ОБЗОР МЕТОДОВ ВИЗУАЛИЗАЦИИ ДЛЯ ОЦЕНКИ ОТВЕТА НА ЛЕЧЕНИЕ МЕТАСТАЗОВ В КОСТИ ПРИ РАКЕ ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫ И МОЛОЧНОЙ ЖЕЛЕЗЫ
Е. А. Николаева
ФГБУ ДПО «Центральная государственная медицинская академия» УД Президента РФ, Москва
Е. В. Тарачкова
Ж. В. Шейх
А. П. Дунаев
И. Е. Тюрин
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Ключевые слова

метастазы
рак
предстательная железа

Как цитировать

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Е. А. Николаева, Е. В. Тарачкова, Ж. В. Шейх, А. П. Дунаев, и И. Е. Тюрин, ОБЗОР МЕТОДОВ ВИЗУАЛИЗАЦИИ ДЛЯ ОЦЕНКИ ОТВЕТА НА ЛЕЧЕНИЕ МЕТАСТАЗОВ В КОСТИ ПРИ РАКЕ ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫ И МОЛОЧНОЙ ЖЕЛЕЗЫ, КМКВ, вып. 3, сс. 107-114, дек. 2022.
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Аннотация

Костные метастазы являются крайне частыми осложнениями, связанными с некоторыми видами рака, часто негативно влияющими на качество жизни и функциональное состояние пациентов, поэтому раннее выявление необходимо для проведения немедленных лечебных мероприятий, позволяющих снизить риск скелетных осложнений, улучшить выживаемость и качество жизни. Не существует консенсуса или универсального стандартного подхода для выявления метастазов в костях у онкологических больных, основанного на результатах визуализации. Представлен обзор текущего понимания биологических механизмов, посредством которых опухоли распространяются на кость, и описание методов визуализации, доступных для диагностики метастазов в кости и мониторинга их ответа на онкологическое лечение, уделено особое внимание пациентам с раком молочной железы и простаты. Согласно имеющимся в настоящее время данным, возможно использование методов визуализации следующего поколения, включая диффузионно-взвешенную МРТ всего тела, ПЭТ/КТ и ПЭТ/МРТ с новыми радиофармацевтическими препаратами вместо классической комбинации КТ и сцинтиграфии костей.
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