Recent technological and application developments in computed tomography and magnetic resonance imaging for improved pulmonary nodule detection and lung cancer staging.

Recent technological and application developments in computed tomography and magnetic resonance imaging for improved pulmonary nodule detection and lung cancer staging.
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DOI:
10.1002/jmri.22383
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发表时间:
2010-12
影响因子:
4.4
通讯作者:
McLennan, Geoffrey
McLennan, Geoffrey
中科院分区:
医学2区
文献类型:
--
作者:
Sieren, Jessica C.;Ohno, Yoshiharu;Koyama, Hisanobu;Sugimura, Kazuro;McLennan, Geoffrey

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这篇综述比较了磁共振(MR)和计算机断层扫描(CT)成像在肺结节评估和恶性病变分期中的应用。包括在这篇评论是一个简短的定义肺结节和介绍所面临的挑战。我们强调了MR和CT在早期发现肺结节方面的现状。本综述详细介绍了使用先进成像技术管理肺结节的进展,包括动态成像研究、双能CT、计算机辅助检测和诊断以及成像辅助结节活检方法,这些方法提高了肺结节的检测和诊断率。最近的进展,在体内成像相应的组织病理学也突出显示。体内成像在通过TNM评估肺结节的临床分期中起着关键作用。虽然CT和PET/CT是目前临床上最常用的肺结节分期方法,但有研究强调了MR的增强潜力。
This review compares the emerging technologies and approaches in the application of magnetic resonance (MR) and computed tomography (CT) imaging for the assessment of pulmonary nodules and staging of malignant findings. Included in this review is a brief definition of pulmonary nodules and an introduction to the challenges faced. We have highlighted the current status of both MR and CT for the early detection of lung nodules. Developments are detailed in this review for the management of pulmonary nodules using advanced imaging, including; dynamic imaging studies, dual energy CT, computer aided detection and diagnosis, and imaging assisted nodule biopsy approaches which have improved lung nodule detection and diagnosis rates. Recent advancements linking in-vivo imaging to corresponding histological pathology are also highlighted. In-vivo imaging plays a pivotal role in the clinical staging of pulmonary nodules through TNM assessment. While CT and PET/CT are currently the most commonly clinically employed modalities for pulmonary nodule staging, studies are presented which highlight the augmentative potential of MR.
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