Multimodale Bildgebung des Aderhautmelanoms mit seinen Differenzialdiagnosen, Therapie (Bestrahlungsplanung) und Verlaufskontrolle

Daniela Nürnberg; Ira Seibel; Aline Isabel Riechardt; Claudia Brockmann; Oliver Zeitz; Jens Heufelder; Antonia M. Joussen

doi:10.1055/a-0667-0806

Klinische Monatsblätter für Augenheilkunde, Table of Contents

Klin Monbl Augenheilkd 2018; 235(09): 1001-1012
DOI: 10.1055/a-0667-0806

Übersicht

Georg Thieme Verlag KG Stuttgart · New York

Multimodale Bildgebung des Aderhautmelanoms mit seinen Differenzialdiagnosen, Therapie (Bestrahlungsplanung) und Verlaufskontrolle

Multimodal Imaging of the Choroidal Melanoma, with Differential Diagnosis, Therapy (Radiation Planning) and Follow-up

Daniela Nürnberg

¹Klinik und Poliklinik für Augenheilkunde, Charité – Universitätsmedizin Berlin, Berlin

,

Ira Seibel

¹Klinik und Poliklinik für Augenheilkunde, Charité – Universitätsmedizin Berlin, Berlin

²Berlin Institute of Health (BIH), Berlin

,

Aline Isabel Riechardt

¹Klinik und Poliklinik für Augenheilkunde, Charité – Universitätsmedizin Berlin, Berlin

,

Claudia Brockmann

¹Klinik und Poliklinik für Augenheilkunde, Charité – Universitätsmedizin Berlin, Berlin

,

Oliver Zeitz

¹Klinik und Poliklinik für Augenheilkunde, Charité – Universitätsmedizin Berlin, Berlin

²Berlin Institute of Health (BIH), Berlin

,

Jens Heufelder

³BerlinProtonen, Charité – Universitätsmedizin Berlin, Berlin

,

Antonia M. Joussen

¹Klinik und Poliklinik für Augenheilkunde, Charité – Universitätsmedizin Berlin, Berlin

²Berlin Institute of Health (BIH), Berlin

› Author Affiliations

Abstract

Zusammenfassung

Die Bildgebung von intraokularen Tumoren ist multimodal, vielseitig einsetzbar, in stetiger Weiterentwicklung. Sie ist damit unerlässlich für die Erkennung, Diagnose, Therapieplanung und Überwachung von intraokularen Tumoren. Für die Diagnostik und Verlaufskontrolle steht ein breites Spektrum bildgebender Verfahren zur Verfügung: die Farbbildaufnahme, Infrarotaufnahme, Autofluoreszenzaufnahme, Fluoreszenzangiografie (FAG) und Indocyaningrünangiografie (ICGA), optische Kohärenztomografie (OCT) und die Sonografie (US). In dieser Arbeit wird an verschiedenen Beispielen die multimodale Nutzung von Bildgebungsverfahren in der Diagnose, Therapie und Nachsorge okulärer Tumoren unter besonderer Berücksichtigung der Aderhautmelanome beschrieben.

Abstract

Imaging of intraocular tumors is multimodal, multi-purpose, and in continuous development. Therefore, imaging is indispensable for the detection, diagnosis, therapy and monitoring of intraocular tumours. A broad spectrum of imaging procedures is available for diagnostic testing and follow-up. This includes colour image acquisition, infrared imaging, autofluorescence imaging, fluorescence and indocyanine green angiography, optical coherence tomography (OCT) and sonography (US). In this article, the various investigations and their benefits are described using individual examples for the differential diagnosis of choroidal melanoma and retinal vascular tumours located in the fundus periphery.

Schlüsselwörter

multimodale Bildgebung - Weitwinkelbildgebung - intraokulare Tumoren

Key words

multimodal imaging - wide field imaging - intraocular tumours

Full Text

References

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