Imaging of therapeutic airway interventions in thoracic oncology
| Autor: | Ioannis Vlahos, Girish S. Shroff, Carlos A. Jimenez, Mylene T. Truong, Myrna C.B. Godoy, Roberto F. Casal |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
business.industry Stridor Cancer General Medicine medicine.disease Respiratory Tract Neoplasms Airway Obstruction Pneumonia Respiratory failure Quality of life Thoracic Oncology medicine Humans Radiology Nuclear Medicine and imaging medicine.symptom Tomography X-Ray Computed Complication Intensive care medicine business Airway |
| Zdroj: | Clinical Radiology. 77:58-72 |
| ISSN: | 0009-9260 |
| Popis: | Tracheobronchial obstruction, haemoptysis, and airway fistulas caused by airway involvement by primary or metastatic malignancies may result in dyspnoea, wheezing, stridor, hypoxaemia, and obstructive atelectasis or pneumonia, and can lead to life-threatening respiratory failure if untreated. Complex minimally invasive endobronchial interventions are being used increasingly to treat cancer patients with tracheobronchial conditions with curative or, most often, palliative intent, to improve symptoms and quality of life. The selection of the appropriate treatment strategy depends on multiple factors, including tumour characteristics, whether the lesion is predominately endobronchial, shows extrinsic compression, or a combination of both, the patient's clinical status, the urgency of the clinical scenario, physician expertise, and availability of tools. Pre-procedure multidetector computed tomography (MDCT) imaging can aid in the most appropriate selection of bronchoscopic treatment. Follow-up imaging is invaluable for the early recognition and management of any potential complication. This article reviews the most commonly used endobronchial procedures in the oncological setting and illustrates the role of MDCT in planning, assisting, and follow-up of endobronchial therapeutic procedures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect