Neumann C H, Robert N J, Rosenthal D, Canellos G
J Comput Assist Tomogr. 1983 Aug;7(4):666-9. doi: 10.1097/00004728-198308000-00015.
In 50% of 84 ultrasonographic (US) examinations ordered for staging and restaging of non-Hodgkin lymphoma (NHL) patients, the abdomen and pelvis were not sufficiently visualized to allow diagnostic conclusions, whereas nondiagnostic studies were found in only 3% of the 102 computed tomographic (CT) examinations. Discrepancy about the presence and extent of disease below the diaphragm between US and CT occurred in 74%. The US underestimated the presence or extent of disease in nodal stations caudal to the pancreas more commonly than in other areas evaluated. Because of increased cost, patient inconvenience, and delay in therapeutic intervention due to repeat examinations, it is recommended that CT be used as the initial examination for staging, restaging, or following infradiaphragmatic disease in NHL patients.
在为非霍奇金淋巴瘤（NHL）患者进行分期及再分期而安排的84次超声（US）检查中，有50%的检查未能充分显示腹部和盆腔情况以得出诊断结论，而在102次计算机断层扫描（CT）检查中，未得出诊断结果的仅占3%。超声和CT在横膈以下疾病的存在及范围方面存在差异的情况占74%。与其他评估区域相比，超声更常低估胰腺尾部淋巴结区域疾病的存在或范围。由于费用增加、给患者带来不便以及重复检查导致治疗干预延迟，建议将CT作为NHL患者分期、再分期或监测横膈以下疾病的初始检查方法。
