CT和MR体质分析评估血液系统三种常见恶性肿瘤预后的研究进展  

Research progress of quantitative CT and MR in assessing the prognosis of three prevalent hematological malignant tumors

作　　者：张雅欣 全冠民[1] 袁涛[1] ZHANG Ya-xin;QUAN Guan-min;YUAN Tao(Department of Medical Imaging,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院影像科,河北石家庄050000

出　　处：《中国临床医学影像杂志》2024年第11期819-822,共4页Journal of China Clinic Medical Imaging

摘　　要：淋巴瘤、骨髓瘤和白血病是血液系统最常见和重要的恶性肿瘤,近年来已证实病人体质成分是影响这些肿瘤预后的因素之一,因此其体质状态评估具有重要价值。血液系统肿瘤相关体质评估影像学方法包括多种技术,其中CT和MRI既可提供精确的解剖细节,还能直接量化评估体质成分,包括肌肉、脂肪面积与密度、骨密度,具有可重复、客观等优势。近年来研究证明基于影像评估肌肉、脂肪等体质成分对于预测淋巴瘤、骨髓瘤及白血病治疗反应、生存预后具有肯定价值。本文就CT及MRI体质成分分析评估上述血液系统三种主要恶性肿瘤生存预后的进展进行综述。The most prevalent and significant malignant tumors of the hematopoietic system include leukemia,lymphoma and myeloma.It has been demonstrated in recent years that the patient's body composition has a significant impaction on the prognosis of these tumors.Thus,the evaluation of body composition is crucial in the patient management.Several imaging technologies,including quantitative CT and MRI,could not only provide precise anatomical details,but also directly quantify information of body composition with the advantages of repeatability and objectivity,including muscle,adipose,and bone mineral density.It has been demonstrated that the quantitative parameters of muscle,adipose are of positive value in predicting treatment response and survival prognosis for lymphoma,myeloma and leukemia.The development of body composition analysis using CT and MRI for assessing the prognosis and survival of the three major hematological malignancies mentioned above is reviewed in this paper.

关 键 词：淋巴瘤 多发性骨髓瘤 白血病 体层摄影术 X线计算机 磁共振成像 

分 类 号：R733[医药卫生—肿瘤] R814.42[医药卫生—临床医学] R445.2