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Prinzipien der bildgebenden Diagnostik in der Onkologie

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Kompendium Internistische Onkologie

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Zusammenfassung

Methode der Wahl für Diagnose, Staging, Therapieplanung (stereotaktische Operation, Bestrahlung), Therapiekontrolle und Nachsorge ist die MRT. Sie ist der CT durch die multiplanare Darstellungsmöglichkeit, die bessere Gewebedifferenzierung und Gefäßdarstellung sowie durch das Fehlen von Knochenartefakten in mehrfacher Hinsicht überlegen. Durch die intravenöse KM-Gabe (Gadolinium) gelingt in der Regel auch die Differenzierung zwischen Tumor und Begleitödem. Bei hochmalignen Tumoren (Glioblastom) ist allerdings erfahrungsgemäß auch die Ödemzone pathomorphologisch oft nicht tumorfrei. Die Computertomographie liefert nur in wenigen Fällen diagnostisch relevante Zusatzinformationen (z. B. beim Oligodendrogliom durch den Nachweis von Verkalkungen).

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Abbreviations

Acc:

„accuracy“

CT:

Computertomogramm/-graphie

CTAP:

arteriopostales CT.

Ctx:

Chemotherapie.

ERC:

endoskopische retrograde Cholangiographie

ERCP:

endoskopische retrograde Cholangiopancreaticographie.

EUS:

endoskopischer Ultraschall/Endosonographie

FD-US:

Farbdopplersonographie

FNP:

Feinnadelpunktion

HRCT:

„high resolution CT“

IVP:

intravenöses Pyelogramm

KM:

Kontrastmittel

Ln(n):

Lymphknoten

MRT:

Kernspintomogramm/-graphie

NN:

Nebenniere

NCC:

Nierenzellkarzinom

NPV:

negativer Vorhersagewert

PPV:

Positiver Vorhersagewert

PSA:

prostataspezifisches Antigen

PT:

Primärtumor

PTC:

perkutane transhepatische Cholegraphie

Sens.:

Sensitivität

Spez.:

Spezifität

SPECT:

„single photon emission computed tomography“

US:

Ultraschall/Sonographie

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Authors
  1. M. Galanski
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Editor information

Editors and Affiliations

  1. Klinik für Hämatologie/Onkologie, Martin-Luther-Universitä Halle-Wittenberg, Ernst-Grube-Straße 40, 06120, Halle/Saale, Deutschland

    Hans-Joachim Schmoll

  2. Klinik und Poliklinik für Innere Medizin II, Klinikum der Friedrich-Schiller-Universität Jena, Erlanger Allee 101, 07740, Jena, Deutschland

    Klaus Höffken

  3. Medizinischen Klinik II Schwerpunkt Onkologie und Hämatologie, Humboldt-Universität, Universitätsklinikum Charité, Schumannstraße 20/21, 10117, Berlin, Deutschland

    Kurt Possinger (Direktor) (Direktor)

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© 1996 Springer-Verlag Heidelberg

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Galanski, M. (1996). Prinzipien der bildgebenden Diagnostik in der Onkologie. In: Schmoll, HJ., Höffken, K., Possinger, K. (eds) Kompendium Internistische Onkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79214-4_7

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  • DOI: https://doi.org/10.1007/978-3-642-79214-4_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-58370-7

  • Online ISBN: 978-3-642-79214-4

  • eBook Packages: Springer Book Archive

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