Guidelines for imaging retinoblastoma: imaging principles and MRI standardization.
Guidelines for imaging retinoblastoma: imaging principles and MRI standardization.
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DOI：
10.1007/s00247-011-2201-5
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发表时间：
2012-01
影响因子：
2.3
通讯作者：
Brisse, Herve J.
中科院分区：
文献类型：
--
作者：
de Graaf, Pim;Goericke, Sophia;Rodjan, Firazia;Galluzzi, Paolo;Maeder, Philippe;Castelijns, Jonas A.;Brisse, Herve J.
视网膜母细胞瘤是儿童最常见的眼内肿瘤。诊断通常由眼科医生根据眼底镜检查和超声确定。与超声一起，高分辨率MRI已成为治疗前评估的重要成像模式，即用于诊断确认、检测局部肿瘤范围、检测相关脑发育畸形和检测相关颅内原始神经外胚层肿瘤（三侧视网膜母细胞瘤）。根据欧洲视网膜母细胞瘤成像协作组（ERIC）成员之间的共识，提出了视网膜母细胞瘤或模拟病变的预处理诊断评价的最低要求。最合适的技术成像在儿童白瞳症进行审查。不再推荐CT。在临床实践中实施视网膜母细胞瘤的标准化MRI方案可能会使全世界的儿童受益，特别是那些患有遗传性视网膜母细胞瘤的儿童，因为减少CT的使用可以减少电离辐射的暴露。
Retinoblastoma is the most common intraocular tumor in children. The diagnosis is usually established by the ophthalmologist on the basis of fundoscopy and US. Together with US, high-resolution MRI has emerged as an important imaging modality for pretreatment assessment, i.e. for diagnostic confirmation, detection of local tumor extent, detection of associated developmental malformation of the brain and detection of associated intracranial primitive neuroectodermal tumor (trilateral retinoblastoma). Minimum requirements for pretreatment diagnostic evaluation of retinoblastoma or mimicking lesions are presented, based on consensus among members of the European Retinoblastoma Imaging Collaboration (ERIC). The most appropriate techniques for imaging in a child with leukocoria are reviewed. CT is no longer recommended. Implementation of a standardized MRI protocol for retinoblastoma in clinical practice may benefit children worldwide, especially those with hereditary retinoblastoma, since a decreased use of CT reduces the exposure to ionizing radiation.
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