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вce журналы << Медицинская визуализация << 2019 год << №2 <<
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статью

Современный взгляд на принципы диагностики и лечения рака прямой кишки по данным МРТ (обзор литературы)

Гришко П. Ю., Балясникова С. С., Самсонов Д. В., Мищенко А. В., Карачун А. М., Правосудов И. В.
Вы можете загрузить полный текст статьи в формате pdf
Гришко Павел Юрьевич - врач-рентгенолог отделения лучевой диагностики, ФГБУ “НМИЦ онкологии имени Н.Н. Петрова”, НМИЦ онкологии имени Н.Н. Петрова, dr.grishko@mail.ru, 197758, п. Песочный, Ленинградская область, Ленинградская ул., д. 68
Балясникова Светлана Сергеевна - канд. мед. наук, старший научный сотрудник научного отделения диагностической и интервенционной радиологии ФГБУ “НМИЦ онкологии имени Н.Н. Петрова”, НМИЦ онкологии имени Н.Н. Петрова, Санкт-Петербург, Россия
Самсонов Денис Владимирович - канд. мед. наук, врач-онколог хирургического отделения абдоминальной онкологии ФГБУ “НМИЦ онкологии имени Н.Н. Петрова”, НМИЦ онкологии имени Н.Н. Петрова, Санкт-Петербург, Россия
Мищенко Андрей Владимирович - доктор мед. наук, заведующий научным отделением диагностической и интервенционной радиологии ФГБУ “НМИЦ онкологии имени Н.Н. Петрова”; профессор НК и ОЦ “Лучевая диагностика и ядерная медицина” СПбГУ, НМИЦ онкологии имени Н.Н. Петрова, Санкт-Петербург, Россия
Карачун Алексей Михайлович - доктор мед. наук, заведующий хирургическим отделением абдоминальной онкологии, ведущий научный сотрудник научного отделения опухолей желудочно-кишечного тракта ФГБУ “НМИЦ онкологии имени Н.Н. Петрова”, НМИЦ онкологии имени Н.Н. Петрова, Санкт-Петербург, Россия
Правосудов Игорь Витальевич - доктор мед. наук, профессор, ведущий научный сотрудник научного отделения опухолей желудочнокишечного тракта ФГБУ “НМИЦ онкологии имени Н.Н. Петрова”, профессор кафедры онкологии медицинского факультета СПбГУ, НМИЦ онкологии имени Н.Н. Петрова, Санкт-Петербург, Россия

В статье рассматриваются последние достижения лучевой диагностики при обследовании пациентов с предполагаемым и верифицированным раком прямой кишки на различных этапах лечебно-диагностического процесса. Показана высокая роль качественной визуализации в диагностике рака прямой кишки, подробно описываются возможности магнитно-резонансной томографии в первичной диагностике заболевания и при рестадировании опухоли после проведения неоадъювантного лечения, обсуждаются оптимальная методика проведения исследования и принципы интерпретации полученных данных в ежедневной практике.

Ключевые слова:
рак прямой кишки, диагностика, оценка распространенности, неоадъювантное лечение, магнитно-резонансная томография, rectal cancer, diagnostics, disease extent assessment, neoadjuvant chemotherapy, magnetic resonance imaging

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Contemporary view to the principles of rectal cancer diagnostics and treatment according to MRI (literature review)

Grishko P. Y., Balyasnikova S. S., Samsonov D. V., Mishchenko A. V., Karachun A. M., Pravosudov I. V.

In this article are reviewed the most recent diagnostic methods for patients with probable and verified rectal cancer, in different stages of treatment. The importance of high quality visualization of rectal cancer, opportunities of magnetic resonance imaging in primary diagnosis and restaging of the disease after neoadjuvant chemotherapy, optimal examination methods and interpretation of images in routine are discussed.

Keywords:
рак прямой кишки, диагностика, оценка распространенности, неоадъювантное лечение, магнитно-резонансная томография, rectal cancer, diagnostics, disease extent assessment, neoadjuvant chemotherapy, magnetic resonance imaging

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