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[1型神经纤维瘤病:从诊断到随访]

[Neurofibromatosis type 1 : From diagnosis to follow-up].

作者信息

Anders Rebecca, Hirsch Franz Wolfgang, Roth Christian

机构信息

Institut für Kinderradiologie, Universitätsklinikum Leipzig, Liebigstr. 20a, 04103, Leipzig, Deutschland.

出版信息

Radiologie (Heidelb). 2022 Dec;62(12):1050-1057. doi: 10.1007/s00117-022-01059-7. Epub 2022 Sep 7.

Abstract

BACKGROUND

Neurofibromatosis type 1 (NF1) is a tumor predisposition syndrome and is one of the most common genetic diseases. It is therefore a condition encountered by radiologists in clinical routine. Since the variability of the clinical expression is very high and several organ systems are affected, we present a standardized diagnostic approach in this article.

METHODS

Evaluation of the literature on neurofibromatosis type 1 in the context of radiological examination methods.

RESULTS

In addition to the frequently known changes in the central and peripheral nervous system such as optic gliomas and plexiform neurofibromas, lesions from the orthopedic spectrum and vascular changes must also be included in the radiological diagnosis.

CONCLUSIONS

Due to the diversity of the clinical picture of NF1, it is reasonable to define an examination strategy which takes into account the needs of radiological routine and also reliably detects the most frequent and prognostically significant pathologies accompanying this disease. In this article, the current recommendations for diagnosis of neurofibromatosis-associated tumors and skeletal changes are summarized, and examination protocols and time intervals are suggested.

摘要

背景

1型神经纤维瘤病(NF1)是一种肿瘤易患综合征,也是最常见的遗传性疾病之一。因此,它是放射科医生在临床日常工作中会遇到的一种病症。由于临床表型的变异性非常高且多个器官系统会受到影响,我们在本文中提出一种标准化的诊断方法。

方法

在放射学检查方法的背景下对1型神经纤维瘤病的文献进行评估。

结果

除了中枢和周围神经系统中常见的变化,如视神经胶质瘤和丛状神经纤维瘤外,放射学诊断还必须包括骨科方面的病变和血管变化。

结论

由于NF1临床表现的多样性,制定一种考虑到放射学日常工作需求且能可靠检测出伴随该疾病最常见且对预后有重要意义的病变的检查策略是合理的。本文总结了目前关于神经纤维瘤病相关肿瘤和骨骼变化诊断的建议,并提出了检查方案和时间间隔。

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