Đánh giá đa thông số MRI của các sarcoma xương ở trẻ em

Insights into Imaging - Tập 13 - Trang 1-18 - 2022
Emilio J. Inarejos Clemente1, Oscar M. Navarro2, Maria Navallas3, Enrique Ladera1, Ferran Torner4, Mariona Sunol5, Moira Garraus6, Jordi Català March7, Ignasi Barber1
1Department of Diagnostic Imaging. Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain
2Department of Medical Imaging, Department of Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, Toronto, Canada
3Department of Diagnostic Imaging, Hospital 12 de Octubre, Madrid, Spain
4Department of Orthopaedics, Hospital Sant Joan de Déu. Av, Esplugues de Llobregat, Barcelona, Spain
5Department of Pathology, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain
6Department of Oncology, Hospital Sant Joan de Déu. Av, Esplugues de Llobregat, Barcelona, Spain
7Department of Radiology, Instituto de Resonancia Magnetica Guirado, Barcelona, Spain

Tóm tắt

Sarcoma xương (Osteosarcoma) và sarcoma Ewing (Ewing sarcoma) là hai loại sarcoma xương phổ biến nhất ở trẻ em. Biểu hiện lâm sàng của chúng rất đa dạng tùy thuộc vào độ tuổi của bệnh nhân và vị trí của khối u. MRI là phương pháp chẩn đoán lựa chọn để đánh giá các sarcoma xương này và đóng vai trò quan trọng trong chẩn đoán cũng như theo dõi tái phát hoặc phản ứng của khối u. Các chuỗi hình ảnh giải phẫu bao gồm hình ảnh T1 và T2 tăng cường, cung cấp đánh giá hình thái học cần thiết để định vị khối u và mô tả các ranh giới giải phẫu. MRI đa thông số cung cấp thông tin chức năng hỗ trợ trong đánh giá phản ứng của khối u với liệu pháp thông qua việc sử dụng các chuỗi hình ảnh khác nhau và các dấu ấn sinh học. Bài viết tổng quan này minh họa vai trò của MRI trong việc đánh giá sarcoma xương và sarcoma Ewing ở trẻ em, với nhấn mạnh vào quan điểm chức năng, nêu bật việc sử dụng hình ảnh khuếch tán và MRI tăng cường tương phản động trong chẩn đoán, trong và sau khi điều trị.

Từ khóa

#sarcoma xương #MRI #trẻ em #đánh giá đa thông số #khối u

Tài liệu tham khảo

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