The Department of Radiology, The University of Florida College of Medicine, Jacksonville, FL, USA.
The Department of Abdominal Imaging, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Eur J Radiol. 2022 Jan;146:110062. doi: 10.1016/j.ejrad.2021.110062. Epub 2021 Nov 20.
Immunotherapy has revolutionized clinical outcomes in both early-stage and advanced-stage malignancies. Immunotherapy has improved patient survival in both solid and hematologic disorders with the potential added benefit of less toxicity compared to conventional cytotoxic chemotherapy. Imaging plays a fundamental role in monitoring treatment response and assessment of immune-related adverse events, e.g. pneumonitis, colitis, etc. Familiarity with the current strategies of immune-related response evaluation and their limitations is essential for radiologists to guide clinicians with their treatment decisions. Radiologists should be aware of the wide spectrum of immune-related adverse events and their various radiological features as well as the patterns of treatment response associated with immunotherapies.
免疫疗法已经彻底改变了早期和晚期恶性肿瘤的临床结果。免疫疗法改善了实体瘤和血液系统疾病患者的生存,与传统细胞毒性化疗相比,毒性更小。影像学在监测治疗反应和评估免疫相关不良事件(如肺炎、结肠炎等)方面发挥着重要作用。放射科医生熟悉当前的免疫相关反应评估策略及其局限性,对于指导临床医生的治疗决策至关重要。放射科医生应该了解免疫相关不良事件的广泛谱及其各种影像学特征,以及与免疫治疗相关的治疗反应模式。