Imaging of lung cancer:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Philadelphia, Pa.
Saunders
2012
|
Schriftenreihe: | Radiologic clinics of North America
50,5 |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | XI S., S. 863 - 1014 zahlr. Ill., graph. Darst. |
ISBN: | 9781455739301 |
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Datensatz im Suchindex
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adam_text | Titel: Imaging of lung cancer
Autor: Sundaram, Baskaran
Jahr: 2012
?Imaging of Lung Cancer
Contents
Preface
Baskaran Sundaram and Ella A. Kazerooni
Lung Cancer Epidemiology, Risk Factors, and Prevention 863
Patricia de Groot and Reginald F. Munden
The greatest risk by far for developing lung cancer is cigarette smoking, but age, ra-
don exposure, environmental pollution, occupational exposures, gender, race, and
pre-existing lung disease also are important contributors. However, not all people
with these risk factors develop lung cancer, and some without any known risk factor
do, indicating the importance of genetic influences. Future advances in understand-
ing and treating lung cancer will be based on genetic analysis. The most effective
preventive measure is to never start or to stop cigarette smoking.
Computed Tomography Screening for Lung Cancer 877
EricJ. Schmidlin, Baskaran Sundaram, and Ella A. Kazerooni
1. Screening with low-dose computed tomography reduces mortality from lung can-
cer in high-risk patients. 2. Lung cancer screening with chest radiography alone or in
combination with sputum analysis is currently not recommended. 3. The feasibility
and impact of screening in patients with a low or moderate risk for primary lung can-
cer are currently not known. 4. A standardized framework for testing and manage-
ment in a multidisciplinary fashion is necessary to provide lung cancer screening.
5. The National Comprehensive Cancer Network and the American Lung Association
have recently issued guidelines for lung cancer screening with computed tomogra-
phy in high-risk patients.
Evaluation and Management of Indeterminate Pulmonary Nodules 895
Philip A. Hodnett and Jane P. Ko
The radiologic evaluation and management of the indeterminate solitary pulmonary
nodule provide common diagnostic dilemma. With continued technologic advance-
ments in multidetector computed tomography leading to higher spatial resolution
and greater overall sensitivity of computed tomography scanners, increasing num-
bers of indeterminate solitary pulmonary nodules are being detected. Malignant
and benign solitary pulmonary nodules have similar imaging features. Clinical man-
agement of these incidental nodules relies not only on imaging characteristics but
also on malignancy risk factors, along with the risks and benefits of further
investigation.
The 7th Edition of theTNM Staging System for Lung Cancer: What the Radiologist
Needs to Know 915
Constantine A. Raptis and Sanjeev Bhalla
Today lung cancer remains the leading cause of cancer-related death in the United
States, accounting for 28% of all cases. Radiologists play an important role in the
assessment of this large number of patients. Given the important role imaging plays
in the care of patients with lung cancer, it is incumbent on the radiologist to have
?Contents
a firm understanding of the TNM (tumor-node-metastasis) staging system used to
describe the distribution of disease in lung cancer. This article reviews the 7th
Edition of the TNM staging system for lung cancer and important changes from
the 6th Edition.
Optimal Imaging Protocols for Lung Cancer Staging: CT, PET, MR Imaging, and the Role
of Imaging
Narinder S. Paul, Sebastian Ley, and Ur Metser
Chest radiography, the most commonly performed imaging technique for the detec-
tion of lung disease, is limited in accurately detecting early lung cancer. The main
imaging modality for the staging of lung cancer is computed tomography (CT), sup-
plemented by positron emission tomography (PET), usually as a hybrid technique in
conjunction with CT (PET/CT). Magnetic resonance (MR) imaging is a useful diag-
nostic tool for specific indications and has the advantage of not using ionizing radi-
ation. This article discusses the optimal imaging protocols for lung cancer staging
using CT, PET (PET/CT), and MR imaging, and the role of imaging in patient
management.
Lung Cancer: Multidisciplinary Approach to Tissue Sampling
Andrew C. Chang, Baskaran Sundaram, and Douglas A. Arenberg
Diagnostic confirmation through tissue sampling plays a central role in managing pa-
tients with suspected lung malignancy. Tissue samples may be obtained in various
ways using bronchoscopy, computed tomography guidance, or surgery. Multidisci-
plinary discussion between members of the lung cancer care team is helpful in as-
sessing the appropriateness of sampling and the best place to sample that would
establish both the diagnosis and the correct stage of the disease in a safe manner.
Treatment of Lung Cancer
Shirish M. Gadgeel, Suresh S. Ramalingam, and Gregory P. Kalemkerian
Lung cancer is a heterogenous disease with 2 main subtypes: non-small cell lung
cancer (NSCLC) and small cell lung cancer (SCLC). Early-stage NSCLC is managed
primarily by surgical resection, with adjuvant chemotherapy for selected. Locally ad-
vanced stage III NSCLC is usually treated with combined modality therapy. For ad-
vanced NSCLC, newer molecularly targeted agents can improve survival in selected
patients. Limited-stage SCLC is treated with chemoradiotherapy with curative in-
tent, while extensive-stage SCLC remains an incurable disease. Further advances
will rely on improvements in understanding of the molecular events driving the ma-
lignant phenotype and the development of novel, targeted therapeutic strategies.
Image-Guided Ablative Therapies for Lung Cancer
Amita Sharma, Fereidoun Abtin, and Jo-Anne O. Shepard
Lung cancer is the commonest cause of cancer death in adults. Although the treat-
ment of choice is surgical resection with lobectomy, many patients are nonsurgical
candidates because of medical comorbidities. Patients may also have recurrent
disease after resection or radiotherapy and some patients refuse surgical options.
Image-guided ablation has been recently introduced as a safe, alternative treat-
ment of localized disease in carefully selected patients. This article discusses the
principles, technique, and follow-up of the 3 main ablative therapies currently
used in the lung, radiofrequency ablation, microwave ablation, and percutaneous
cryotherapy.
?Contents
vii
Future Trends in Lung Cancer Diagnosis 1001
Jared D. Christensen and Edward F. Patz Jr
Imaging continues to play an essential role in evaluating patients with lung cancer.
Improvement in radiologic techniques will produce more accurate diagnostic infor-
mation, but complementing conventional studies with molecular diagnostics will
likely have an even greater impact on patient management. Integration of imaging
studies and biomarkers into the diagnostic evaluation of patients with lung cancer
provides an opportunity to more efficiently guide diagnosis, staging, treatment,
and follow-up.
Index
1009
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spelling | Imaging of lung cancer guest ed. Baskaran Sundaram ; Ella A. Kazerooni Philadelphia, Pa. Saunders 2012 XI S., S. 863 - 1014 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Radiologic clinics of North America 50,5 Sundaram, Baskaran Sonstige (DE-588)1026829682 oth Kazerooni, Ella A. Sonstige (DE-588)1026829690 oth Radiologic clinics of North America 50,5 (DE-604)BV000003369 50,5 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025347407&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Imaging of lung cancer Radiologic clinics of North America |
title | Imaging of lung cancer |
title_auth | Imaging of lung cancer |
title_exact_search | Imaging of lung cancer |
title_full | Imaging of lung cancer guest ed. Baskaran Sundaram ; Ella A. Kazerooni |
title_fullStr | Imaging of lung cancer guest ed. Baskaran Sundaram ; Ella A. Kazerooni |
title_full_unstemmed | Imaging of lung cancer guest ed. Baskaran Sundaram ; Ella A. Kazerooni |
title_short | Imaging of lung cancer |
title_sort | imaging of lung cancer |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025347407&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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