Yousem D M, Montone K T
Department of Radiology, University of Pennsylvania Medical Center, Philadelphia, USA.
Radiol Clin North Am. 1998 Sep;36(5):983-1014, vii. doi: 10.1016/s0033-8389(05)70072-5.
Correlating findings on imaging studies with those on histopathologic examination can define the limitations and strengths of the radiologist's imaging armamentarium. Although CT is particularly strong in identifying the character of the matrix of a head and neck lesion, MR imaging has proved superior in the mapping of most malignant neoplasms. Sometimes the combination of CT and MR imaging characteristics of a lesion may yield a specific diagnosis; however, in most instances, the radiologic appearance is sufficiently nonspecific that aspiration cytology or biopsy is required. This article reviews the effectiveness of imaging for characterizing and outlining lesions.
将影像学研究结果与组织病理学检查结果相关联,可以明确放射科医生影像诊断手段的局限性和优势。虽然CT在识别头颈部病变的基质特征方面表现尤为突出,但磁共振成像(MR成像)已被证明在大多数恶性肿瘤的定位方面更具优势。有时,病变的CT和MR成像特征相结合可能会得出特定诊断;然而,在大多数情况下,影像学表现的特异性不足,需要进行细针穿刺抽吸活检或组织活检。本文综述了影像学在病变特征描述和轮廓勾勒方面的有效性。