From the Departments of Neuroradiology (V.M.S., J.B.G., W.B.).
Neurosurgery (W.B.).
AJNR Am J Neuroradiol. 2021 Apr;42(4):618-626. doi: 10.3174/ajnr.A6949. Epub 2021 Jan 28.
Retinoblastoma is the most common primary intraocular tumor of childhood. Accurate diagnosis at an early stage is important to maximize patient survival, globe salvage, and visual acuity. Management of retinoblastoma is individualized based on the presenting clinical and imaging features of the tumor, and a multidisciplinary team is required to optimize patient outcomes. The neuroradiologist is a key member of the retinoblastoma care team and should be familiar with characteristic diagnostic and prognostic imaging features of this disease. Furthermore, with the adoption of intra-arterial chemotherapy as a standard of care option for globe salvage therapy in many centers, the interventional neuroradiologist may play an active role in retinoblastoma treatment. In this review, we discuss the clinical presentation of retinoblastoma, ophthalmic imaging modalities, neuroradiology imaging features, and current treatment options.
视网膜母细胞瘤是儿童最常见的眼内原发性肿瘤。早期准确诊断对于最大限度地提高患者生存率、保存眼球和视力至关重要。视网膜母细胞瘤的治疗是根据肿瘤的临床表现和影像学特征个体化制定的,需要多学科团队合作以优化患者的治疗效果。神经放射科医生是视网膜母细胞瘤治疗团队的关键成员,应熟悉该疾病的特征性诊断和预后影像学特征。此外,随着许多中心将动脉内化疗作为保眼球治疗的标准治疗选择,介入神经放射科医生可能在视网膜母细胞瘤的治疗中发挥积极作用。在这篇综述中,我们讨论了视网膜母细胞瘤的临床表现、眼科影像学检查方法、神经放射影像学特征和当前的治疗选择。