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[宫颈癌:分期、治疗、随访。基于1993年至1997年近期文献的宫颈癌磁共振成像经验]

[Cervix carcinoma: staging, therapy, after-care. Experiences with magnetic resonance tomography of cervix carcinoma based on recent literature 1993 to 1997].

作者信息

Oellinger J J, Michniewicz K, Blohmer J U, Hosten N, Siewert C, Lichtenegger W, Felix R

机构信息

Strahlenklinik und Poliklinik, Virchow Klinikum, Medizinische Fakultät der Humboldt Universität zu Berlin.

出版信息

Zentralbl Gynakol. 1998;120(8):373-85.

PMID:9757544
Abstract

The investigation of cervix carcinoma with magnetic resonance tomography (MRT) is still controversially discussed with regard to its diagnostic value as well as for planning radiation therapy. The purpose of this article is to present and discuss papers published between 1993 and 1997 in this field with respect to the technique used, the contrast media applied and its clinical value. A literature search using three different databases (Medline, Embase, Cancerlit) identified 39 publications, which were then analysed. Despite the partially suboptimal presentation of results in these papers MRT proved superior to other imaging modalities. Due to better demarcation of cervix carcinoma with MRT, it was possible to calculate tumor value as well as to correctly judge the infiltrative character. This allows for a more precise treatment and staging of the patient's prognosis. In the future, MRT might be useful in diagnosing recurrence at relatively early stage. Unfortunately lymphatic nodes can only be insufficiently verified using MRT.

摘要

关于磁共振断层扫描(MRT)对宫颈癌的诊断价值以及在放疗计划中的应用,目前仍存在争议。本文旨在介绍并讨论1993年至1997年间该领域发表的论文,内容涉及所使用的技术、应用的造影剂及其临床价值。通过使用三个不同的数据库(Medline、Embase、Cancerlit)进行文献检索,共识别出39篇出版物,随后对其进行了分析。尽管这些论文中部分结果的呈现并不理想,但MRT被证明优于其他成像方式。由于MRT能更好地界定宫颈癌,因此可以计算肿瘤值并正确判断浸润特征。这有助于对患者的预后进行更精确的治疗和分期。未来,MRT可能在相对早期诊断复发方面有用。不幸的是,使用MRT只能对淋巴结进行不充分的验证。

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