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头癌治疗后监测成像:系统性审查

Stefaan Van Hoe¹, Robert Hermans^2,3

¹Faculty of Medicine, KU Leuven, Leuven, Belgium.

Insights into imaging

|February 5, 2024

概括

对头癌的系统成像监测检测到超过40%的复发和转移,通常仅通过临床检查就会错过. 这一审查支持其在治疗后至少两年使用.

科学领域:

在瘤学瘤学.
放射学放射学是一门学科.
医疗成像医学成像

背景情况:

对头癌的治疗后监测通常需要在3-6个月内进行成像.
准则经常转向6个月后的临床随访,保留对模两可的发现进行成像.
然而,有时建议并实行系统的成像监测.

研究的目的:

为了评估常规的长期系统成像监测头癌的实用性,超过最初的3-6个月的治疗后扫描.
将系统成像与以症状为导向或临床发现为导向的成像方法进行比较.

主要方法:

使用PubMed和谷歌学者进行了系统的文献搜索.
通过参考清单确定了其他研究.
包括原始研究和审查论文;结果在不同的监测策略中进行了比较.

主要成果:

审查了48篇文章,分析了521条记录.
在40.9%的病例中,局部复发和/或转移仅通过成像检测.
复发或转移性疾病的平均检测时间为11.5个月,超过了最初的扫描期.
与其他成像方式相比,PET-CT显示出更高的性能.

结论:

显著的证据支持对局部区域高级头癌的系统成像监测.
这种监测应在治疗后至少实施一年,最好是两年.
目前的成像实践可能没有充分利用其在治疗后头癌症监测中的潜力.

关键词:

头癌是头部和部的癌症.新生体复发的发生.治疗后的监测监测是治疗后的监测.状细胞癌瘤是一种状细胞癌.系统性审查系统性审查

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