Delépine N, Delépine G, Laval-Jeantet M, Roger B, Buy J N, Vadrot D, Larde D, Mathieu Y
Rev Rhum Mal Osteoartic. 1985 Jul-Sep;52(7-9):463-71.
The authors compared different methods of medical visualisation (standard radiography, arteriography, quantitative isotope bone scan, telethermography, CT scan, visualisation by nuclear magnetic resonance) in 52 osteogenic sarcomas. In the majority of cases the diagnosis was suggested by standard X-rays at the first visit. CT scan and visualisation by nuclear magnetic resonance are the two basic examinations both in terms of assessing the future single block excision as well as deciding the approach to be used for biopsy. Telethermography and quantitative isotope bone scan usefully complement clinical examination and standard X-rays in following the course during chemotherapy. Arteriography is indicated only in the presence of large tumors threatening the vessels directly.
作者比较了52例骨肉瘤中不同的医学可视化方法(标准X线摄影、动脉造影、定量同位素骨扫描、远红外热像图、CT扫描、核磁共振成像)。在大多数病例中,初诊时标准X线片即可提示诊断。就评估未来整块切除以及决定活检采用的入路而言,CT扫描和核磁共振成像是两项基本检查。在化疗过程中,远红外热像图和定量同位素骨扫描可有效辅助临床检查和标准X线片。仅在存在直接威胁血管的大肿瘤时才需进行动脉造影。