头癌症监测:计算机断层扫描和临床检查的价值
Soroush Farsi1, J Reed Gardner1, Deanne King1
1Department of Otolaryngology-Head and Neck Surgery, Division of Head and Neck Oncology and Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.
American journal of otolaryngology
|August 6, 2024
概括
在治疗后的前两年,对头癌 (HNC) 的监测至关重要. 计算机断层扫描 (CT) 成像和临床检查 (CE) 有效地检测复发,提供可靠的HNC监控方法.
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:
- 头癌 (HNC) 复发最常见在治疗治疗后两年内.
- 定期监测对于HNC幸存者来说至关重要,以检测早期的复发.
- 目前的监控方法面临局限性,需要对成像协议进行评估.
研究的目的:
- 评估计算机断层扫描 (CT) 成像和临床检查 (CE) 对于HNC监视的有效性.
- 为了确定当前的成像协议是否足够,考虑到治疗的限制.
- 评估CT和CE在检测HNC复发中的诊断性能.
主要方法:
- 在9年的时间里,在高等保健中心对264名HNC患者进行了回顾性图表审查.
- 收集关于复发检测方法的数据:临床检查 (CE),灵活的内镜检查和CT/CT-PET扫描.
- 分析包括CT和CE的灵敏度,特异性和负预测值.
主要成果:
- 在264名患者中,发现了72例复发病例 (27%)
- 图像检测发现58.3%的病例复发,而CE检测出33.3%的病例复发.
- 与CE (70.5%) 相比,CT表现出更高的灵敏度 (87.1%),具有可比的特异性.
结论:
- 计算机断层扫描 (CT) 图像是用于头癌 (HNC) 监测的高效工具.
- 包括CT在内的成像协议可以为HNC监控提供足够的方法.
- 这些发现尽管存在诸如COVID-19大流行所带来的挑战,但这些发现仍然很重要.
相关概念视频
01:10Computed Tomography
4.4K
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...
4.4K
01:30Radiological Investigation I: X-ray and CT
219
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
219
01:14Imaging Studies I: CT and MRI
209
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...
209