Journal of Medical Radiation Sciences最新文献_第8页

Perspective of radiography science – a document analysis of dissertations 放射学的视角--学位论文的文献分析。

IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-02-12 DOI: 10.1002/jmrs.761

Sanna Törnroos MHSc, Helena Leino-Kilpi PhD, RN, FAAN, FEANS, MAE, Mervi Siekkinen PhD, RTT, Eija Metsälä PhD

Introduction

The aim of this study was to clarify the perspective of radiography science as an academic discipline. A discipline can be studied by discovering the collective use of concepts, especially core concepts. We have previously identified the core concepts as clinical practices in radiography, radiographers' profession, safe and high-quality radiation use, and technology in radiography. The relationships between these concepts have not been studied previously. In order to clarify the perspective of radiography science we have investigated further the core concepts, their interrelationships and interdependencies.

Methods

Altogether, 53 dissertations meeting the inclusion criteria were selected for a qualitative document analysis. The data were first analysed deductively using an extraction matrix comprising four core concepts developed from previous studies, then relational statements were synthesised, and the statements were analysed semantically.

Results

Analysis revealed the bilateral interrelationships between the concepts and their dependencies. All the concepts were used within healthcare. The rationale for radiography science research was the clinical practice of radiography and the improvement of services in a complex environment as a part of patients' pathways. Safe and high-quality radiation use was investigated as a means to deliver optimal services. Technology was studied as being functional or a means to deliver services. The perspective of the discipline was seen as the combination of humanistic interaction with advanced technology, where safety and quality were a necessity.

Conclusions

Defining core concepts and their interrelations clarifies the perspective of the discipline and gives radiography researchers a way to argue their viewpoint.

导言：本研究旨在阐明放射学作为一门学科的观点。一门学科可以通过发现概念，尤其是核心概念的集体使用来进行研究。此前，我们已将核心概念确定为放射学临床实践、放射技师职业、安全和高质量的辐射使用以及放射学技术。这些概念之间的关系以前还没有研究过。为了澄清放射学科学的观点，我们进一步调查了核心概念、它们之间的相互关系和相互依存性：方法：共选择了 53 篇符合纳入标准的学位论文进行定性文献分析。首先使用从以往研究中提取的由四个核心概念组成的矩阵对数据进行演绎分析，然后对关系语句进行综合，并对语句进行语义分析：分析揭示了概念之间的双边相互关系及其依赖性。所有概念都用于医疗保健领域。放射学科学研究的基本原理是放射学的临床实践和在复杂环境中改善服务，作为患者路径的一部分。安全和高质量地使用放射线是提供最佳服务的一种手段。技术被视为提供服务的功能或手段。该学科的视角被视为人文互动与先进技术的结合，其中安全和质量是必要条件：定义核心概念及其相互关系可以阐明该学科的观点，并为放射学研究人员提供论证其观点的方法。

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引用次数: 0

Diagnostic value of colour Doppler ultrasound in differentiating malignant and benign nodules in thyroiditis background 彩色多普勒超声在区分甲状腺炎背景下的恶性和良性结节方面的诊断价值。

IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-02-12 DOI: 10.1002/jmrs.751

Seyed Ali Alamdaran MD, Melika Farshidianfar MD, Alireza Masoumi MD, Masoud Mahdavi Rashed MD, Masoumeh Jaberi MD

Introduction

Differentiating malignant thyroid nodules from benign ones is challenging. Sonography is a non-invasive modality that can be helpful in this regard and is far better than invasive methods like fine needle aspiration (FNA). This study aimed to assess the diagnostic value of colour Doppler ultrasonography in distinguishing malignant and benign nodules of thyroid gland.

Methods

The study involved patients with thyroiditis and thyroid nodules, who underwent sonography. Ultrasound findings were assessed. All the nodules were classified according to the FNA into malignant, follicular nodules and lymphatic. Then, sonography findings were compared between these three groups.

Results

There were 216 nodules, including 108 (50%) malignant nodules, 80 (37%) benign and 28 (13%) lymphatic follicles, were evaluated. Micro-calcification was present in 50 (46.3%) malignant cases, 11 (13.7%) benign cases and 2 (2.1%) lymphatic follicles. Decreased or mixed vascularity was reported in 43 (69%) malignant nodules, 4 (5%) benign cases and 7 (25%) lymphatic follicles. Also, 9.7% and 42% of malignant and benign nodules had peripheral circular vascularity, respectively; however, none of the lymphatic follicles had this finding. With 89% specificity, 49% sensitivity and 73.5% accuracy, calcification with or without decreased or mixed vascularity could differentiate benign and malignant nodules.

Conclusion

Decreased or mixed vascularity with or without calcification shows high sensitivity in differentiating malignant and benign nodules.

简介区分恶性甲状腺结节和良性结节具有挑战性。超声波检查是一种非侵入性方法，在这方面很有帮助，而且远优于细针穿刺术（FNA）等侵入性方法。本研究旨在评估彩色多普勒超声在区分甲状腺恶性和良性结节方面的诊断价值：研究对象为接受超声检查的甲状腺炎和甲状腺结节患者。对超声检查结果进行评估。根据 FNA 将所有结节分为恶性、滤泡结节和淋巴结。然后比较这三类结节的超声检查结果：结果：共评估了 216 个结节，包括 108 个（50%）恶性结节、80 个（37%）良性结节和 28 个（13%）淋巴滤泡。50个（46.3%）恶性病例、11个（13.7%）良性病例和2个（2.1%）淋巴滤泡存在微钙化。据报告，43 个（69%）恶性结节、4 个（5%）良性病例和 7 个（25%）淋巴滤泡的血管减少或混合。此外，分别有 9.7% 和 42% 的恶性结节和良性结节有外周环形血管，但没有一个淋巴滤泡有这种发现。钙化伴有或不伴有血管减少或混合，其特异性为 89%，敏感性为 49%，准确性为 73.5%，可区分良性和恶性结节：结论：伴有或不伴有钙化的血管减少或混合显示了区分恶性和良性结节的高灵敏度。

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引用次数: 0

Effect of using different strips on reducing the most common error in panoramic imaging: A randomised controlled trial on palatoglossal air space shadow 使用不同条带对减少全景成像中最常见误差的影响：腭舌气隙阴影随机对照试验。

IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-02-07 DOI: 10.1002/jmrs.753

Andisheh Mokhtari DDS, Sedigheh Razi DDS, Kasra Rahimipour DDS, Tahmineh Razi DDS

Introduction

Panoramic radiography quality can be impaired by some errors such as positioning errors. Palatoglossal air space shadow error is one of the most common positioning errors and it is due to the tongue not sticking to the roof of the palate. Techniques used to deal with this error might help prevent unnecessary radiation to patients and save them time and money. The study aimed to investigate the effects of using celluloid matrix and edible tapes (fruit leather and chewing gum) on reducing the palatoglossal air space shadow error in panoramic imaging.

Methods

In our study, 270 patients referred to the Department of Radiology were randomised into three groups: a control group, a celluloid matrix group and an edible tapes group. Before panoramic imaging, all patients were instructed to adhere their tongues to the roof of their mouths, with the distinction that for the celluloid matrix and edible tapes groups, patients were asked to place celluloid tapes, fruit leathers, or chewing gums on their tongues before doing so. The routine imaging process was then performed, and the results were compared across groups to evaluate the incidence of palatoglossal air space shadow error.

Results

The number of error-free images in each fruit leather, chewing gum and celluloid tape group were significantly higher than the control group (all cases P < 0.05). The chances of error-free images in the fruit leather groups were the highest (9.57 times). The age (P = 0.136) and gender (P = 0.272) of patients had no significant effect on the results of interventions.

Conclusion

The application of fruit leathers, chewing gums and celluloid tapes reduced the palatoglossal air space shadow error of panoramic imaging.

简介全景放射摄影的质量可能会受到一些误差的影响，例如定位误差。腭舌气隙阴影误差是最常见的定位误差之一，其原因是舌头没有贴紧腭顶。处理这种误差的技术可能有助于避免对患者造成不必要的辐射，并节省患者的时间和金钱。本研究旨在探讨在全景成像中使用赛璐珞基质和可食用胶带（水果皮和口香糖）对减少腭舌气隙阴影误差的影响：在我们的研究中，270 名转诊至放射科的患者被随机分为三组：对照组、赛璐珞基质组和可食用胶带组。在进行全景成像前，所有患者都会被要求将舌头贴在口腔顶部，但赛璐珞基质组和可食用胶带组则要求患者先将赛璐珞胶带、果皮或口香糖贴在舌头上，然后再进行全景成像。然后进行常规成像，并比较各组结果，以评估腭舌气隙阴影错误的发生率：结果：果皮、口香糖和赛璐珞胶带组的无差错图像数量均明显高于对照组（所有情况下均为 P 结论：果皮、口香糖和赛璐珞胶带的应用均可减少腭舌气隙阴影误差：应用果皮、口香糖和赛璐珞带可减少全景成像中的腭舌气隙阴影误差。

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引用次数: 0

Exploring software navigation tools for liver tumour angiography: a scoping review 探索肝脏肿瘤血管造影的软件导航工具：范围界定综述。

IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-02-02 DOI: 10.1002/jmrs.760

Nathan Brunskill BSc(Hons), John Robinson PhD, Don Nocum PhD, Warren Reed PhD

Introduction

Liver cancer presents a growing global health concern, necessitating advanced approaches for intervention. This review investigates the use and effectiveness of software navigation in interventional radiology for liver tumour procedures.

Methods

In accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines, a scoping review was conducted of the literature published between 2013 and 2023 sourcing articles through MEDLINE, Scopus, CINAHL and Embase. Eligible studies focused on liver cancer, utilised cone-beam computed tomography (CBCT), and employed software for intervention. Twenty-one articles were deemed eligible for data extraction and analysis.

Results

Categorised by type, software applications yielded diverse benefits. Feeder detection software significantly enhanced vessel identification, reducing non-target embolisation by up to 43%. Motion correction software demonstrated a 20% enhancement in image quality, effectively mitigating breathing-induced motion artefacts. Liver perfusion software facilitated efficient tumour targeting while simultaneously reducing the occurrence of side effects. Needle guide software enabled precise radiofrequency ablation needle placement. Additionally, these software applications provided detailed anatomical simulations. Overall, software integration resulted in shorter procedures, reduced radiation exposure and decreased contrast media usage.

Conclusion

This scoping review highlights the innovative yet relatively underexplored role of software navigation for liver tumour procedures. The integration of software applications not only enhances procedural efficiency but also bolsters operator confidence, and contributes to improved patient outcomes. Despite the current lack of uniformity and standardisation, these software-driven advancements hold significant promise for transforming liver tumour interventions. To realise these benefits, further research is needed to explore the clinical impact and optimal utilisation of software navigation tools in interventional radiology.

导言肝癌是全球日益关注的健康问题，需要先进的干预方法。本综述调查了软件导航在介入放射学肝肿瘤手术中的应用和效果：根据《系统综述和荟萃分析首选报告项目扩展至范围界定综述》（PRISMA-ScR）指南，我们对 2013 年至 2023 年间发表的文献进行了范围界定综述，文章来源包括 MEDLINE、Scopus、CINAHL 和 Embase。符合条件的研究以肝癌为重点，采用锥形束计算机断层扫描（CBCT），并使用软件进行干预。21篇文章被认为符合数据提取和分析条件：按类型分类，软件应用产生了不同的益处。馈线检测软件大大提高了血管识别能力，减少了43%的非目标栓塞。运动校正软件显示图像质量提高了20%，有效减轻了呼吸引起的运动伪影。肝脏灌注软件促进了高效的肿瘤靶向，同时减少了副作用的发生。针引导软件实现了射频消融针的精确放置。此外，这些应用软件还提供了详细的解剖模拟。总之，软件集成缩短了手术时间，减少了辐射暴露，降低了造影剂的使用量：本范围综述强调了软件导航在肝脏肿瘤手术中的创新作用，但这一作用相对来说还未被充分发掘。软件应用的整合不仅提高了手术效率，还增强了操作者的信心，有助于改善患者的预后。尽管目前缺乏统一性和标准化，但这些软件驱动的进步为改变肝脏肿瘤介入治疗带来了巨大希望。要实现这些优势，还需要进一步研究软件导航工具对介入放射学的临床影响和最佳利用。

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引用次数: 0

Developing a comparative photon-proton planning service in Victoria: the experience at Peter MacCallum Cancer Centre 在维多利亚州发展光子-质子计划比较服务：Peter MacCallum 癌症中心的经验。

IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-02-02 DOI: 10.1002/jmrs.754

Roshini Gunewardena BAppSc (MedRad), Lisa Hall BSc (Therapeutic) (Hons), Michelle Li MBBS, FRANZCR, Gabrielle Drum BHSc, MRadTher, Dianna Le BHSc, MRadTher, Emily Nigro BBiomedSc, MRadTher, Bridget Houlder BAppSc (MedRad), Claire Phillips MBBS, FRANZCR, Greg Wheeler MBBS, FRANZCR, Kirsty Wiltshire MBBS, FRANZCR, Tomas Kron PhD, FACPSEM, Adam Yeo MSc, PhD

Proton-beam therapy (PBT) is a cutting-edge radiation therapy modality that is currently not available in Australia. Comparative photon-proton (CPP) planning is required for the medical treatment overseas programme (MTOP) and will be required for access to PBT in Australia in the future. Comparative planning brings professional development benefits to all members of the radiation therapy team. This service was also created to support future proposals for a PBT facility in Victoria. We report our experience developing an in-house CPP service at Peter MacCallum Cancer Centre. A set of resources to support CPP planning was established. Training of relevant staff was undertaken after which an in-house training programme was developed. A standard protocol for PBT planning parameters was established. All CPP plans were reviewed. Future goals for the CPP planning programme were described. In total, 62 cases were comparatively planned over 54 months. Of these, 60% were paediatric cases, 14% were adolescents and young adults (15–25 years) and 26% were adults. The vast majority (over 75%) of patients comparatively planned required irradiation to the central nervous system including brain and cranio-spinal irradiation. A variety of proton plans were reviewed by international PBT experts to confirm their deliverability. Our team at Peter MacCallum Cancer Centre has gained significant experience in CPP planning and will continue to develop this further. Local expertise will help support decentralisation of patient selection for proton treatments in the near future and the PBT business case in Victoria.

质子束疗法（PBT）是一种尖端的放射治疗方式，但目前在澳大利亚还无法使用。光子-质子（CPP）对比计划是海外医疗计划（MTOP）的要求，也是未来在澳大利亚使用质子束疗法的要求。比较规划为放射治疗团队的所有成员带来了专业发展方面的益处。这项服务的设立也是为了支持未来在维多利亚州建立 PBT 设施的建议。我们报告了 Peter MacCallum 癌症中心开发内部 CPP 服务的经验。我们建立了一套支持 CPP 规划的资源。对相关人员进行了培训，随后制定了内部培训计划。制定了 PBT 规划参数标准协议。对所有 CPP 计划进行了审查。描述了 CPP 规划方案的未来目标。在 54 个月的时间里，共对 62 个病例进行了比较规划。其中 60% 为儿科病例，14% 为青少年和年轻人（15-25 岁），26% 为成年人。绝大多数（超过 75%）比较计划患者需要对中枢神经系统进行辐照，包括脑部和颅脊辐照。国际 PBT 专家对各种质子计划进行了审查，以确认其可实施性。Peter MacCallum 癌症中心的团队在 CPP 规划方面积累了丰富的经验，并将继续进一步发展。当地的专业知识将有助于在不久的将来支持质子治疗患者选择的分散化以及维多利亚州的 PBT 商业案例。

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引用次数: 0

Continuing Professional Development - Radiation Therapy 专业进修--放射治疗。

IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-01-30 DOI: 10.1002/jmrs.758

Maximise your CPD by reading the following selected article and answer the five questions. Please remember to self-claim your CPD and retain your supporting evidence. Answers will be available via the QR code and online at www.asmirt.org/news-and-publications/jmrs, as well as published in JMRS — Volume 71, Issue 4 December 2024.

Scan this QR code to find the answers or visit www.asmirt.org/news-and-publications/jmrs.

阅读以下精选文章并回答五个问题，最大限度地提高您的持续专业发展能力。请记住，请自行申请 CPD 并保留您的支持证据。答案将通过二维码和 www.asmirt.org/news-and-publications/jmrs 在线提供，并发表在《JMRS》--第 71 卷第 4 期（2024 年 12 月）上。扫描此二维码查找答案或访问 www.asmirt.org/news-and-publications/jmrs。

引用次数: 0

Framework for a radiography student podcast 放射学学生播客框架。

IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-01-29 DOI: 10.1002/jmrs.759

Emily Girard BAppSc(DR) Hons, Amanda Punch BAppSc(DR), Yobelli Jimenez BAppSc(RT), MHlthSc, PhD

Podcasts refer to episodes of audio content that are readily available on streaming applications on smartphones or computers. This paper reports on the development of the ‘Breathe In Radiography Podcast’ series for radiography students and provides suggestions for evaluation. Podcast development followed a structured framework, including identification of podcast topics and expert guests, content development, audio recording, episode upload to host site and distribution. Using a framework was useful to guide development and ensure consistency across podcast episodes. Evaluation through podcast usage data, surveys and focus groups provides a comprehensive strategy to explore radiography students' perception of the newly developed podcast series.

播客指的是通过智能手机或电脑上的流媒体应用程序随时提供的音频内容。本文报告了针对放射学学生的 "呼吸放射学播客 "系列的开发情况，并提出了评估建议。播客开发遵循结构化框架，包括确定播客主题和专家嘉宾、内容开发、音频录制、上传到主机网站和发布。使用框架有助于指导开发工作，并确保各期播客的一致性。通过播客使用数据、调查和焦点小组进行评估，为探索放射学学生对新开发的播客系列的看法提供了全面的策略。

引用次数: 0

Continuing Professional Development - Medical Imaging 专业进修 - 医学影像。

IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-01-25 DOI: 10.1002/jmrs.757

Maximise your CPD by reading the following selected article and answer the five questions. Please remember to self-claim your CPD and retain your supporting evidence. Answers will be available via the QR code and online at www.asmirt.org/news-and-publications/jmrs, as well as published in JMRS — Volume 71, Issue 4 December 2024.

Scan this QR code to find the answers, or visit www.asmirt.org/news-and-publications/jmrs

阅读以下精选文章并回答五个问题，最大限度地提高您的持续专业发展能力。请记住，请自行申请 CPD 并保留您的支持证据。答案将通过二维码和 www.asmirt.org/news-and-publications/jmrs 在线提供，并发表在《JMRS》--第 71 卷第 4 期（2024 年 12 月）上。扫描此二维码查找答案，或访问 www.asmirt.org/news-and-publications/jmrs。

引用次数: 0

Exploring the use of mobile translation applications for culturally and linguistically diverse patients during medical imaging examinations in Australia – a systematic review 探索在澳大利亚医学影像检查过程中针对不同文化和语言患者使用移动翻译应用程序--系统性综述。

IF 1.8 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-01-22 DOI: 10.1002/jmrs.755

Bridget Taylor BRadMedImag (Hons), Glenda McLean DMU, MASc

Australian healthcare provides services to a vast culturally and linguistically diverse (CALD) population. Professional interpreters are the gold standard for medical interpretation during healthcare interactions with CALD patients with limited English proficiency (LEP). However, accessing interpretation services can be difficult and may not be appropriate when timely translation is needed. Mobile translation applications (MTAs) have been suggested as a way for healthcare workers (HCWs) to provide timely translation when engaging with CALD patients. This systematic review aimed to investigate the potential for MTAs to be used in Australian medical imaging (MI) departments to enhance communication and safety for CALD patients and HCWs. Enablers and limitations of MTAs were appraised for use in MI and important design considerations suggested. Results found that MTAs may enhance communication between CALD patients and MI professionals and uphold safety by more accurately performing procedure matching and healthcare assessments. MTAs also offer readily available translation during out of hours care, emergency scenarios and everyday care. However, reliability of free-input translation and patient confidentiality were flagged as important limitations of MTAs that need to be addressed should a safe MTA be designed for MI purposes. MTAs also need to be designed with consideration for CALD patients who have low literacy levels and mental impairment. Devices should be installed close to the point of care to enable MI professionals to easily retrieve and use the MTA. MTAs used in this way can potentially improve care of CALD patients in MI when professional interpreters are absent.

澳大利亚的医疗保健服务面向广大的文化和语言多元化 (CALD) 人口。在与英语水平有限的 CALD 患者进行医疗互动时，专业口译员是医疗口译的黄金标准。然而，在需要及时翻译的情况下，获得口译服务可能会很困难，也可能不合适。移动翻译应用程序（MTA）被认为是医护人员（HCWs）在与 CALD 患者接触时提供及时翻译的一种方式。本系统性综述旨在研究澳大利亚医学影像（MI）部门使用移动翻译应用程序的潜力，以加强 CALD 患者和医护人员之间的沟通并提高其安全性。评估了MTA在医学影像部门使用的有利因素和局限性，并提出了重要的设计考虑因素。结果发现，MTA 可以加强 CALD 患者与 MI 专业人员之间的沟通，并通过更准确地进行程序匹配和医疗评估来保障安全。MTA 还可在非工作时间护理、紧急情况和日常护理期间提供随时可用的翻译。不过，自由输入翻译的可靠性和患者保密性被认为是移动翻译系统的重要局限性，如果要为移动医疗设计安全的移动翻译系统，就必须解决这些问题。在设计 MTA 时，还需要考虑到识字水平低和精神受损的 CALD 患者。设备应安装在靠近护理点的地方，以便于 MI 专业人员轻松检索和使用 MTA。在缺乏专业口译人员的情况下，以这种方式使用的 MTA 有可能改善对 CALD 患者的护理。

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引用次数: 0

A systematic review of brain metastases from lung cancer using magnetic resonance neuroimaging: Clinical and technical aspects 利用磁共振神经成像对肺癌脑转移进行系统回顾：临床和技术方面。

IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Radiation Sciences

Pub Date : 2024-01-18 DOI: 10.1002/jmrs.756

Sadegh Ghaderi PhD, Sana Mohammadi MD, Mahdi Mohammadi PhD, Zahra Najafi Asli Pashaki MSc, Mehrsa Heidari MD, Rahim Khatyal MSc, Rasa Zafari MD

Introduction

Brain metastases (BMs) are common in lung cancer (LC) and are associated with poor prognosis. Magnetic resonance imaging (MRI) plays a vital role in the detection, diagnosis and management of BMs. This review summarises recent advances in MRI techniques for BMs from LC.

Methods

This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was conducted in three electronic databases: PubMed, Scopus and the Web of Science. The search was limited to studies published between January 2000 and March 2023. The quality of the included studies was evaluated using appropriate tools for different study designs. A narrative synthesis was carried out to describe the key findings of the included studies.

Results

Sixty-five studies were included. Standard MRI sequences such as T1-weighted (T1w), T2-weighted (T2w) and fluid-attenuated inversion recovery (FLAIR) were commonly used. Advanced techniques included perfusion-weighted imaging (PWI), diffusion-weighted imaging (DWI) and radiomics analysis. DWI and PWI parameters could distinguish tumour recurrence from radiation necrosis. Radiomics models predicted genetic mutations and the risk of BMs. Diagnostic accuracy was improved with deep learning (DL) approaches. Prognostic factors such as performance status and concurrent chemotherapy impacted survival.

Conclusion

Advanced MRI techniques and specialised MRI methods have emerging roles in managing BMs from LC. PWI and DWI improve diagnostic accuracy in treated BMs. Radiomics and DL facilitate personalised prognosis and treatment. Magnetic resonance imaging plays a key role in the continuum of care for BMs of patients with LC, from screening to treatment monitoring.

简介：脑转移（BMs）在肺癌（LC）中很常见，与预后不良有关。磁共振成像（MRI）在脑转移瘤的检测、诊断和治疗中发挥着重要作用。本综述总结了针对肺癌BMs的磁共振成像技术的最新进展：本系统综述遵循系统综述和荟萃分析首选报告项目（PRISMA）指南进行。在三个电子数据库中进行了全面的文献检索：PubMed、Scopus 和 Web of Science。检索仅限于 2000 年 1 月至 2023 年 3 月间发表的研究。针对不同的研究设计，使用适当的工具对纳入研究的质量进行了评估。对所纳入研究的主要结果进行了叙述性综合：结果：共纳入 65 项研究。标准磁共振成像序列如T1加权（T1w）、T2加权（T2w）和液体衰减反转恢复（FLAIR）被普遍采用。先进的技术包括灌注加权成像（PWI）、弥散加权成像（DWI）和放射组学分析。DWI 和 PWI 参数可以区分肿瘤复发和辐射坏死。放射组学模型可预测基因突变和BMs风险。深度学习（DL）方法提高了诊断的准确性。预后因素，如表现状态和同期化疗对生存率有影响：结论：先进的磁共振成像技术和专业的磁共振成像方法在管理 LC 的 BMs 方面发挥着新的作用。脉搏波速度成像（PWI）和增强波速度成像（DWI）提高了接受治疗的乳腺肿瘤的诊断准确性。放射组学和DL有助于个性化预后和治疗。从筛查到治疗监测，磁共振成像在LC患者血液肿瘤的持续治疗中发挥着关键作用。

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引用次数: 0