非小细胞肺癌纵隔淋巴结转移的影像学评估
Imaging evaluation of radiomics in mediastinal lymph node metastasis of non-small cell lung cancer
李悦 1夏熙婷 1周永1
作者信息
- 1. 新疆医科大学附属肿瘤医院影像诊断中心,新疆乌鲁木齐 830011
- 折叠
摘要
目的 总结非小细胞肺癌纵隔淋巴结转移的影像学评估现状,为临床采取合适的检查方法提供参考.方法 以"非小细胞肺癌、淋巴结转移、影像学检查"为中文关键词,以"non-small cell lung cancer、lymph node metastasis、imaging examination"为英文关键词,系统检索PubMed及中国知网数据库2005-01-01-2022-12-31相关文献.纳入标准:(1)非小细胞肺癌淋巴结转移的研究现状;(2)各类影像学检查在非小细胞肺癌中的研究进展;(3)各类影像学检查在淋巴结转移中的研究进展.排除标准:(1)数据陈旧文献;(2)相关性较低文献.最终纳入39篇文献进行分析.结果 纵隔淋巴结有无转移决定着非小细胞肺癌后续治疗方案制定,各类影像学检查在其诊断及预测中均存在各自的优势,但仍面临着一些不足,如计算机体层成像检查准确度有限,正电子发射断层显像/计算机断层扫描费用较高,磁共振成像的优势临床认识不足,超声支气管镜因解剖结构关系存在漏诊可能性,影像组学研究较少.结论 现有的影像学检查方法在非小细胞肺癌纵隔淋巴结转移的诊断及预测方面可为临床提供一定指导,多种方法联合、优势互补是未来重要的发展方向.
Abstract
Objective To summarize the current status of imaging evaluation of mediastinal lymph node metastasis in non-small cell lung cancer,in order to provide some guidance for clinical examination.Methods Using PubMed database and China National Knowledge Infrastructure(CNKI)retrieval system.The relevant literature from January 1,2005 to De-cember 31,2022 was searched with the keywords"non-small cell lung cancer,lymph node metastasis,imaging examina-tion".Inclusion criteria were as follows:(1)Research status of lymph node metastasis in non-small cell lung cancer;(2)Research progress of various imaging examinations in non-small cell lung cancer;(3)Research progress of various ima-ging examinations in lymph node metastasis.The exclusion criteria:(1)Outdated data;(2)Low correlation literature.Fi-nally,39 articles were included for analysis.Results The presence or absence of mediastinal lymph node metastasis de-termines the formulation of follow-up treatment options for non-small cell lung cancer.Various imaging examinations have their own advantages in their diagnosis and prediction,but they still face some deficiencies:the accuracy of computed tomography is limited;the cost of positron emission tomography/computed tomography is high;the clinical understand-ing of the advantages of magnetic resonance imaging is insufficient;endobronchial ultrasonography has the possibility of missed diagnosis due to anatomical structure;there are few studies on radiomics.Conclusions The existing imaging methods can provide some guidance for the diagnosis and prediction of mediastinal lymph node metastasis in non-small cell lung cancer.The combination of multiple methods and complementary advantages is an important development direction in the future.
关键词
肺癌/纵隔淋巴结/计算机体层成像/磁共振成像/超声支气管镜/影像组学Key words
lung cancer/mediastinal lymph nodes/CT/MRI/EBUS/imaging histology引用本文复制引用
出版年
2024
NETL
NSTL
万方数据