中华临床医师杂志(电子版)
中華臨床醫師雜誌(電子版)
중화림상의사잡지(전자판)
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2015年
2期
325-329
,共5页
磁共振成像,弥散%肿瘤%治疗学
磁共振成像,瀰散%腫瘤%治療學
자공진성상,미산%종류%치료학
Diffusion magnetic resonance imaging%Neoplasms%Therapeutics
早期疗效的判断对抗肿瘤治疗及患者的预后有重要意义。磁共振弥散加权成像(DWI)作为一种快速成像技术,它无需应用对比剂或示踪剂并以表观弥散系数(ADC)定量分析组织水分子弥散程度的变化。目前,DWI已越来越多地应用于肿瘤疗效的监测和评估并通过ADC值的变化来判断疗效,特别是早期疗效。研究表明多数肿瘤在有效治疗后表现为ADC值的升高,同时,DWI在肿瘤疗效评估中仍然面临着挑战及进一步的发展。
早期療效的判斷對抗腫瘤治療及患者的預後有重要意義。磁共振瀰散加權成像(DWI)作為一種快速成像技術,它無需應用對比劑或示蹤劑併以錶觀瀰散繫數(ADC)定量分析組織水分子瀰散程度的變化。目前,DWI已越來越多地應用于腫瘤療效的鑑測和評估併通過ADC值的變化來判斷療效,特彆是早期療效。研究錶明多數腫瘤在有效治療後錶現為ADC值的升高,同時,DWI在腫瘤療效評估中仍然麵臨著挑戰及進一步的髮展。
조기료효적판단대항종류치료급환자적예후유중요의의。자공진미산가권성상(DWI)작위일충쾌속성상기술,타무수응용대비제혹시종제병이표관미산계수(ADC)정량분석조직수분자미산정도적변화。목전,DWI이월래월다지응용우종류료효적감측화평고병통과ADC치적변화래판단료효,특별시조기료효。연구표명다수종류재유효치료후표현위ADC치적승고,동시,DWI재종류료효평고중잉연면림착도전급진일보적발전。
The early response of evaluation is important to anticancer treatments and prognosis of patients. Diffusion-weighted imaging (DWI) is a technique of magnetic resonance imaging that is quick to perform without the need for administration of exogenous contrast or tracer medium, and enables the apparent diffusion coefficient (ADC) of tissues to be quantified. It is increasingly being used to monitor and assess tumour response to a variety of anticancer treatments by the changes of ADC, especially early response. Studies have shown that ADC increases in effective response to a lot of treatments. Meantime, DWI will be faced with many challenges and further developments in the evaluation of anticancer treatments.