State-of-the-Art Cross-Sectional Imaging in Bladder Cancer
State-of-the-Art Cross-Sectional Imaging in Bladder Cancer
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DOI：
10.1067/j.cpradiol.2006.12.005
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发表时间：
2007-03-01
影响因子：
1.4
通讯作者：
Blake, Michael A.
中科院分区：
文献类型：
--
作者：
Setty, Bindu N.;Holalkere, Nagaraj-Setty;Blake, Michael A.
横断成像技术的进步使得放射学在膀胱癌患者的诊断、分期和再分期中发挥着越来越重要的作用。计算机断层扫描（CT）在膀胱癌中的主要作用是肿瘤分期和筛查远处转移。多排CT克服了前几代CT在检测相邻脏器侵犯和淋巴结分期方面的困难，可以提高对膀胱肿瘤的评价。然而，磁共振成像（MRI）仍然被认为优于CT对膀胱癌的初级分期。MRI的多平面能力及其优越的软组织分辨率为膀胱肿瘤的局部分期提供了更好的评估。正电子发射断层扫描/CT正在成为一种新的成像工具，用于检测远处转移。在这篇综述中，我们强调了当前横断面成像的价值，并讨论了新型成像技术在膀胱癌（主要是移行细胞癌）患者治疗中的潜在应用。
Advances in cross-sectional imaging have given radiology an increasingly significant role in the diagnosis, staging, and restaging of patients with bladder cancer. The primary role of computed tomography (CT) in bladder cancer is for tumor staging and screening for distant metastases. Multi-detector-row CT may improve the evaluation of bladder tumors by overcoming the difficulties of previous generations of CT in detecting invasion of contiguous organs and nodal staging. Magnetic resonance imaging (MRI) however is still considered superior to CT for primary staging of bladder carcinoma. The multiplanar capability of MRI with its superior soft-tissue resolution offers improved evaluation of local staging of bladder tumors. Positron emission tomography/CT is emerging as a novel-imaging tool for the detection of distant metastases. In this review, we emphasize the value of current cross-sectional imaging and discuss the potential applications of novel imaging techniques in the management of patients with bladder cancer, predominantly transitional cell carcinoma.