在直肠癌中局部复发:MRI与CT对比
Giulia Grazzini1, Ginevra Danti1, Giuditta Chiti1
1Department of Emergency Radiology, University Hospital Careggi, Largo Brambilla 3, 50134 Florence, Italy.
Diagnostics (Basel, Switzerland)
|June 28, 2023
概括
结直肠癌的局部复发 (LR) 风险高于结肠癌. 包括CT和MRI在内的成像对于在后续监测期间早期检测LR至关重要.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 手术瘤学手术瘤学
背景情况:
- 直肠癌在生存和管理方面与结肠癌不同.
- 与结肠癌相比,直肠癌的局部复发 (LR) 风险更高.
- 影响LR的因素包括组织病理学和手术切除边缘.
研究的目的:
- 分析直肠癌局部复发的风险和模式.
- 提供对成像在早期检测直肠癌中的作用的概述.
- 审查目前关于直肠癌随访的指导方针.
主要方法:
- 来自Web of Science和MEDLINE研究的文献评论,截至2023年1月.
- 审查国家综合癌症网络 (NCCN) 和欧洲医学瘤学会 (ESMO) 的指导方针.
- 分析用于直肠癌监测的成像方法.
主要成果:
- 随访通常在直肠切除后的5年内进行,尽管时间和方式尚未完全确定.
- 计算机断层扫描 (CT) 和磁共振成像 (MRI) 是首要推的后续成像技术.
- PET-CT不推用于例行术后监测,但用于解决问题.
结论:
- 使用成像进行最佳的随访对于早期检测直肠癌患者局部复发至关重要.
- CT和MRI在直肠癌监测协议中发挥着关键作用.
- 了解LR模式有助于治疗决策和手术方法选择.
相关概念视频
Imaging Studies I: CT and MRI
297
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
297
Magnetic Resonance Imaging
5.3K
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
5.3K
Computed Tomography
4.6K
Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
4.6K
Imaging Studies III: Computed Tomography
30
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
30
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
113
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
113
Imaging Studies IV: Magnetic Resonance Imaging
36
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
36


