期刊文献+

MRI弥散加权成像在头颈部肿瘤中的临床应用 被引量:2

Clinical applications of diffusion weighted magnetic resonance imaging in head and neck cancer
下载PDF
导出
摘要 CT和MRI目前虽广泛应用于头颈部肿瘤的诊断、分期、疗效评价和随访,但对诊断颈部小淋巴结转移、鉴别肿瘤复发和放射性反应等方面仍有不足。MRI弥散加权成像可提供更微观的解剖学信息,有助于鉴别病灶的良恶性,协助淋巴结分期,早期预测放化疗疗效,区分肿瘤复发和放射性反应,对头颈部肿瘤治疗策略的选择和优化作用越来越重要。本文将近10年来弥散加权成像在头颈部肿瘤中的研究进展作一综述。 Conventional imaging modalities,such as CT and MRI,have been extensively applied to the diagnosis,staging,evaluation and follow-up in the head and neck cancer.However,there is still a way to go in the staging of lymph node and differential diagnosis of recurrence and post-radiation effects.Diffusion weighted imaging, a new technique in MRI,can provide more detailed anatomic information,and can play a role in the following aspects: pathologic diagnosis,staging of lymph node,early prediction of therapeutic response and differential diagnosis of recurrence and post-radiation effects,which is quite valuable in the selection and optimization of therapeutic strategies of head and neck cancer.In this article,we reviewed the current applications of diffusion weighted imaging in the management of head and neck cancer.
出处 《中国癌症杂志》 CAS CSCD 北大核心 2011年第10期812-815,共4页 China Oncology
关键词 头颈部肿瘤 弥散加权核磁共振 分期 局部复发 疗效预测 Head and neck cancer Diffusion magnetic resonance imaging Staging Local recurrence Efficacy prediction
  • 相关文献

参考文献24

  • 1谢敏霞.核磁共振新技术研究与临床应用[M].北京:北京医科大学出版社,2001:80-106.
  • 2WANG J,TAKASHIMA S,TAKAYAMA F,et al.Head and neck lesions:characterization with diffusion-weighted echo- planar MR imaging[J].Radiology,2001,220(3):621-630.
  • 3SUMI M,ICHIKAWA Y,NAKAMURA T.Diagnostic ability of apparent diffusion coefficients for lymphomas and carcinomas in the pharynx[J].Eur Radiol,2007,17(10):2631-2637.
  • 4RAZEK A A,SADEK A G,KOMBAR O R.et al.Role of apparent diffusion coefficient values in differentiation between malignant and benign solitary thyroid nodules[J].Am J Neuroradiol,2008,29(3):563-568.
  • 5HOLZAPFEL K,DUETSCH S,FAUSER C,et al.value of diffusion-weighted MR imaging in the differentiation between benign and malignant cervical lymph nodes[J].Eur J Radiol,2009,72(3):381-387.
  • 6RAZEK A,SOLIMAN N,ELKHAMARY S,et al.Role of diffusion-weighted MR imaging in cervical adenopathy[J]. Eur Radiol,2006,16 (7):1468-1477.
  • 7PERRONE A,GUERRISI L,IZZO L,et al.Diffusion- weighted MRI in cervical lymph nodes:Differentiation between benign and malignant lesions[J].Eur J Radiol, 2011,77(2):281-286.
  • 8张赟,梁碧玲,高立,钟镜联,叶瑞心,沈君.磁共振弥散加权成像诊断颈部淋巴结的临床价值[J].中华肿瘤杂志,2007,29(1):70-73. 被引量:48
  • 9SUMI M,SAKIHAMA N,SUMI T,et al.Discrimination of metastatic cervical lymph nodes with diffusion-weighted MR imaging in patients with head and neck cancer[J].Am J Neuroradiol,2003,24(8):1627-1634.
  • 10VAN DEN BREKEL M W,STEL H V,CASTELIJNS J A. Cervical lymph node metastasis:assessment of radiologic criteria [J].Radiology,1990,177(2):379-384.

二级参考文献31

  • 1梁颖,罗德红,吴宁,李琳,赵心明,蒋力明,黄遥,蒋玲霞,王建卫,孙伟,刘媛,周纯武.颈部恶性淋巴结的多层螺旋CT灌注研究[J].中华放射学杂志,2004,38(11):1193-1197. 被引量:49
  • 2赵斌,蔡世峰,高佩虹,彭洪娟.MR扩散加权成像鉴别乳腺良恶性病变的研究[J].中华放射学杂志,2005,39(5):497-500. 被引量:146
  • 3Fleming ID,Cooper J,Henson DE,et al.AJCC Cancer Staging Manual[M].5^th ed,Philadelphia:Lippincott-Raven Publishers,1997:31-39.
  • 4Al Saraf M,LeBlanc M,Giri PG,et al.Chemoradiotherapy versus radiotherapy in patients with advanced nasopharyngeal cancer:phase Ⅲ randomized intergroup study 0099[J].J Clin Oncol,1998,16 (4):1310-1317.
  • 5Cooper JS,Lee H,Torrey M,et al.Improved outcome secondary to concurrent chemoradiotherapy for advance carcinoma of the nasopharyngx:preliminary corroboration of the intergroup experience[J].Int J Radiat Oncol Biol Phys,2000,47:861-866.
  • 6Yang TS,Ng KT,Wang HM,et al.Prognostic factors of locoregionally recurrent nasopharyngeal carcinoma:a retrospective review of 182 cases[J].Am J Clin Oncol,1996,19:337-343.
  • 7Hwang JM,Fu KK,Phillips TL.Results and prognostic factors in the retreatment of locally recurrent nasopharyngeal carcinoma[J].Int J Radiat Oncol Biol Phys,1998,41:1099-1111.
  • 8Perez CA,Devineni VR,Marcial-Vega V,et al.Carcinoma of the nasopharynx:factors affecting prognosis[J].Int J Radiat Oncol Biol Phys,1992,23:271-280.
  • 9Tang SGJ,Lin FJ,Chen MS,et al.Prognostic factors of nasopharyngeal carcinoma:a multivariate analysis[J].Int J Radiat Oncol Biol Phys,1990,19:1143-1149.
  • 10Heng DMK,Wee J,Fong KW,et al.Prognostic factors in 677 patients in singapore with nondisseminated nasopharyngeal carcinoma[J].Cancer,1999,86:1912-20.

共引文献65

同被引文献22

引证文献2

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部