Albano Domenico, Micci Giuseppe, Patti Caterina, Midiri Federico, Albano Silvia, Lo Re Giuseppe, Grassedonio Emanuele, La Grutta Ludovico, Lagalla Roberto, Galia Massimo
Sezione di Scienze Radiologiche, Dipartimento di Biomedicina, Neuroscienze e Diagnostica Avanzata, Università degli Studi di Palermo, 90133 Palermo, Italy.
IRCCS Istituto Ortopedico Galeazzi, Unità Operativa di Radiologia Diagnostica ed Interventistica, 20161 Milan, Italy.
Diagnostics (Basel). 2021 May 31;11(6):1007. doi: 10.3390/diagnostics11061007.
Imaging of lymphoma is based on the use of F-fluorodeoxyglucose positron emission tomography/computed tomography (F-FDG-PET/CT) and/or contrast-enhanced CT, but concerns have been raised regarding radiation exposure related to imaging scans in patients with cancer, and its association with increased risk of secondary tumors in patients with lymphoma has been established. To date, lymphoproliferative disorders are among the most common indications to perform whole-body magnetic resonance imaging (MRI). Whole-body MRI is superior to contrast-enhanced CT for staging the disease, also being less dependent on histology if compared to F-FDG-PET/CT. As well, it does not require exposure to ionizing radiation and could be used for the surveillance of lymphoma. The current role of whole-body MRI in the diagnostic workup in lymphoma is examined in the present review along with the diagnostic performance in staging, response assessment and surveillance of different lymphoma subtypes.
淋巴瘤的影像学检查基于使用氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(F-FDG-PET/CT)和/或增强CT,但人们对癌症患者影像学扫描相关的辐射暴露表示担忧,并且其与淋巴瘤患者继发肿瘤风险增加之间的关联已得到证实。迄今为止,淋巴增生性疾病是进行全身磁共振成像(MRI)最常见的适应症之一。全身MRI在疾病分期方面优于增强CT,与F-FDG-PET/CT相比,对组织学的依赖性也较小。此外,它不需要暴露于电离辐射,可用于淋巴瘤的监测。本综述探讨了全身MRI在淋巴瘤诊断检查中的当前作用,以及在不同淋巴瘤亚型的分期、疗效评估和监测中的诊断性能。