Оценка эффективности лечения новообразований печени по данным КТ и МРТ: дорожная карта для врача лучевой диагностики

В последние годы выбор различных вариантов терапии образований печени становится все шире, отмечается появление новых вариантов химио- и лучевой терапии. В настоящее время растет количество методов локального воздействия на опухоли, таких как радиочастотная абляция, криодеструкция, трансартериальная эмболизация. Клиническая оценка эффекта терапии не дает необходимого результата, поэтому возрастает потребность в адекватной оценке результатов лечения, основанной на данных методов КТ и МРТ. В данном литературном обзоре приводятся основные критерии оценки эффективности лечения опухолей различными видами воздействия. Отдельно рассматриваются критерии ВОЗ, RECIST, RECIST 1.1, mRECIST, Choi. Помимо этого обсуждаются новые методики объективизации эффектов терапии, основанные на оценке диффузионно-взвешенных изображений и текстурном анализе.

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