最新技术:使用更新的成像方式进行肺癌分期

State of the Art: Lung Cancer Staging Using Updated Imaging Modalities.

作者信息

Batouty Nihal M, Saleh Gehad A, Sharafeldeen Ahmed, Kandil Heba, Mahmoud Ali, Shalaby Ahmed, Yaghi Maha, Khelifi Adel, Ghazal Mohammed, El-Baz Ayman

机构信息

Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt.

Bioengineering Department, University of Louisville, Louisville, KY 40292, USA.

出版信息

Bioengineering (Basel). 2022 Sep 22;9(10):493. doi: 10.3390/bioengineering9100493.

Abstract

Lung cancer is among the most common mortality causes worldwide. This scientific article is a comprehensive review of current knowledge regarding screening, subtyping, imaging, staging, and management of treatment response for lung cancer. The traditional imaging modality for screening and initial lung cancer diagnosis is computed tomography (CT). Recently, a dual-energy CT was proven to enhance the categorization of variable pulmonary lesions. The National Comprehensive Cancer Network (NCCN) recommends usage of fluorodeoxyglucose positron emission tomography (FDG PET) in concert with CT to properly stage lung cancer and to prevent fruitless thoracotomies. Diffusion MR is an alternative to FDG PET/CT that is radiation-free and has a comparable diagnostic performance. For response evaluation after treatment, FDG PET/CT is a potent modality which predicts survival better than CT. Updated knowledge of lung cancer genomic abnormalities and treatment regimens helps to improve the radiologists' skills. Incorporating the radiologic experience is crucial for precise diagnosis, therapy planning, and surveillance of lung cancer.

摘要

肺癌是全球最常见的致死原因之一。这篇科学文章全面综述了有关肺癌筛查、亚型分类、成像、分期及治疗反应管理的当前知识。用于肺癌筛查和初步诊断的传统成像方式是计算机断层扫描(CT)。最近,双能CT已被证明可增强对各种肺部病变的分类。美国国立综合癌症网络(NCCN)建议将氟脱氧葡萄糖正电子发射断层扫描(FDG PET)与CT联合使用,以准确对肺癌进行分期并避免无意义的开胸手术。扩散磁共振成像(Diffusion MR)是FDG PET/CT的一种替代方法,它无辐射且具有相当的诊断性能。对于治疗后的反应评估,FDG PET/CT是一种有效的方式,其预测生存率的能力优于CT。肺癌基因组异常和治疗方案的最新知识有助于提高放射科医生的技能。结合放射学经验对于肺癌的精确诊断、治疗规划和监测至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc7c/9598500/6a9e36af3c5a/bioengineering-09-00493-g001.jpg

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