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多种功能成像技术在食管癌放化疗疗效预测及预后评估中的应用进展

Review on Multiple Functional Image Technologies in Chemoradiotherapy Response Prediction and Prognosis Evaluation for Esophageal Carcinoma

  • 摘要: 当前国际通用的实体肿瘤疗效评价标准即RECIST 1.1版主要针对实体瘤制定,并不完全适用于食管癌等腔性器官肿瘤的疗效评价,并且因治疗中、治疗末水肿的存在,常规的影像学技术也不能够准确反映食管癌肿瘤实际缩小情况,而PET-CT、DWI等功能成像技术则能弥补其不足,甚至能够先于形态学的变化反映肿瘤功能代谢方面的变化,本文就当前研究中常用于食管癌非手术治疗疗效评价的功能成像技术应用进展予以综述。

     

    Abstract: The Response Evaluation Criteria in Solid Tumours(RECIST version 1.1) is not absolutely adapted for the evaluation of esophageal carcinoma which originates from a cavitary organ, further more, the conventional iconography technology could not effectively reflect the real shrink condition of tumor because of the edema during and at the end of radiotherapy; while, the functional image technologies, such as PET-CT,DWI, etc. could redeem the inadequacy because of their advantage of reflecting the change of function and metabolism. The article reviews the functional image technologies often used to evaluate the non-operation treatment response of esophageal carcinoma in recent years.

     

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