Division of Musculoskeletal Imaging and Intervention, Department of Radiology, University of Washington, 4245 Roosevelt Way Northeast, Seattle, WA 98105, USA.
The Russell H. Morgan Department of Radiology & Radiological Science, The Johns Hopkins Medical Institutions, 600 North Wolfe Street, Baltimore, MD 21287, USA.
Radiol Clin North Am. 2022 Jul;60(4):657-668. doi: 10.1016/j.rcl.2022.03.008. Epub 2022 May 21.
A variety of imaging modalities are used to assess oncologic disorders in the elderly. The composition of bone marrow (BM) and its radiologic manifestation changes physiologically or pathologically while aging. The most important contributing factors include normal aging, oncology-related treatments, and osteoporosis. For accurate image interpretation, a radiologist should take into account these alterations. For evaluating BM and soft tissue abnormalities, MRI is an optimal precise noninvasive imaging modality. The challenges of imaging the elderly patient with the oncologic disease will be discussed in this chapter, focusing on the frequent use of MRI in assessing the bone marrow, bone tumors, and soft-tissue masses.
各种影像学方法用于评估老年人的肿瘤疾病。骨髓(BM)的组成及其影像学表现随着年龄的增长而发生生理性或病理性变化。最重要的影响因素包括正常衰老、与肿瘤相关的治疗和骨质疏松症。为了准确进行图像解读,放射科医生应考虑这些改变。对于评估骨髓和软组织异常,MRI 是一种最佳的精确无创影像学方法。本章将讨论在评估骨髓、骨肿瘤和软组织肿块时频繁使用 MRI 评估老年肿瘤患者的挑战。