Sonografie in der Onkologie, eine Bestandsaufnahme

Zusammenfassung

In der Tumordiagnostik, insbesondere in der Ausbreitungsdiagnostik bei Tumorpatienten, stellt die Sonografie im Zeitalter moderner Schnittbildverfahren (Computertomografie (CT)/Magnetresonanztomografie (MRT)/Positronenemissionstomografie (PET-CT)) überwiegend eine additive Untersuchungsmethode dar, da die Methode u. a. durch Interobservervaribilität und Schallbedingungen limitiert ist. Ziel dieser Arbeit ist es, spezielle onkologische Fragestellungen an die Sonografie herauszuarbeiten und die Anforderungen an die Sonografie und den Stellenwert der Methode in der Diagnostik von Tumorerkrankungen im Zeitalter von CT, MRT und PET-CT darzustellen. Grundsätzlich sind Einsatzmöglichkeiten der Sonografie in der Primärdiagnostik, Ausbreitungsdiagnostik, der Beurteilung des Therapieansprechens und in der Tumornachsorge zu differenzieren. Diese werden in der vorliegenden Arbeit vor dem Hintergrund aktueller Leitlinien der European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) und der Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V. [1] sowie der Anforderungen im klinischen Alltag erörtert.

Abstract

In tumor diagnostics, especially in the staging diagnostic of tumor patients, ultrasound is predominantly an additive method in the age of modern imaging (CT/MRT/PET-CT), because of the limitation by interobserver variability and poor sound conditions. The aim of this thesis is to elaborate specific oncological questions on the sonography and to describe the requirements for sonography and the importance of the method in the diagnosis of tumor diseases in the age of CT, MRT and PET-CT. In general, the requirements on the sonography must be differentiated between primary diagnosis, staging diagnostic, treatment response, and tumor aftercare. This paper will present these in the context of the current guidelines of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) and the Working Community of the Scientific Medical Societies as well as the requirements in clinical practice.

Schlüsselwörter

Leitlinien - Empfehlungen - Neoplasie - Onkologie - Hämatologie

Key words

guidelines - recommendation - neoplasia - oncology - hematology

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