肺微波切除:术后成像特征和肺状肺癌的演变
Guoliang Xue1, Wenjing Jia2, Gang Wang1
1Department of Oncology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Key Laboratory of Rheumatic Disease and Translational Medicine, Shandong Lung Cancer Institute, Jinan, China.
Journal of cancer research and therapeutics
|December 29, 2023
概括
这项研究详细介绍了在微波切除 (MWA) 后的胸部CT扫描中观察到的成像变化,以寻找类似地面玻璃结节 (GGN) 的肺癌. 了解这些动态CT特征对于准确解释治疗后的变化至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 越来越多地检测到类似地面玻璃结节 (GGN) 的肺癌.
- 穿皮微波切除 (MWA) 是一种最少侵入性的治疗选择.
- 描述治疗后的成像变化对于患者管理至关重要.
研究的目的:
- 为了追溯分析胸部计算机断层扫描 (CT) 图像特征,在GGN类肺癌的皮肤微波切除 (MWA) 后.
- 描述这些成像特征随着时间的推移而发生的动态演变.
主要方法:
- 在2020年6月至2021年5月期间,对147名接受MWA治疗的患者进行了152个GGN的回顾性审查.
- 胸部CT成像特征被评估在多个时间点:立即,24-48小时,1,3,6,12和 ≥18个月后的程序.
主要成果:
- 马上MWA后的CT显示了地面玻璃的不透明度,高密度和"炸蛋"或反向光环迹象.
- 地面玻璃变化,高密度和"炸蛋"标志在24-48小时内持续存在.
- 巩固在1个月后很常见,演变为卷积性纤维化,巩固结节或在≥18个月后消失.
结论:
- 胸部CT显示了可预测的成像特征,在GGN类肺癌的MWA之后.
- 熟悉这些动态的MWA后成像模式有助于放射科医生准确解释.
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