盆腔肿瘤放疗后骨髓损伤的影像学研究进展  

Research progress in imaging study of bone marrow injury after pelvic tumor radiotherapy

作　　者：田名可 董越 TIAN Mingke;DONG Yue(Cancer Hospital of Dalian University of Technology(Liaoning Cancer Hospital),Liaoning Shenyang 110000,China)

机构地区：[1]大连理工大学附属肿瘤医院(辽宁省肿瘤医院),辽宁沈阳110000

出　　处：《现代肿瘤医学》2023年第20期3871-3874,共4页Journal of Modern Oncology

基　　金：国家癌症中心攀登基金(编号:NCC201806B011);2022辽宁省应用基础研究计划项目(编号:2022JH2/101300074);大连理工大学-辽宁省肿瘤医院医工交叉联合基金(编号:LD202119)。

摘　　要：放疗是前列腺、直肠、宫颈和子宫内膜恶性肿瘤最常见的治疗方法。而骨盆不仅是全身造血骨髓分布比例最大的区域,也是盆腔肿瘤患者放疗时无法避免的区域。在放疗的同时,骨髓改变引起的腰骶部疼痛等相应临床症状,易被误诊为骨转移,因此早期诊断格外重要。随着多模态成像技术的迅速发展,影像学诊断放疗后骨髓损伤的敏感性和准确率明显提高,本文就放疗后骨髓改变的影像学研究进展予以综述。Radiotherapy is the most common treatment for malignant tumors of the prostate,rectum,cervix and endometrium.The pelvis is not only the area with the largest proportion of hematopoietic bone marrow in the whole body,but also the unavoidable area in the radiotherapy of pelvic tumor patients.At the same time as radiotherapy,a series of changes in the pelvic bone marrow after radiotherapy can cause corresponding clinical symptoms,such as lumbosacral pain,which is easily misdiagnosed as bone metastases.Therefore,early diagnosis is particularly important.With the rapid development of multimodal imaging technology,the sensitivity and accuracy of bone marrow injury diagnosis after radiotherapy have been greatly improved.This article reviews the imaging research progress of pelvic bone marrow changes after radiotherapy.

关 键 词：盆腔 骨髓 放射损伤 不良反应 影像 

分 类 号：R730.55[医药卫生—肿瘤]