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Bildgebende Verfahren außer Endosonographie

  • G. F. Pistolesi
  • E. Barbi
  • M. Caruso
  • S. Minniti
Conference paper

Zusammenfassung

Bei der Entscheidung zwischen lokalen Verfahren und radikaler Resektion zur Behandlung des Rektumkarzinoms spielen bildgebende Verfahren eine bedeutende Rolle. Bereits die konventionelle Radiologie war in der Lage, sowohl den Tumorbefall des Rektums zu identifizieren (Abb. 1 a, b), als auch das Vorhandensein von Sekundärlokalisationen in der unmittelbaren Umgebung (Abb. 1 c) und in entfernt liegenden Strukturen (Abb. 1 d) zu verifizieren. Diese Fernmetastasen konnten aber nur in mit konventionellen Methoden leicht zugänglichen Organen (Lunge, Skelettsystem) gefunden werden. Zweifelsohne haben die neuen Imagingverfahren (Sonographie, CT und Magnetresonanz, [MRI]) das Staging der Tumorkrankheit des distalen Rektums perfektioniert [17].

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Literatur

  1. 1.
    Barbi E, D’Attoma N, Franco F, Caudana R, Martelli S, Morgante D (1990) L’Imaging della alterata funzione retto-anale. In: Delaini GG (ed) Atti Convegno Internazionale: Attualità chirurgiche nelle malattie non neoplastiche del colon-retto. Cortella, Verona, pp 109–117Google Scholar
  2. 2.
    Brasch RC (1992) New directions in the development of MR Imaging contrast media. Radiology 183:1–11PubMedGoogle Scholar
  3. 3.
    Caudana R, Pregarz M, D’Attoma N, Barbi E, Politi A, Morelli N, Residori E (1990) Pavimento pelvico ed Imaging. In: Delaini GG (ed) Atti Convegno Internazionale: Attualità chirurgiche nelle malattie non neoplastiche del colon-retto. Verona, pp 95–108Google Scholar
  4. 4.
    Charnley RM, Morris DL, Dennison AR, Amar SS, Hardcastle JD (1991) Detection of colorectal liver metastases using intraoperative ultrasonography. Br J Surg 78:45–48PubMedCrossRefGoogle Scholar
  5. 5.
    De Vita VT Jr, Hellman S, Rosenberg SA (1982) Cancer. Principles and practice of oncology. Lippincott, PhiladelphiaGoogle Scholar
  6. 6.
    Ferrucci JT, Stark DD (1990) Ironoxide-enhanced MR-Imaging of the liver and spleen: review of the first 5 years. AJR 155:943–950PubMedGoogle Scholar
  7. 7.
    Freeny PC, Marks WM, Ryan JA, Bolen JW (1986) Colorectal carcinoma evaluation with CT: preoperative staging and detection of postoperative recurrence. Radiology 158:347–353PubMedGoogle Scholar
  8. 8.
    Gall FP, Hermanek P (1992) Update of the German experience with local excision of rectal cancer. Surg Oncol Clin North Am 1:99–109Google Scholar
  9. 9.
    Goligher J (1984) Surgery of the anus, rectum and colon. Bailliere Tindall, LondonGoogle Scholar
  10. 10.
    Hohenberger W, Hermanek P Jr, Hermanek P, Gall FP (1992) Decision-making in curative rectum carcinoma surgery. Onkologie 15:209–220CrossRefGoogle Scholar
  11. 11.
    Letourneau JG, Thompson WM, Goldberg ME, Snover DC, Grage TB, Frick MP (1988) Progressive CT appearance of hepatic metastases from colorectal carcinoma. Gastrointest Radiol 13:145–151PubMedCrossRefGoogle Scholar
  12. 12.
    Marchal GJ, Pylyser K, Tshibwabwa-Tumba EA, Verbeken EK, Oyen RH, Baert AL, Lauweryns JM (1985) Anechoic halo in solid liver tumors: microangiographic and histologic correlation. Radiology 156:479–483PubMedGoogle Scholar
  13. 13.
    Minsky BD, Mies C, Recht A, Rich TA, Chaffey JT (1988) Resectable adenocarcinoma of the rectosigmoid and rectum. I. Patterns of failure and survival. Cancer 61:1408–1416PubMedCrossRefGoogle Scholar
  14. 14.
    Morana G, Caudana R, Nicoli N, Pirovano G, Marchiori L, Cerini R, Pistoiesi GF (1992) Imaging RM della patologia epatica focale con Gd-BOPTA: risultati clinici preliminari. In: Simonetti G (ed) Contributo della ricerca italiana nello sviluppo dei mezzi di contrasto „1992”. SIRM, Roma, pp 133–149Google Scholar
  15. 15.
    Outwater E, Tomaszewski JE, Daly JM, Kressel HY (1991) Hepatic colorectal metastases: correlation of MR Imaging and pathologic appearance. Radiology 180:327–332PubMedGoogle Scholar
  16. 16.
    Pistoiesi GF, Procacci C, Caudana R, Reda M, Grasso G, Guglielmini G (1985) Bases anatomiques de l’interprétation TDM de la pathologie pelvienne. In: Vasile N (ed) Tomodensitometrie dorps entier. Vigot, Paris, pp 414–450Google Scholar
  17. 17.
    Pistoiesi GF, Procacci C, Fugazzola C, D’Attoma N, Stella P, Mansueto GC, Caia S, Franco F, Dompieri P (1989) La strategia diagnostica in oncologia digestiva. In: Scuro LA, Cavallini G, Vantini L (eds) Oncologia gastroenterologica. II pensiero scientifico editore, Roma, pp 219–248Google Scholar
  18. 18.
    Pistoiesi GF, Procacci C, Tonegutti M, D’Attoma N, Della Sala S, Bicego E, Dompieri P, Residori E (1990) Analyse des différents espaces des régions extra-péritonéales. Radiologie 10:195–204Google Scholar
  19. 19.
    Procacci C, Fugazzola C, Cinquino M, Mangiante G, Zonta L, Bergamo Andreis IA, Nicoli N, Pistoiesi GF (1992) Contribution of CT to characterization of focal nodular hyperplasia of the liver. Gastrointest Radiol 17:63–73PubMedCrossRefGoogle Scholar
  20. 20.
    Rabischong P (1989) Anatomia ragionata del piccolo bacino funzionale. In: Pistoiesi GF, Bergamo Andreis IA (edi) L’lmaging del piccolo bacino funzionale. Edizioni Libreria Cortina, Verona, pp 3–45Google Scholar
  21. 20a.
    Rifkin MD, Ehrlich SM, Marks G (1989) Staging of rectal carcinoma: prospective comparison of endorectal US and CT. Radiology 170:319–322PubMedGoogle Scholar
  22. 21.
    Ryan JW (1993) Immunoszintigraphy in primary colorectal cancer. Cancer 71:4217–4224PubMedCrossRefGoogle Scholar
  23. 22.
    Saini S (1992) Contrast-enhanced MR Imaging of the liver. Radiology 182:12–14PubMedGoogle Scholar
  24. 23.
    Schlag P, Hohenberger P, Herfarth C (1990) Resection of liver metastases in colorectal cancer — competitive analysis of treatment results in synchronous versus metachronous metastases. Eur J Surg Oncol 16:360–365PubMedGoogle Scholar
  25. 24.
    Shirouzu K, Isomoto H, Kakegawa T, Morimatsu M (1991) A prospective clinicopathologic study of venous invasion in colorectal cancer. Am J Surg 162:216–222PubMedCrossRefGoogle Scholar
  26. 25.
    Skriver EB, Nielsen MB, Qvitzau S, Christiansen J (1992) Comparison of precontrast and delayed CT scanning for the staging of rectal carcinoma. Gastrointest Radiol 17:267–270PubMedCrossRefGoogle Scholar
  27. 26.
    Stadler J, Holscher AH, Adolf J (1991) Intraoperative ultrasonographic detection of occult liver metastases in colorectal cancer. Surg Endosc 5:36–40PubMedCrossRefGoogle Scholar
  28. 27.
    Wernecke K, Rummeny E, Bongartz G, Vassallo P, Kivelitz D, Wiesmann W, Peters PE, Reers B, Reiser M, Pircher W (1991) Detection of hepatic masses in patients with carcinoma: comparative sensitivities of sonography, CT and MR Imaging. AJR 157: 731–739Google Scholar
  29. 28.
    Wernecke K, Henke L, Vassallo P, Bassewitz DB von, Diederich S, Peters PE, Edel G (1992) Pathologic explanation for hypoechoic halo seen on sonograms of malignant liver tumors: an in vitro correlative study. AJR 159:1011–1016PubMedGoogle Scholar
  30. 29.
    Whalen E (1990) Liver imaging — current trends in MRI, CT and US: International Symposium and Course, June 1990. AJR 155:1125–1132PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • G. F. Pistolesi
  • E. Barbi
  • M. Caruso
  • S. Minniti

There are no affiliations available

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