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肺癌诊断、分期及管理的影像学模式与建议

Imaging patterns and recommendations for diagnosis, staging, and management of lung cancer.

作者信息

Chakrabarty Nivedita, Mahajan Abhishek, Shetty Nitin, Mummudi Naveen, Niyogi Devyani, Hota Falguni, Dabkara Deepak, Jebraj Reefath, Purandare Nilendu, Noronha Vanita, Bhalla Ashu, Prabhash Kumar

机构信息

Department of Radiodiagnosis, Tata Memorial Centre, Advanced Centre for Treatment, Research and Education in Cancer (ACTREC), Homi Bhabha National Institute (HBNI), Parel, Mumbai, Maharashtra 400 012, India.

Department of Imaging, The Clatterbridge Cancer Centre NHS Foundation Trust, L7 8YA Liverpool, UK.

出版信息

BJR Open. 2025 May 21;7(1):tzaf013. doi: 10.1093/bjro/tzaf013. eCollection 2025 Jan.

Abstract

Lung cancer is the second most commonly diagnosed cancer worldwide. In the present era of targeted therapy for various lung cancer mutations, it is essential to be aware of the imaging correlates of various lung cancer mutations on contrast enhanced computed tomography of thorax. In this article, we have discussed the imaging patterns of various types of lung cancer including different mutations and also comprehensively reviewed the imaging recommendations (National Comprehensive Cancer Network [NCCN], European Society of Medical Oncology [ESMO] and American Society of Clinical Oncology [ASCO]) and management guidelines of lung cancer (non-small cell, small cell and other neuroendocrine tumours). We have also discussed guidelines for screening, diagnosis, staging (recent 9th edition tumour node metastasis [TNM]), treatment response evaluation, and follow up. Role of interventional radiology in the treatment of primary lung cancer, lung metastasis, and management of posttreatment complications, have also been described in detail in this article. In addition, current status of artificial intelligence in lung cancer has also been briefly discussed.

摘要

肺癌是全球第二大常见的确诊癌症。在当前针对各种肺癌突变进行靶向治疗的时代,了解胸部对比增强计算机断层扫描上各种肺癌突变的影像学关联至关重要。在本文中,我们讨论了包括不同突变在内的各种类型肺癌的影像学模式,并全面回顾了肺癌(非小细胞、小细胞和其他神经内分泌肿瘤)的影像学建议(美国国立综合癌症网络 [NCCN]、欧洲医学肿瘤学会 [ESMO] 和美国临床肿瘤学会 [ASCO])及管理指南。我们还讨论了筛查、诊断、分期(最新第9版肿瘤淋巴结转移 [TNM])、治疗反应评估和随访的指南。本文还详细描述了介入放射学在原发性肺癌治疗、肺转移以及治疗后并发症管理中的作用。此外,还简要讨论了人工智能在肺癌方面的现状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/367d/12145177/14985e735b68/tzaf013f1.jpg

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