[腹部免疫相关的不良事件:腹部焦点]
Fabian Bauer1, Thorsten Persigehl2
1Institut für Diagnostische und Interventionelle Radiologie, Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Kerpener Straße 62, 50937, Köln, Deutschland. fabian.bauer@uk-koeln.de.
Radiologie (Heidelberg, Germany)
|December 17, 2025
概括
免疫疗法引起的腹部免疫相关不良事件 (IRAE) 是常见的. 本综述详细介绍了这些irAEs的成像特征,以帮助瘤病人的诊断和管理.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 免疫治疗是一种免疫疗法.
背景情况:
- 免疫检查点抑制剂 (ICI) 和仿真抗原受体 (CAR) -T细胞疗法在瘤学中越来越多地使用.
- 与免疫相关的不良事件 (irAEs) 是常见的,经常出现腹部症状.
- 放射性成像对于诊断和评估腹部IRAE的严重程度至关重要.
研究的目的:
- 审查与ICI和CAR-T疗法相关的主要腹部IRAE.
- 描述这些腹部IRAE的特征性成像特征.
- 概述腹部IRAE的关键差异诊断.
主要方法:
- 进行了叙事文学评论.
- 包括临床研究,元分析和指导方针.
- 专注于与免疫疗法相关的腹部irrAEs.
主要成果:
- 由ICI引起的irrAEs包括肠炎,大肠炎,肝炎,胆管炎,胆囊炎,胰腺炎,炎和上腺炎.
- 卡特-T细胞治疗的IRAE往往表现为非特异性炎症模式.
- 放射学为个性化治疗和并发症管理提供了有价值的数据,当与临床和实验室发现相关联时.
结论:
- 免疫疗法后的腹部irrAEs并不罕见.
- 识别特征性成像模式对于准确诊断至关重要.
- 意识到潜在的并发症有助于管理这些事件.
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