Neufang K F, Beyer D
Rontgenblatter. 1983 Jan;36(1):30-44.
The introduction of new imaging modalities, such as computed tomography and sonography, has not lessened the importance of conventional roentgen examinations of the chest as routine and screening procedures for detecting mediastinal lymph node disease. Precise understanding of the normal and pathologic anatomy of the mediastinum in conventional films is required for an early and adequate use of computed tomography and eventually abdominal ultrasonography as additional examinations. Only by this the involvement of mediastinal nodes by malignant lymphomas or metastases can be detected, proved and treated early. Chest films still are of greatest value for follow-up studies in both evident and suspected malignant thoracic lymph node disease.
计算机断层扫描和超声检查等新成像技术的引入,并未降低胸部传统X线检查作为检测纵隔淋巴结疾病的常规和筛查程序的重要性。要早期且充分地利用计算机断层扫描以及最终利用腹部超声检查作为辅助检查,就需要在传统胸片中精确了解纵隔的正常和病理解剖结构。只有这样,才能早期检测、证实并治疗恶性淋巴瘤或转移瘤累及纵隔淋巴结的情况。对于已确诊和疑似的恶性胸部淋巴结疾病的随访研究,胸片仍然具有最大的价值。