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在高热内内化学疗法中进行成像.

Shravya Srinivas Rao1, Nikitha Uma Baskaran1, Jinjin Cao1

  • 1From the Department of Radiology, Division of Abdominal Radiology (S.S.R., N.U.B., J.C., O.A.C., J.A.B., A.R.K.) and Department of Surgery (J.C.C.), Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, White 270, Boston, MA 02114-2696; and Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, Mass (O.A.C.).

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概括
此摘要是机器生成的。

细胞还原性手术与高热性腹腔内化疗 (CRS-HIPEC) 改善了腹腔内恶性瘤的生存率. 图像对患者选择,治疗评估和CRS-HIPEC后的监测至关重要.

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科学领域:

  • 在瘤学瘤学.
  • 放射学 放射学是一门学科.
  • 手术瘤学手术瘤学

背景情况:

  • 带有高热性腹腔内化疗 (CRS-HIPEC) 的细胞还原性手术已经将腹腔内恶性瘤的治疗从缓解性转变为治愈性.
  • 该程序使用加热化疗来增强对微观疾病的细胞毒性作用.
  • 在CRS-HIPEC治疗中,成像在整个患者旅程中发挥着至关重要的作用.

研究的目的:

  • 提供CRS-HIPEC的全面概述.
  • 突出各种成像模式在管理经过CRS-HIPEC的腹腔内恶性瘤患者中的关键作用.
  • 讨论成像在患者选择,治疗评估和监测中的应用.

主要方法:

  • 对包括CT,双能CT,MRI,PET/CT和PET/MRI在内的成像方法的审查,以进行放射性评估.
  • 使用腹癌指数来估计疾病负担.
  • 在治疗疗效评估中使用细胞减少和残留疾病得分的完整性.

主要成果:

  • 影像是患者选择,手术前评估和确定治疗有效性的组成部分.
  • 各种成像技术有助于评估疾病负担并指导多学科管理.
  • 后HIPEC成像对于评估并发症和检测残留或复发性疾病至关重要.

结论:

  • CRS-HIPEC代表了治疗腹膜恶性瘤的重大进展.
  • 图像是优化患者选择,手术规划和治疗后监测不可或缺的.
  • 精确的放射性评估确保了有效的管理,并改善了患者的治疗结果.