The Value of CT Scan in Diagnosis and Management of Malignant Lymphoma: A Clinical Practice-Oriented Overview

L. Datz
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Abstract

The impact of computed tomography (CT) scanning on the accurate diagnosis of malignant lymphoma (ML) and the assessment of the course of disease has rapidly improved over the last years. This is mainly due to the development of multi-slice CT (MSCT) with its unique utility to perform high-resolution full-body scans within a very short period of time. Its standardized sectional views permit excellent comparability to previously performed images with high inter-observer agreement. MSCT is the method of choice for the chest, abdominal and urinary tract regions which is also true with some restrictions to the head and neck region. In the musculoskeletal system the accuracy is lower when compared with magnetic resonance imaging. Among the variety of imaging technologies MSCT plays a central role for staging and restaging of ML with a major impact on therapeutic decisions.

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CT扫描在恶性淋巴瘤诊断和治疗中的价值:临床应用综述
近年来,计算机断层扫描(CT)对恶性淋巴瘤(ML)的准确诊断和病程评估的影响迅速提高。这主要是由于多层CT (MSCT)的发展,它具有在很短的时间内进行高分辨率全身扫描的独特功能。其标准化的断层视图允许极好的可比性,以前执行的图像具有高度的观察者之间的协议。MSCT是胸部、腹部和泌尿道区域的首选方法,对于头颈部区域也是如此,但有一些限制。在肌肉骨骼系统中,与磁共振成像相比,精度较低。在各种成像技术中,MSCT在ML的分期和再分期中起着核心作用,对治疗决策有重大影响。
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