Oncologic Imaging: A Multidisciplinary Approach

Prostate cancer staging imaging. Imaging of COVID-19: CT, MRI, and PET

Conținutul

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    Ann Ital Chir ; Current methods show low accuracy for the identification of complete responders. Relevant studies were identified using bibliographic searches of Pubmed database.

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    The keywords that were used in various combinations were: "neoadjuvant chemoradiotherapy", "non-operative management", "complete pathological response", "rectal cancer", "biomarkers", "staging".

    RESULTS: Magnetic resonance imaging can identify complete responders with a high accuracy using new protocols like diffusion weighted imaging. Positron emission tomography with fluoro-deoxy-glucose shows a sensitivity of A panel of 15 metabolites was identified and shows potential to discriminate patient resistance and sensitivity to neo-adjuvant therapy Area Under the Curve 0.

    Magnetic Resonance Imaging MRI is the best imaging modality for evaluating the prostate and accurately diagnose the prostatic carcinoma, especially in cases with aggressive and larger volume tumors. The main objectives of this article are: to review the multiparametric MRI assessment technique used in prostate pathology, to list and illustrate the most common MRI features in prostate cancer, and to present the role of the multidisciplinary team in the diagnosis and management of patients with prostate tumoral pathology. Keywords prostate cancer, multiparametric MRI, multidisciplinarity Rezumat Cancerul de prostată reprezintă o importantă problemă de sănătate publică. Imagistica prin rezonanţă magnetică IRM este cea mai bună modalitate de evaluare a prostatei şi de a diagnostica cancerul de prostată, mai ales în cazurile în care tumora este voluminoasă şi agresivă. Principalele obiective ale acestui articol sunt: revizuirea tehnicii utilizate în evaluarea IRM multiparametrică în patologia prostatei, prezentarea şi ilustrarea principalelor aspecte IRM întâlnite în cancerul de prostată şi prezentarea rolului abordului multidisciplinar în diagnosticul şi managementul pacienţilor cu patologie tumorală prostatică.

    Furthermore, pre-treatment peripheral blood neutrophil to lymphocyte ratio below 2 and platelet to lymphocyte ratio below Analysis of the pattern of carcinoembryonic antigen CEA clearance after neoadjuvant treatment conclude that an exponential decrease of the CEA levels is associated with significant tumor down staging and complete pathologic response. Further studies need to assess the best combination between imaging and these biomarkers in order to increase the accuracy and standardize the criteria for non-operative management.

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