Kretzschmar K, Aulich A, Schindler E, Lange S, Grumme T, Meese W
Neuroradiology. 1978 Feb 17;14(5):245-50. doi: 10.1007/BF00418623.
The paper deals with CT followup studies on 73 patients with cerebral tumors who received radiotherapy. The value of CT for the indication of radiotherapy, for followup therapy and for the demonstration of therapeutic success are discussed. Since the cerebral tumors become visualized by means of CT in their entire extent and can be differentiated from perifocal edema, the question arises whether radiotherapy should consist of higher doses in the future. It is also suggested that the "clinical malignancy" may be used to compare the behavior of cerebral tumors when there is no exact histological classification. The possible histopathological effects of radiotherapy (edema, necrosis) and their demonstration by CT are discussed.
本文探讨了73例接受放射治疗的脑肿瘤患者的CT随访研究。讨论了CT在放射治疗指征、后续治疗及疗效显示方面的价值。由于CT能完整显示脑肿瘤并可将其与灶周水肿区分开来,因此产生了未来放射治疗剂量是否应更高的问题。还提出在没有确切组织学分类时,“临床恶性程度”可用于比较脑肿瘤的行为。讨论了放射治疗可能的组织病理学效应(水肿、坏死)及其CT表现。