眼见为实:膀胱癌成像技术的最新进展

IF 2.6 3区 医学 Q3 ONCOLOGY
Emanuele Messina , Martina Pecoraro , Martina Lucia Pisciotti , Francesco Del Giudice , Sara Lucciola , Marco Bicchetti , Ludovica Laschena , Michela Roberto , Ettore De Berardinis , Giorgio Franco , Valeria Panebianco
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引用次数: 2

摘要

影像学在癌症(BCa)诊断检查中起着重要作用。超声在检测尿路改变方面具有中等灵敏度,被认为是诊断BCa的次优成像技术。CT尿路造影可准确检测血尿患者的BCa多参数MRI可实现极高的BCa检测率,并有助于患者的准确分期;然而,这种模式仍然没有得到国际准则的广泛支持。MRI的主要应用是局部肿瘤分期以及非肌肉侵袭性BCa和肌肉侵袭性BCa之间的区别。这些应用导致了Vesical成像报告和数据系统(VI-RADS)评分系统的开发。VI-RADS评分系统是在原发性膀胱肿瘤切除后和膀胱内滴注Calmette Guerin芽孢杆菌治疗的情况下开发的;然而,该系统在后处理环境中的验证显示出有希望的结果。BCa复发的高风险导致其在评估治疗反应和治疗后疾病监测中的应用。MRI正在迅速成为BCa诊断检查、治疗反应评估和纵向监测的主要成像方式,并在BCa手术和放射治疗治疗计划中发挥着重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Seeing is Believing: State of the Art Imaging of Bladder Cancer

Imaging plays an important role in bladder cancer (BCa) diagnostic work-up. Ultrasound achieves an intermediate sensitivity in detecting urinary tract alterations and is considered a suboptimal imaging technique in diagnosis of BCa. CT urography accurately detects BCa in patients presenting with hematuria Multiparametric MRI achieves a very high rate of BCa detection and helps with accurate staging of patients; however, this modality is still not widely supported by international guidelines. The main applications of MRI are local tumor staging and differentiation between non-muscle-invasive BCa and muscle-invasive BCa. These applications led to development of Vesical Imaging-Reporting and Data System (VI-RADS) scoring system. The VI-RADS scoring system was developed in the setting of post-resection of primary bladder tumor and instillation of intravesical Bacillus Calmette-Guerin therapy; however validation of this system in the post-treatment setting showed promising results. The high risk of BCa recurrence leads to its application in the assessment of response to therapy and for disease surveillance after treatment. MRI is rapidly becoming a leading imaging modality in BCa diagnostic workup, assessment of response to therapies and for longitudinal surveillance, and plays an important role in BCa surgical and radiation therapy treatment planning.

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来源期刊
CiteScore
5.80
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Each issue of Seminars in Radiation Oncology is compiled by a guest editor to address a specific topic in the specialty, presenting definitive information on areas of rapid change and development. A significant number of articles report new scientific information. Topics covered include tumor biology, diagnosis, medical and surgical management of the patient, and new technologies.
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