在细胞癌中基于分期和成像的预后:当前的指导方针和实际考虑
Yuki Arita1,2, Anton Becker3, Doris Leithner3
1Department of Radiology, University of California, San Francisco, San Francisco, USA. yukiarita1113@gmail.com.
Abdominal radiology (New York)
|March 3, 2026
概括
先进的成像技术通过整合预后标志物来改善细胞癌 (RCC) 阶段. 这提高了手术前风险评估和患者管理,以获得更好的结果.
科学领域:
- 放射学和瘤学 放射学和瘤学
- 医疗成像医学成像
- 尿道瘤学 尿道瘤学
背景情况:
- 仅仅通过解剖学分期对细胞癌 (RCC) 管理是不够的,因为它不能完全代表瘤生物学.
- 计算机断层扫描 (CT) 和磁共振成像 (MRI) 对于RCC分期至关重要,但它们的应用和解释可能有所不同.
- 整合基于成像的预后标记提供了一个更全面的方法来评估瘤的攻击性和患者的风险.
研究的目的:
- 根据主要指导方针,审查CT和MRI目前用于RCCT分期的使用情况.
- 探索基于成像的预后生物标志物在完善RCC手术前风险评估中的作用.
- 讨论RCC管理先进成像和标准化报告的未来方向.
主要方法:
- 审查多相CT和MRI协议用于RCC中的T分期.
- 基于成像的预后生物标志物的分析 (例如增强模式,扩散指标,放射学).
- 美国泌尿病学协会,欧洲泌尿病学协会和国家综合癌症网络指南中的成像建议的比较.
主要成果:
- 多相CT和MRI是务实地用于T阶段测定,并确定了陷.
- 像中央非增强和增强异质性这样的成像生物标志物与瘤等级,阶段,分子特征和生存相关.
- 目前的指导方针为RCC管理中胸部和辅助成像提供了框架.
结论:
- 整合基于成像的预后标志物与解剖学分期完善了RCC的手术前风险评估.
- 先进的成像技术和标准化报告系统 (例如,脏成像报告和数据系统) 为改善决策提供了希望.
- 将成像描述符与预后表型相结合,对于标准化报告和加强RCC患者护理至关重要.
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