上腺瘤成像:临床,分子和放射学视角
Karel Pacak1, Michael A Blake2, Ann T Sweeney3
1Center for Adrenal Endocrine Tumours, AKESO, Prague, Czech Republic; Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
The lancet. Diabetes & endocrinology
|November 20, 2025
概括
上腺瘤是常见的偶然发现. 本综述总结了当前对上腺瘤的成像和随访策略,并结合了先进的技术,如放射学和治疗术,以准确诊断和治疗.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 上腺瘤经常在放射性成像过程中偶然发现.
- 患病率随着年龄的增长而增加,影响1-10%的普通人口.
- 技术进步提高了上腺质量表征.
研究的目的:
- 为提供对上腺瘤的成像和随访的最新概述.
- 整合新的诊断和治疗方法.
- 优化患者的诊断和管理,尽量减少不必要的干预.
主要方法:
- 对当前关于上腺瘤管理的指导方针和共识陈述的审查.
- 集成先进的成像技术 (CT,MR) 和放射性药物.
- 包括新兴技术,如放射学,机器学习,和theranostics.
主要成果:
- 通过先进的成像,提高了上腺质量的特征.
- 开发用于分子亚型的新型放射性药物.
- 放射学和机器学习的出现用于数据分析.
- 治疗术将瘤生物学与向治疗联系起来.
结论:
- 目前的成像和随访方法对于准确的上腺瘤诊断至关重要.
- 先进的技术,如放射学和天文学正在改变管理.
- 优化的诊断策略减少了进一步测试或手术的需要.
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