Mīksto audu jaunveidojumu radioloģiskās diagnostikas iespējas
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Date
2023
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Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Aktualitāte: Mīksto audu jaunveidojumi ir audzēju tipi, kas veidojas no ķermeņa mīkstajiem audiem, proti, muskuļiem, taukiem, asinsvadiem, nerviem un cīpslām. Mīksto audu jaunveidojumu tipi ir daudzi, kas tiek klasificēti pēc to izcelsmes audiem, piemēram, adipocītiskie, fibroblastiskie un miofibroblastiskie, asinsvadu, gludo muskuļu un daudzi citi. Jāatzīmē, ka mīksto audu audzēji ir reti, to incidence pēc WHO datiem sastāda ap 5 gadījumiem uz 100 000 iedzīvotāju. Tas ir aptuveni 1-2% no visiem diagnosticētajiem audzējiem, tomēr to dažādie subtipi un apgrūtinātā diagnostika to noteikšanā var apgrūtināt un aizkavēt pareizas terapeitiskās taktikas izvēli. Radioloģiskās metodes ir būtiska sastāvdaļa no sākotnējās diagnozes noteikšanā, iekļaujot sevī rentgenogrāfiju, ultrasonogrāfiju, datortomogrāfiju, magnētiskās rezonanses izmeklēšanu u.c. metodes. Nereti mīksto audu audzējiem pastāv vairāk diferenciāldiagnozes, kuras pēc sākotnējās apskates var būt grūti diferencējamas, tādēļ ir nepieciešama rūpīga radioloģiska izmeklēšana, lai, piemēram, diferencētu solidus no cistiskiem veidojumiem vai perifēri un centrāli vaskularizētus veidojumus, kas var būtiski ietekmēt tālāko taktiku un diagnozi.
Mērķis: pamatojoties uz zinātniskās literatūras analīzi, noskaidrot mīksto audu jaunveidojumu radioloģiskās diagnostiskās iespējas un definēt atsevišķu jaunveidojumu izmeklēšanas algoritmu.
Metodes: zinātniskās litaratūras atlase Pubmed, Science Direct, Web of Science, ClinicalKey un Radiopaedia datubāzēs.
Secinājumi: Magnētiskā rezonanse ir mīksto audu jaunveidojumu zelta standarts, tomēr citi izmeklējumi atsevišķu veidojumu gadījumā var sniegt informatīvu veidojumu aprakstu ar potenciālas diagnozes noteikšanu.
Topicality: Soft tissue neoplasms are types of tumors that develop from the body's soft tissues, namely muscles, fat, blood vessels, nerves, and tendons. There are many types of soft tissue neoplasms that are classified according to their tissue of origin, such as adipocytic, fibroblastic and myofibroblastic, vascular, smooth muscle, and many others. It should be noted that soft tissue tumors are rare, their incidence according to WHO data is around 5 cases per 100,000 population. It is about 1-2% of all diagnosed tumors, however, their various subtypes and complicated diagnosis can delay the choice of correct therapeutic tactics. Radiological methods are an essential part of the initial diagnosis, including radiography, ultrasonography, computed tomography, magnetic resonance imaging, etc. methods. Often, there are more differential diagnoses for soft tissue tumors, which can be difficult to differentiate after the initial examination, so a careful radiological examination is required to, for example, differentiate solid from cystic formations or peripherally and centrally vascularized formations, which can significantly affect further tactics and diagnosis. Aim: based on the analysis of scientific literature, clarify the radiological diagnostic possibilities of soft tissue tumors and to define an algorithm for the investigation of individual tumor. Methods: selection of scientific literature in Pubmed, Science Direct, Web of Science, ClinicalKey and Radiopaedia databases. Conclusions: Magnetic resonance imaging is the gold standard for soft tissue tumors, however, other examinations in the case of individual lesions can provide an informative description of the lesions with a potential diagnosis.
Topicality: Soft tissue neoplasms are types of tumors that develop from the body's soft tissues, namely muscles, fat, blood vessels, nerves, and tendons. There are many types of soft tissue neoplasms that are classified according to their tissue of origin, such as adipocytic, fibroblastic and myofibroblastic, vascular, smooth muscle, and many others. It should be noted that soft tissue tumors are rare, their incidence according to WHO data is around 5 cases per 100,000 population. It is about 1-2% of all diagnosed tumors, however, their various subtypes and complicated diagnosis can delay the choice of correct therapeutic tactics. Radiological methods are an essential part of the initial diagnosis, including radiography, ultrasonography, computed tomography, magnetic resonance imaging, etc. methods. Often, there are more differential diagnoses for soft tissue tumors, which can be difficult to differentiate after the initial examination, so a careful radiological examination is required to, for example, differentiate solid from cystic formations or peripherally and centrally vascularized formations, which can significantly affect further tactics and diagnosis. Aim: based on the analysis of scientific literature, clarify the radiological diagnostic possibilities of soft tissue tumors and to define an algorithm for the investigation of individual tumor. Methods: selection of scientific literature in Pubmed, Science Direct, Web of Science, ClinicalKey and Radiopaedia databases. Conclusions: Magnetic resonance imaging is the gold standard for soft tissue tumors, however, other examinations in the case of individual lesions can provide an informative description of the lesions with a potential diagnosis.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Mīksto audu jaunveidojumi; radioloģija; diagnostika;, Soft tissue tumors; imaging, radiology, diagnostics