medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/1607-0763-2017-6-49-62medvis-489Research ArticleБРЮШНАЯ ПОЛОСТЬABDOMENОценка эффективности лечения новообразований печени по данным КТ и МРТ: дорожная карта для врача лучевой диагностикиTreatment Response Evaluation in Hepatic Tumors using CT and MRI: Road Map for RadiologistФедашА. В.FedashA. V.

Федаш Алексей Владимирович – аспирант кафедры лучевой диагностики Института профессионального образования.

Aleksei V. Fedash – resident of Radiology Department.

ЛомовцеваК. Х.LomovtsevaK. H.

Ломовцева Карина Хусаиновна – аспирант кафедры лучевой диагностики Института профессионального образования.

Karina H. Lomovtseva – resident of Radiology Department.

Moscow

КондратьевЕ. В.Kondrat'evE. V.

Кондратьев Евгений Валерьевич –  кандидат медицинских наук, старший научный сотрудник отделения рентгенологии и магнитно-резонансных исследований.

Evgenij V. Kondrat'ev – cand. of med. sci., senior research of radiology department.

БлохинИ. А.BlohinI. A.

Блохин Иван Андреевич – аспирант отделения рентгенологии и магнитно-резонансных исследований.

Ivan A. Blohin – resident of radiology department.

ГальчинаЮ. С.GalchinaYu. S.

Гальчина Юлия Сергеевна – аспирант отделения рентгенологии и магнитно-резонансных исследований.

117997 Москва, ул. Большая Серпуховская, д. 27, тел.: +7-926-903-23-57

Yulia S. Galchina – resident of radiology department.

117997 Moscow, Bolshaya Serpuhovskaya str., 27, Phone:+7-926-903-23-57

jgalchina@gmail.comФГАОУ ВО Первый МГМУ им. И.М. Сеченова Минздрава России (Сеченовский Университет); ФГБУ “Институт хирургии им. А.В. Вишневского” Минздрава РоссииРоссияI.M. Sechenov 1st Moscow State Medical University (Sechenov University); A.V. Vishnevsky Institute of SurgeryRussian Federation201728122017064962Copyright © Федаш А.В., Ломовцева К.Х., Кондратьев Е.В., Блохин И.А., Гальчина Ю.С., 20172017Федаш А.В., Ломовцева К.Х., Кондратьев Е.В., Блохин И.А., Гальчина Ю.С.Fedash A.V., Lomovtseva K.H., Kondrat'ev E.V., Blohin I.A., Galchina Y.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/489

В последние годы выбор различных вариантов терапии образований печени становится все шире, отмечается появление новых вариантов химио- и лучевой терапии. В настоящее время растет количество методов локального воздействия на опухоли, таких как радиочастотная абляция, криодеструкция, трансартериальная эмболизация. Клиническая оценка эффекта терапии не дает необходимого результата, поэтому возрастает потребность в адекватной оценке результатов лечения, основанной на данных методов КТ и МРТ. В данном литературном обзоре приводятся основные критерии оценки эффективности лечения опухолей различными видами воздействия. Отдельно рассматриваются критерии ВОЗ, RECIST, RECIST 1.1, mRECIST, Choi. Помимо этого обсуждаются новые методики объективизации эффектов терапии, основанные на оценке диффузионно-взвешенных изображений и текстурном анализе.

The number of available methods for hepatic tumor treatment is steadily increasing. Except traditional surgical resection and systemic chemotherapy there are a lot of effective and increasingly used local methods such as Radiofrequency ablation, cryodestruction, transarterial chemoembolization. Radiologist should be able to assess treatment response and evaluate prognosis. We present review of literature on various systems for hepatic tumor treatment response evaluation. WHO, RECIST 1.0, RECIST 1.1, mRECIST and Choi criteria are thoroughly explained in terms of benefits and drawbacks. Also, texture analysis and diffusion-weighted imaging are discussed.

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The authors declare that there are no conflicts of interest present.