直肠的MRI:十年的距离,移动到距离
Stephanie Nougaret1, Kirsten Gormly1, Doenja M J Lambregts1
1From the Department of Radiology, Montpellier Cancer Institute, University of Montpellier, 208 av des Apothicaires, 34090 Montpellier, France (S.N.); PINKCC Laboratory, Montpellier Cancer Research Institute, University of Montpellier, Montpellier, France (S.N.); Jones Radiology, South Australia, Australia (K.G.); The University of Adelaide, South Australia, Australia (K.G.); Department of Radiology, The Netherlands Cancer Institute, Amsterdam, the Netherlands (D.M.J.L.); GROW School for Oncology and Reproduction, University of Maastricht, Maastricht, the Netherlands (D.M.J.L.); Department of Radiology, McGill University, Montreal, Quebec, Canada (C.R.); Department of Radiology, Guy's and St Thomas NHS Foundation Trust, London, United Kingdom (V.G.); School of Biomedical Engineering and Imaging Sciences, King's College London, King's Health Partners, London, United Kingdom (V.G.); Department of Radiology, Oregon Health & Science University, Portland, Ore (E.K.); Bordeaux Colorectal Institute, Bordeaux, France (Q.D.); Department of Radiology, Royal Marsden, London, United Kingdom (G.B.); Department of Radiology, Imperial College London, London, United Kingdom (G.B.).
结直肠癌治疗的进步,包括全新辅助疗法,提供了新的选择. 放射科医生发挥着关键作用,MRI解释正在不断发展,以改善患者的护理和决策.
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:
- 结直肠癌的治疗已经从新辅助化学放射疗法和手术演变为包括全新辅助疗法.
- 总的新辅助疗法改善了完整的临床反应率,增强了器官保存策略.
- 扩大的治疗选择为患者创造了更复杂的决策过程.
研究的目的:
- 突出放射科医生在直肠癌管理中的不断变化的作用.
- 强调高级MRI解释在治疗规划中的重要性.
- 讨论转向更全面的MRI评估直肠癌的转变.
主要方法:
- 对直肠癌治疗范式的进展进行审查.
- 专注于磁共振成像 (MRI) 在分期和预后方面的作用.
- 讨论MRI解释从DISTANCE记忆器到DISTANCED-DIS的演变.
主要成果:
- 总的新辅助疗法代表了显著的进步,增加了治疗复杂性和选择.
- 高空间分辨率T2加权的MRI是直肠癌分期的参考标准.
- 与DISTANCE相比,DISTANCED-DIS记忆力提供了更全面的预后指标评估.
结论:
- 现代直肠癌治疗的复杂性需要共享决策.
- 放射科医生在通过专家MRI解释指导治疗决策方面至关重要.
- 更新后的DISTANCED-DIS记忆器增强了诊断准确性和预后洞察力,用于直肠癌管理.
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