's disease (35 pts) or non-Hodgkin lymphoma (1 pt) were prospectively examined by plain film radiography and computed tomography (CT) for evaluation of the pulmonary reaction at the beginning and the end of the course of irradiation, and at 12 weeks, 17 weeks, and 37 weeks after the start of the mantle field irradiation. A total of 173 plain chest radiographs (p.a. and lateral view), and 167 CTs were reviewed. As in chest radiography, the pulmonary reaction to radiation seen in CT took a characteristic course with different distinguishable stages. The radiation-induced changes typically seen on on CT were reducible to three basic patterns of opacification, which sometimes appeared in combination, and had a characteristic spatial distribution. Comparison of the two imaging modalities suggest that CT should be used in special cases, while conventional plain film radiography of the chest, with the possibility of short-term controls, is still the mainstay of follow-up for patients with Hodgkin's disease.
对一组36例接受霍奇金病（35例）或非霍奇金淋巴瘤（1例）斗篷野照射的患者，在照射疗程开始和结束时，以及在斗篷野照射开始后的12周、17周和37周，通过普通X线摄影和计算机断层扫描（CT）进行前瞻性检查，以评估肺部反应。共复查了173张胸部平片（正位和侧位）和167次CT扫描。与胸部X线摄影一样，CT所见的肺部辐射反应呈现出具有不同可区分阶段的特征性过程。CT上典型的辐射诱导变化可归纳为三种基本的致密影模式，这些模式有时会同时出现，并且具有特征性的空间分布。两种成像方式的比较表明，在特殊情况下应使用CT，而具有短期对照可能性的传统胸部平片摄影仍是霍奇金病患者随访的主要手段。
