Priya S R, Dandekar Mitali, Paul Peter, Dravid Chandra Shekhar, Anand Abhishek, Keshri Shekhar
Head Neck Surgeon, Independent, Visakhapatnam, India.
Department of Surgical Oncology (Head Neck), Paras Cancer Centre, Patna, India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3386-3395. doi: 10.1007/s12070-023-03986-w. Epub 2023 Jun 23.
Radiology has always been an important component in the evaluation of patients with head and neck cancers. Images that are appropriately acquired and systematically interpreted provide comprehensive information on local, regional, and distant disease extent. This impacts treatment decisions for primary or recurrent disease, and aids in prognostication and patient counselling. The recent significant advances in technology and instrumentation for treatment of head neck cancers have taken place in parallel with an increasing sophistication in radiodiagnostic systems. This is especially true for laryngeal neoplasms where there is now greater focus on functional outcomes and personalised treatment, thus expanding the scope and value of imaging.
To formulate evidence-based guidelines on imaging for cancers of the larynx, from diagnosis and staging to monitoring of disease control after completion of treatment.
A multidisciplinary analysis of current guidelines and published studies on the topic was performed.
On the basis of evidence gathered, guidelines were drawn up; optimal suggestions were included for low-resource situations.
These guidelines are intended as an aid to all clinicians dealing with patients of laryngeal cancers. It is hoped that these will be instrumental in facilitating patient care, and in improving outcomes.
放射学一直是头颈癌患者评估的重要组成部分。恰当获取并系统解读的影像可提供有关局部、区域和远处疾病范围的全面信息。这会影响原发性或复发性疾病的治疗决策,并有助于预后评估和患者咨询。近年来,头颈癌治疗技术和设备取得了重大进展,与此同时,放射诊断系统也日益复杂。对于喉肿瘤而言尤其如此,目前更加关注功能结局和个性化治疗,从而扩大了成像的范围和价值。
制定关于喉癌成像的循证指南,涵盖从诊断、分期到治疗完成后疾病控制监测的各个方面。
对当前关于该主题的指南和已发表研究进行了多学科分析。
基于收集到的证据制定了指南;针对资源匮乏情况纳入了最佳建议。
这些指南旨在帮助所有诊治喉癌患者的临床医生。希望这些指南有助于促进患者护理并改善治疗效果。