Ultrasound Findings After Breast Cancer Radiation Therapy: Cutaneous, Pleural, Pulmonary, and Cardiac Changes.

IF 4.4 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Korean Journal of Radiology Pub Date : 2024-11-01 DOI:10.3348/kjr.2024.0672
Orlando Catalano, Roberta Fusco, Serena Carriero, Stefania Tamburrini, Vincenza Granata
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Abstract

External beam radiation therapy (RT) can induce toxicity in patients surgically treated for breast cancer. Modern irradiation techniques have lowered the incidence and severity of radiation-induced injuries; however, their side effects on normal tissues remain challenging. This review illustrates early and late changes observed using ultrasound (US) imaging, including echocardiography, at the skin, muscle, pleura, lungs, and heart levels. The US findings and the potential role of this technique in detecting and grading early and late complications of RT are highlighted in this article. US has proven useful in the differential diagnosis of post-RT complications, including but not limited to cancer recurrence and toxicity from other sources, such as anticancer drugs. Additionally, considering the progressive nature of RT-induced injury, early detection of toxicity may be helpful in the individual stratification of damage risk and serve as a tool for patient screening and management. In these cases, US can be used as a radiation-free biomarker of RT side effects at the subclinical stage.

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乳腺癌放疗后的超声波检查结果:皮肤、胸膜、肺部和心脏变化。
体外放射治疗(RT)会对接受手术治疗的乳腺癌患者产生毒性。现代辐照技术已降低了辐射所致损伤的发生率和严重程度,但其对正常组织的副作用仍具有挑战性。本综述阐述了使用超声(US)成像(包括超声心动图)在皮肤、肌肉、胸膜、肺和心脏层面观察到的早期和晚期变化。本文重点介绍了 US 发现以及该技术在检测和分级 RT 早期和晚期并发症方面的潜在作用。事实证明,US 对 RT 后并发症的鉴别诊断非常有用,包括但不限于癌症复发和其他来源(如抗癌药物)的毒性。此外,考虑到 RT 引起的损伤具有渐进性,早期发现毒性可能有助于对损伤风险进行个体分层,并可作为患者筛查和管理的工具。在这种情况下,US 可以作为一种无辐射生物标记物,在亚临床阶段检测 RT 副作用。
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来源期刊
Korean Journal of Radiology
Korean Journal of Radiology 医学-核医学
CiteScore
10.60
自引率
12.50%
发文量
141
审稿时长
1.3 months
期刊介绍: The inaugural issue of the Korean J Radiol came out in March 2000. Our journal aims to produce and propagate knowledge on radiologic imaging and related sciences. A unique feature of the articles published in the Journal will be their reflection of global trends in radiology combined with an East-Asian perspective. Geographic differences in disease prevalence will be reflected in the contents of papers, and this will serve to enrich our body of knowledge. World''s outstanding radiologists from many countries are serving as editorial board of our journal.
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