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岭南现代临床外科 ›› 2019, Vol. 19 ›› Issue (01): 11-18.DOI: 10.3969/j.issn.1009-976X.2019.01.003

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放射性脑病的影像学诊断进展

黎成1, 卜超2, 黄穗乔2*   

  1. 1.佛山市第一人民医院影像科,广东佛山528000;2.中山大学孙逸仙纪念医院放射科,广州510120
  • 通讯作者: 黄穗乔
  • 基金资助:
    广东省科技计划项目

Advance of the imaging diagnosis of radiation encephalopathy

LI Cheng1, BU Chao2, HUANG Suiqiao2   

  1. Department of Radiology, Sun Yat?sen Memorial Hospital, Sun Yat?sen University, Guangzhou 510120, China.
  • Online:2019-02-20 Published:2019-02-20
  • Contact: HUANG Suiqiao

摘要: [摘要] 放射性治疗是头颈部恶性肿瘤特别是鼻咽癌最常使用的治疗方法。近年来,由于放疗技术的提高,放疗后并发症的发生率有了明显的下降,但不能完全避免。放疗导致的放射性脑病对患者生存质量的影响已远远超过肿瘤本身,而患者越来越注重生存质量,故放射性脑病日益受到关注,寻求得到早期发现、早期诊断及早期治疗。而放射性脑病的诊断主要依靠临床表现及影像学检查,本文将对放射性脑病的发病机制及放射性脑病的影像学诊断方法,包括CT、MRI及分子影像学检查等进行论述。

关键词: 放射性脑病, 诊断, 影像学, 头颈部恶性肿瘤

Abstract: [Abstract] Radiotherapy is the most commonly used treatment for head and neck malignant tumors, especially nasopharyngeal cancer. In recent years, due to the improvement of radiotherapy technology, the incidence of complications after radiotherapy has decreased significantly, but it still can not be completely avoided. Radiation encephalopathy caused by radiotherapy has a far greater impact on the quality of life of patients than the tumor itself, and patients pay more and more attention to the quality of their life, so radiation encephalopathy is increasingly concerned, seeking for early detection, diagnosis and treatment. The diagnosis of radiation encephalopathy mainly depends on clinical manifestations and imaging examinations. This paper will review the pathogenesis and imaging diagnosis methods of radiation encephalopathy, including CT, MRI and molecular imaging techniques.

Key words: radiation encephalopathy, diagnosis, imaging, head and neck malignant tumor

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