心包肿瘤影像学检查的陷阱：CT 和 PET/CT 表现

Pitfalls in Oncologic Imaging of the Pericardium on CT and PET/CT.

机构信息

Department of Thoracic Imaging, University of Texas MD Anderson Cancer Center, Houston, TX.

出版信息

Semin Ultrasound CT MR. 2022 Jun;43(3):194-203. doi: 10.1053/j.sult.2022.01.001. Epub 2022 Jan 20.

DOI:10.1053/j.sult.2022.01.001

Abstract

In the oncologic setting, misinterpretation of fluid in pericardial recesses as mediastinal adenopathy or benign pericardial findings as malignant can lead to inaccurate staging and inappropriate management. Knowledge of normal pericardial anatomy, imaging features to differentiate fluid in pericardial sinuses and recesses from mediastinal adenopathy and potential pitfalls in imaging of the pericardium on CT and PET/CT is important to avoid misinterpretation.

摘要

在肿瘤学环境中，如果将心包隐窝中的积液误诊为纵隔淋巴结肿大，或将良性心包发现误诊为恶性心包发现，可能导致分期不准确和治疗不当。了解正常心包解剖结构、区分心包窦和隐窝中的积液与纵隔淋巴结肿大的影像学特征以及 CT 和 PET/CT 上心包成像的潜在陷阱，对于避免误诊非常重要。