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Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:

2023 20

Page:

3871-3874

Research Field:

Publishing date:

Info

Title:

Research progress in imaging study of bone marrow injury after pelvic tumor radiotherapy

Author(s):

TIAN Mingke; DONG Yue

Cancer Hospital of Dalian University of Technology(Liaoning Cancer Hospital)£¬Liaoning Shenyang 110000,China.

Keywords:

pelvic cavity; bones marrow; radiation injury; adverse effects; imaging

PACS:

R730.55

DOI:

10.3969/j.issn.1672-4992.2023.20.030

Abstract:

Radiotherapy is the most common treatment for malignant tumors of the prostate,rectum,cervix and endometrium.The pelvis is not only the area with the largest proportion of hematopoietic bone marrow in the whole body,but also the unavoidable area in the radiotherapy of pelvic tumor patients.At the same time as radiotherapy,a series of changes in the pelvic bone marrow after radiotherapy can cause corresponding clinical symptoms,such as lumbosacral pain,which is easily misdiagnosed as bone metastases.Therefore,early diagnosis is particularly important.With the rapid development of multimodal imaging technology,the sensitivity and accuracy of bone marrow injury diagnosis after radiotherapy have been greatly improved.This article reviews the imaging research progress of pelvic bone marrow changes after radiotherapy.

References:

£Û1£Ý ½ªÊ÷À¤,ÅíȽ,Íõ¿¡½Ü,µÈ.·ÅÉäÖÎÁÆÖÐÅèÇ»¶ñÐÔÖ×Áö»¼Õߵİòë׹ܿأÛJ£Ý.ÏÖ´úÖ×Áöҽѧ,2021,29(09):1614-1618. JIANG SK,PENG R,WANG JJ,et al.Bladder management and control in patients with pelvic malignant tumor during radiotherapy£ÛJ£Ý.Modern Oncology£¬2021£¬29(09):1614-1618.
£Û2£Ý KUNTZ L,NOEL G.Pelvic irradiation and hematopoietic toxicity:A review of the literature£ÛJ£Ý.Cancer Radiotherapie,2021,25(1):77-91.
£Û3£Ý ÅíÑÇç÷,ÈÎÇìÀ¼.µ÷Ç¿·ÅÁÆÔÚ¹¬¾±°©ÖÎÁÆÖи±·´Ó¦µÄÑо¿½øÕ¹ £ÛJ£Ý.ÏÖ´úÖ×Áöҽѧ,2015,23(05):716-719. PENG YQ,REN QL.The side effects of IMRT in the treatment of uterine cervical neoplasms£ÛJ£Ý.Modern Oncology,2015,23(05):716-719.
£Û4£Ý PAPADOPOULOU I,STEWART V,BARWICK TD,et al.Post-radiation therapy imaging appearances in cervical carcinoma £ÛJ£Ý.Radiographics,2016,36(2):538-553.
£Û5£Ý MEIXEL AJ,HAUSWALD H,DELORME S,et al.From radiation osteitis to osteoradionecrosis:incidence and MR morphology of radiation-induced sacral pathologies following pelvic radiotherapy £ÛJ£Ý.European Radiology,2018,28(8):3550-3559.
£Û6£Ý Ç®½¨¾ü,ÌïÒ°.ÅèÇ»Ö×Áö·ÅÁƺó¹ÇÅè²»ÍêÈ«ÐÔ¹ÇÕÛµÄÑо¿ÏÖ×´ £ÛJ£Ý.Öлª·ÅÉäÖ×ÁöѧÔÓÖ¾,2019,28(8):625-629. QIAN JJ,TIAN Y.Current research progress on pelvic insufficiency fractures after radiotherapy for pelvic neoplasms£ÛJ£Ý.Chinese Journal Radiation Oncology,2019,28(8):625-629.
£Û7£Ý CUI Q,JO WL,KOO KH,et al.ARCO consensus on the pathogenesis of non-traumatic osteonecrosis of the femoral head £ÛJ£Ý.Journal of Korean Medical Science,2021,36(10):e65.
£Û8£Ý HIGHAM CE,FAITHFULL S.Bone health and pelvic radiotherapy £ÛJ£Ý.Clin Oncol (R Coll Radiol),2015,27(11):668-678.
£Û9£Ý SAPIENZA LG,SALCEDO MP,NING MS,et al.Pelvic insufficiency fractures after external beam radiation therapy for gynecologic cancers:A Meta-analysis and Meta-regression of 3929 patients £ÛJ£Ý.International Journal of Radiation Oncology,Biology,Physics,2020,106(3):475-484.
£Û10£Ý KURRUMELI D,OECHSNER M,WEIDENB¦FCHER B,et al.An easy way to determine bone mineral density and predict pelvic insufficiency fractures in patients treated with radiotherapy for cervical cancer £ÛJ£Ý.Strahlentherapie und Onkologie,2021,197(6):487-493.
£Û11£Ý MIR R,DRAGAN AD,MISTRY HB,et al.Sacral insufficiency fracture following pelvic radiotherapy in gynaecological malignancies:development of a predictive model £ÛJ£Ý.Clinical Oncology,2021,33(3):e101-e109.
£Û12£Ý ROH YH,LEE S,RYU JA,et al.Digital tomosynthesis versus conventional radiography for evaluating osteonecrosis of the femoral head £ÛJ£Ý.Korean Journal of Radiology,2021,22(12):2026-2033.
£Û13£Ý RICKERT MM,WINDMUELLER RA,ORTEGA CA,et al.Sacral insufficiency fractures £ÛJ£Ý.JBJS Reviews,2022,10:7.
£Û14£Ý ZUO T,CHEN Y,ZHENG H,et al.Detection of bone marrow edema in osteonecrosis of the femoral head using virtual noncalcium dual-energy computed tomography £ÛJ£Ý.European Journal of Radiology,2021,139:109681.
£Û15£Ý SALAS-RAMIREZ M,TRAN-GIA J,GBURECK U,et al.Quantification of the trabecular bone volume fraction for bone marrow dosimetry in molecular radiotherapy by using a dual-energy (SPECT/)CT £ÛJ£Ý.Physics in Medicine and Biology,2019,64(20):205014.
£Û16£Ý HU L,HUANG Z,WEI H,et al.Osteonecrosis of the femoral head:using CT,MRI and gross specimen to characterize the location,shape and size of the lesion £ÛJ£Ý.Br J Radiol,2015,88(1046):20140508.
£Û17£Ý VAN DER JAGT D,MOKETE L,PIETRZAK J,et al.Osteonecrosis of the femoral head:evaluation and treatment £ÛJ£Ý.J Am Acad Orthop Surg,2015,23(2):69-70.
£Û18£Ý CARMONA R,PRITZ J,BYDDER M,et al.Fat composition changes in bone marrow during chemotherapy and radiation therapy £ÛJ£Ý.International Journal of Radiation Oncology,Biology,Physics,2014,90(1):155-163.
£Û19£Ý BOLAN PJ,ARENTSEN L,SUEBLINVONG T,et al.Water-fat MRI for assessing changes in bone marrow composition due to radiation and chemotherapy in gynecologic cancer patients £ÛJ£Ý.Journal of Magnetic Resonance Imaging,2013,38(6):1578-1584.
£Û20£Ý LIANG Y,BYDDER M,YASHAR CM,et al.Prospective study of functional bone marrow-sparing intensity modulated radiation therapy with concurrent chemotherapy for pelvic malignancies £ÛJ£Ý.International Journal of Radiation Oncology,Biology,Physics,2013,85(2):406-414.
£Û21£Ý ULAS ST,HERMANN KG,MAKOWSKI MR,et al.Perfusion in hand arthritis on dynamic contrast-enhanced computed tomography:a randomized prospective study using MRI as a standard of reference £ÛJ£Ý.Skeletal Radiol,2021,50(1):59-68.
£Û22£Ý VELLAYAPPAN B,CHEONG D,SINGBAL S,et al.Quantifying the changes in the tumour vascular micro-environment in spinal metastases treated with stereotactic body radiotherapy - a single arm prospective study £ÛJ£Ý.Radiology and Oncology,2022,56(4):525-534.
£Û23£Ý ZHONG X,DONG T,TAN Y,et al.Pelvic insufficiency fracture or bone metastasis after radiotherapy for cervical cancer? The added value of DWI for characterization £ÛJ£Ý.European Radiology,2020,30(4):1885-1895.
£Û24£Ý LEE EYP,PERUCHO JAU,VARDHANABHUTI V,et al.Intravoxel incoherent motion MRI assessment of chemoradiation-induced pelvic bone marrow changes in cervical cancer and correlation with hematological toxicity £ÛJ£Ý.Journal of Magnetic Resonance Imaging:JMRI,2017,46(5):1491-1498.
£Û25£Ý SEO JY,HA KY,KIM YH,et al.Analysis of fracture patterns and characteristics in sacral insufficiency fracture:Do sacral fractures occur in patients who had previous lumbosacral fusion insufficiency fractures or stress fractures£ÛJ£Ý.Asian Spine Journal,2021,15(6):769-777.
£Û26£Ý ZHANG L,HE Q,JIANG M,et al.Diagnosis of insufficiency fracture after radiotherapy in patients with cervical cancer:Contribution of technetium Tc 99m-labeled methylene diphosphonate single-photon emission computed tomography/computed tomography £ÛJ£Ý.International Journal of Gynecological Cancer,2018,28(7):1369-1376.
£Û27£Ý SABALIAUSKAS V,TI¦kKEVICIUS S.Diagnosing sacral insufficiency fractures after radiotherapy in women with cervical cancer:Report of three cases £ÛJ£Ý.Radiol Case Rep,2021,16(10):2938-2944.
£Û28£Ý LIN AJ,DEHDASHTI F,GRIGSBY PW.Molecular imaging for radiotherapy planning and response assessment for cervical cancer £ÛJ£Ý.Semin Nucl Med,2019,49(6):493-500.
£Û29£Ý SALAVATI A,SHAH V,WANG ZJ,et al.F-18 FDG PET/CT findings in postradiation pelvic insufficiency fracture £ÛJ£Ý.Clin Imaging,2011,35(2):139-142.
£Û30£Ý LYU Y,LAN X,QIN C.Incidental detection of sacral insufficiency fracture on 68Ga-FAPI PET/MR£ÛJ£Ý.Clinical Nuclear Medicine,2021,46(12):1032-1033.
£Û31£Ý AZUMI M,MATSUMOTO M,SUZUKI K,et al.PET/MRI is useful for early detection of pelvic insufficiency fractures after radiotherapy for cervical cancer £ÛJ£Ý.Oncology Letters,2021,22(5):776.
£Û32£Ý LAPINA O,TI¦kKEVICIUS S.Sacral insufficiency fracture after pelvic radiotherapy:a diagnostic challenge for a radiologist £ÛJ£Ý.Medicina (Kaunas),2014,50(4):249-254.

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