Dinkel E, Uhl H, Roeren T
Radiologe. 1985 Apr;25(4):158-65.
The different sensitivities of chest radiograph, full-lung tomography and computed tomography (CT) are determining factors in the diagnosis of pulmonary metastases. Pathogenesis and pathologic-anatomical morphology explain the radiological findings. Knowledge of spontaneous or therapy-induced changes and "sterilized" metastases is important for follow-up studies. The precise densitometry in CT improves the assessment of degree of a pulmonary disk-shaped lesion. Histological diagnosis may be obtained by fluoroscopically guided percutaneous thin-needle biopsy.
胸部X线片、全肺断层扫描和计算机断层扫描(CT)的不同敏感性是诊断肺转移瘤的决定因素。发病机制和病理解剖形态解释了放射学表现。了解自发或治疗引起的变化以及“灭活”转移瘤对随访研究很重要。CT中精确的密度测定可改善对肺部盘状病变程度的评估。组织学诊断可通过荧光镜引导下经皮细针穿刺活检获得。