螺旋CT在晚期胃癌转化治疗疗效评估中的争议与进展

Progress in clinical application of spiral CT in efficacy evaluation of transformation therapy for advanced gastric cancer

目的总结多层螺旋CT在晚期胃癌转化治疗疗效评估中的进展与争议。方法对近年来国内外发表的关于螺旋CT评估晚期胃癌转化治疗疗效的相关研究进行综述并分析。结果近些年出现了能谱、双能量CT等检查,但是目前临床上评估晚期胃癌转化治疗疗效最常用的工具仍是螺旋CT,最常用的评价标准仍是RECIST标准。结论螺旋CT在晚期胃癌转化治疗疗效评估领域有其突出的诊断意义,虽然存在部分争议,但随着大量研究的推进,定会对晚期胃癌的诊疗提供极大的帮助。

Objective To summarize controversy and progress of multi-slice spiral CT in efficacy evaluation of transformation therapy for advanced gastric cancer.Method The recent studies published at home and abroad on the spiral CT in evaluating the therapeutic effect of transformation therapy for the advanced gastric cancer were reviewed and analyzed.Results In recent years,though the energy spectrum and dual-energy CT examinations had appeared,the most common tool in evaluating of the efficacy of transformation therapy for the advanced gastric cancer was the spiral CT.The most common evaluation standard was still the RECIST standard.Conclusions Spiral CT has its outstanding diagnostic significance in therapeutic evaluation of transformation therapy for advanced gastric cancer.Although there is some controversy,with advancements of a large number of studies,it will greatly help diagnosis and treatment of advanced gastric cancer.