放射性肺损伤影像学表现的研究进展

Contribution of Chest Radiography in Radiation-induced Lung Injury

放射性肺损伤是胸部恶性肿瘤放疗后最常见的并发症,会较大程度影响后续治疗和患者的生存质量。影像学是放射性肺损伤诊断及治疗重要的辅助手段。全文针对CT、PETCT、SPECT-CT和MR在放射性肺损伤影像学表现、治疗评估及预测方面的临床应用进展进行综述,为临床制定放疗计划和及时干预提供更多思路,降低放疗风险。

Radiation-induced lung injury(RILI)is the most common complication in patients undergoing radiation for thoracic malignancies.RILI affects the following treatment and the quality of life of patients.Chest radiography is the mainstay for detecting and treating RILI.This article reviews the progress on imaging features of RILI on CT,PET-CT,SPECT-CT and MR examinations,and their application in the treatment efficacy assessment and outcome prediction from current publications,to provide reference for radiotherapy planning and timely intervention to reduce the risk of RILI.