A Review of the Role of DWI in Radiation Therapy Planning and Treatment Response Assessment for NPC Management

Zhonghui Huang, Kui Liao
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Abstract

Nasopharyngeal carcinoma (NPC) is a malignant tumor that occurs in the nasopharynx. Its high incidence rate in certain regions of the world poses a significant challenge for healthcare providers. Imaging plays a crucial role in the diagnosis, treatment, and prognosis of NPC. Among various imaging modalities, diffusion-weighted imaging (DWI) has emerged as a promising technique due to its ability to provide functional information on tissue activity. This paper reviews the principles of DWI, its role in the diagnosis, treatment, and prognosis of NPC, and its potential applications in radiation therapy planning and treatment monitoring. DWI has been shown to have higher sensitivity and specificity for the detection of NPC compared to other imaging modalities. It can aid in the selection of radiation dose and target volumes, and monitor the timing and extent of treatment response. Further research is needed to explore the full potential of DWI in the management of NPC.
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DWI在鼻咽癌放射治疗计划及治疗反应评估中的作用综述
鼻咽癌(NPC)是发生在鼻咽部的恶性肿瘤。它在世界某些地区的高发病率对卫生保健提供者构成了重大挑战。影像学对鼻咽癌的诊断、治疗及预后具有重要意义。在各种成像方式中,扩散加权成像(DWI)因其能够提供组织活动的功能信息而成为一种有前途的技术。本文就DWI的原理、在鼻咽癌的诊断、治疗、预后中的作用以及在放疗计划和治疗监测中的潜在应用作一综述。与其他成像方式相比,DWI对鼻咽癌的检测具有更高的灵敏度和特异性。它可以帮助选择辐射剂量和靶体积,并监测治疗反应的时间和程度。需要进一步的研究来探索DWI在NPC管理中的全部潜力。
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