Az MRI és a CT szerepe a sugárterápia utáni státusz értékelésében, szövõdményeinek vizsgálatában, fej-nyaki daganatoknál

Translated title of the contribution: Role of MRI and CT in the evaluation of postirradiation status and complications in head and neck cancer

Mária Gõdény, E. Remenár, Nagy Z. Takácsi, Klára Petri, Katalin Horváth, Katalin Bõcs, Sándor Manninger, Judit Andi, Gergely Léránt, M. Kásler

Research output: Contribution to journalArticle

Abstract

Most head and neck cancer patients are treated with combined modalities such as surgery, radiotherapy (RT), chemotherapy (ChT). Concurrent chemo-radiation has improved treatment outcomes with increased toxic effects. Reactions after RT are divided into early and late changes. Early reactions are seen during the course of therapy or within 3 months; these are reversible in most cases. Late complications are observed 3 months to years after RT and they are generally irreversible. As typical late reaction radiation induced necrosis may occur in soft tissues, cartilage, bones and brain. Tumor recurrence and post-radiation necrosis typically appear at the same time, within 2-3 years after RT; the differentiation may be difficult. Computed tomography (CT) and magnetic resonance imaging (MRI) have become the gold standards not only for staging and assessing tumor response, but also to evaluate posttreatment status, to distinguish residual or recurrent tumor and RT complications. Using baseline CT or MRI between 2-3 months after treatment and performing standard follow-up imaging with strict clinical follow-up are required to establish early salvage treatment.

Original languageHungarian
Pages (from-to)159-173
Number of pages15
JournalMagyar onkologia
Volume62
Issue number3
Publication statusPublished - Sep 26 2018

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Head and Neck Neoplasms
Radiotherapy
Tomography
Magnetic Resonance Imaging
Radiation
Necrosis
Salvage Therapy
Neoplasm Staging
Poisons
Cartilage
Neoplasms
Bone and Bones
Recurrence
Drug Therapy
Brain
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Az MRI és a CT szerepe a sugárterápia utáni státusz értékelésében, szövõdményeinek vizsgálatában, fej-nyaki daganatoknál. / Gõdény, Mária; Remenár, E.; Takácsi, Nagy Z.; Petri, Klára; Horváth, Katalin; Bõcs, Katalin; Manninger, Sándor; Andi, Judit; Léránt, Gergely; Kásler, M.

In: Magyar onkologia, Vol. 62, No. 3, 26.09.2018, p. 159-173.

Research output: Contribution to journalArticle

Gõdény, Mária ; Remenár, E. ; Takácsi, Nagy Z. ; Petri, Klára ; Horváth, Katalin ; Bõcs, Katalin ; Manninger, Sándor ; Andi, Judit ; Léránt, Gergely ; Kásler, M. / Az MRI és a CT szerepe a sugárterápia utáni státusz értékelésében, szövõdményeinek vizsgálatában, fej-nyaki daganatoknál. In: Magyar onkologia. 2018 ; Vol. 62, No. 3. pp. 159-173.
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