Pera A, Capek M, Shirkhoda A
Radiology. 1987 Sep;164(3):631-3. doi: 10.1148/radiology.164.3.3615860.
One hundred twenty-six patients with the diagnosis of lymphoma underwent staging with both lymphangiography and computed tomography (CT) of the abdomen and pelvis. These patients were retrospectively studied to determine the optimal imaging modality for follow-up. Six hundred seventy-four CT scans were correlated with 138 lymphangiograms and 840 follow-up KUB (kidney, ureter, bladder) radiographs. In 21 patients there was evidence of relapse, and in 105 the disease had regressed or remained stable. In all patients with evidence of progression or regression on the CT scan, there was a concomitant change in opacified lymph nodes on the KUB radiographs. It is recommended that the initial staging of lymphoma be done with lymphangiography and CT. If the findings of both are positive, then follow-up should consist of only KUB radiography. If progression is detected, restaging with CT may also be performed. This approach will not only reduce the radiation dose but will also save time and money and enable a more efficient use of radiologic equipment.
126例被诊断为淋巴瘤的患者接受了淋巴管造影以及腹部和盆腔计算机断层扫描（CT）进行分期。对这些患者进行回顾性研究以确定用于随访的最佳成像方式。674次CT扫描与138次淋巴管造影以及840次腹部平片（肾脏、输尿管、膀胱）随访X光片相关联。21例患者有复发迹象，105例患者病情已消退或保持稳定。在所有CT扫描显示有进展或消退迹象的患者中，腹部平片上的显影淋巴结都有相应变化。建议淋巴瘤的初始分期采用淋巴管造影和CT。如果两者结果均为阳性，那么随访仅应包括腹部平片。如果检测到病情进展，也可进行CT重新分期。这种方法不仅会减少辐射剂量，还将节省时间和金钱，并能更有效地使用放射设备。
