图像和非手术治疗脏质量的管理
Laura C Jorgenson1, Patrick J Navin1, Daniel Adamo1
1From the Departments of Radiology (L.C.J., P.J.N., D.A., S.M.T., E.T., G.S., T.P., S.K.V., T.D.A.), Urology (A.M.P.), and Radiation Oncology (B.S.), Mayo Clinic, 200 First St SW, Rochester, MN 55905.
概括
部分切除术是质群体的首选,但热除和立体体辐射疗法 (SBRT) 是有效的替代方案. 放射科医生必须了解治疗后的成像,以准确评估质的结果.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 干预性放射学 干预性放射学
背景情况:
- 在可行的情况下,部分切除术是T1质的首选治疗方法.
- 热性切除是小瘤的可接受替代方案,具有优良的瘤治疗结果.
- 对质的新兴地方区域治疗包括SBRT和动脉栓塞.
研究的目的:
- 审查对质的局部区域治疗的不断变化的格局.
- 突出了解术后成像发现的重要性,以准确评估瘤结果.
- 强调放射科医生在解释SBRT和热废除等干预后的后续成像中的作用.
主要方法:
- 审查当前文学和关于质治疗的指导方针.
- 讨论影像特征和SBRT后和热废除后变化的时间演变.
- 对动脉栓塞的指示和结果的分析.
主要成果:
- 热除对T1a和选择T1b质量有效.
- 对于那些不适合进行手术的患者来说,SBRT是一种可行的选择.
- 动脉栓塞对于血管质瘤有效,并作为细胞癌的辅助.
结论:
- 诊断放射科医生需要对程序细微差别和成像发现有充分的了解,以便准确地解释治疗后监测.
- 区分正常的术后变化和并发症或瘤复发对于患者管理至关重要.
- 越来越多地使用局部区域疗法,需要专业知识来解释质的后续成像.
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