Zusammenfassung
Die bildgebende Diagnostik liefert in Zusammenschau mit der klinischen Symptomatik
und der histopathologischen Untersuchung heute die wesentliche Basis zur Planung
und Nachsorge aller onkologischen Behandlungsformen. Die Sonografie, die CT und
die MRT bieten präzise morphologische Informationen als Basis für das Tumorstaging
nach dem TNM-Schema. Nuklearmedizinische Verfahren wie z. B. die PET und spezielle
MRT-Methoden erbringen zusätzliche funktionelle Informationen. Rasante Fortschritte
der Modalitäten selbst und der computergestützten Bildverarbeitung führen durch eine
stetige Verbesserung der diagnostischen Qualität zu veränderten Indikationsspektren.
Neue diagnostische Verfahren fördern und ermöglichen die Entwicklung neuer therapeutischer
Verfahren. Als Folge einer zunehmenden Integration bildgebender Diagnostik und therapeutischer
Prozeduren ist in Zukunft auch eine Veränderung klinischer Abläufe und der interdisziplinären
Zusammenarbeit zu erwarten.
Abstract
Diagnostic imaging procedures provide crucial information for pretherapeutic planning
and the follow-up of oncologic diseases. Ultrasound, CT and MRI provide detailed morphologic
information and are actually used as the gold standard for tumor staging according
to the TNM system. Nuclear medicine modalities and special MRI methods allow for
additional functional informations. Fast-paced advancements of the imaging modalities
and computerized image postprocessing tools provide important improvements of the
diagnostic quality and value. Additionally, new imaging modalities have been developed
which also support and enable the development of new therapeutic strategies. Progressive
integration of diagnostic imaging and therapeutic procedures will presumably also
have an impact on traditional clinical workflows and interdisciplinary cooperation.
Schlüsselwörter
onkologische Diagnostik - Untersuchungsmethoden - bildgestützte Behandlung
Key words
oncologic diagnosis - diagnostic methods - image guided therapy
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Prof. Dr. F. Dammann
Radiologisches Zentralinstitut · Klinik am Eichert
Eichertstr. 3
73035 Göppingen
Telefon: 0 71 61 / 64 20 15
eMail: florian.dammann@kae.de
