系统评估早期膀癌的成像特征,使用在病理诊断之前进行的计算机断层扫描
Rubab F Malik1, Renu Berry1, Brandyn D Lau1
1The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
概括
在超过三分之二的患者中,CT扫描检测到早期的膀癌,即使扫描是出于与此无关的原因. 这凸显了CT成像作为一种有价值的工具,用于在高危人群中进行机会性膀癌查.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 膀癌是美国常见的恶性瘤,缺乏对无症状个体的有效查.
- 在CT/MRI扫描中偶然发现膀癌的早期发现,为查提供了一个新的机会.
- 在美国,每年进行超过8000万次CT扫描,其中40%是腹腔皮层扫描.
研究的目的:
- 确定早期膀癌的成像特征.
- 通过成像来促进膀癌的早期诊断.
- 评估CT扫描中偶然检测到的膀癌的实用性.
主要方法:
- 对99名患有非肌肉侵入性膀癌的患者的226次盆腔CT扫描进行了回顾性审查.
- 在病理诊断前5年内进行CT扫描.
- 评估焦点膀壁异常及其特征.
主要成果:
- 在诊断之前,在67%的患者中,早期的膀癌在CT上可视化.
- 大多数扫描 (62%) 是针对非尿路癌症的迹象.
- 在84%的病例中,膀壁质量是内,平均尺寸为24mm x 17mm.
结论:
- 截面成像可以机会地发现早期的膀癌.
- 出于其他原因进行的CT扫描可以作为查资源.
- 这种方法特别适用于高风险患者群体.
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