骨髓成像的三个未来:放射科医生的指南
Teodoro Martín-Noguerol1, Oscar L Casado-Verdugo2, Beatriz Alvarez-de-Sierra-Garcia3
1MRI unit, Radiology department. HT Medica, Jaén, Spain.
The British journal of radiology
|October 22, 2025
概括
先进的成像技术正在彻底改变骨髓 (BM) 评估. 本综述探讨了当前和未来的磁共振成像 (MRI) 和计算机断层扫描 (CT) 创新,以精确的BM特征.
科学领域:
- 放射学和医学成像学 医学成像学
- 生物医学工程 生物医学工程
背景情况:
- 骨髓 (BM) 评估对于放射科医生来说至关重要但具有挑战性.
- 传统的形态磁共振成像 (MRI) 在表征BM病理方面存在局限性,缺乏定量能力.
- 在个性化医学中,对BM评估的高级成像技术的需求越来越大.
研究的目的:
- 审查和分类骨髓成像模式,分为过去,现在和未来的阶段.
- 突出未充分利用和新兴技术,以改善BM评估.
- 讨论先进技术在定量和个性化BM成像中的潜力.
主要方法:
- 将BM成像分为三个概念阶段的分类:过去-未来,现在-未来和未来-未来.
- 审查已建立的MRI序列 (DIXON,DWI,PWI) 和新兴的CT模式 (DECT).
- 预测未来的技术,如光子计数CT (PCCT),超高场MRI,MRI指纹,放射学和AI.
主要成果:
- 像DIXON,DWI和PWI这样的未充分利用的MRI序列代表了BM评估的"过去-未来".
- 目前的进展 ("现在-未来") 包括人工智能集成和双重能源CT (DECT).
- 未来的创新包括超高场MRI,PCCT,MRI指纹,放射学和先进的人工智能.
结论:
- 随着BM成像工具包的不断发展,提供了增强的特征,早期检测和监测能力.
- 采用这些创新将使在BM评估中提供更精确,更针对患者的护理.
- 先进的成像技术将有望显著塑造骨髓成像的未来.
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