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The role of the radiologist in the assessment of thoracic changes after radiotherapy

Abstract Radiotherapy plays a central role in the palliative and curative treatment of neoplasms of the chest wall or intrathoracic structures. However, despite technical advances, radiotherapy can alter previously normal organs and tissues, those alterations presenting as various types of imaging f...

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Published in:Radiologia brasileira 2021-08, Vol.54 (4), p.265-269
Main Authors: Ando, Sabrina de Mello, Fonseca, Eduardo Kaiser Ururahy Nunes, Frassei, Julliana dos Santos, Farias, Lucas de Pádua Gomes de, Neves, Yuri Costa Sarno, Chate, Rodrigo Caruso, Sawamura, Márcio Valente Yamada
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Language:English
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Summary:Abstract Radiotherapy plays a central role in the palliative and curative treatment of neoplasms of the chest wall or intrathoracic structures. However, despite technical advances, radiotherapy can alter previously normal organs and tissues, those alterations presenting as various types of imaging findings. Post-radiation alterations must be promptly recognized by radiologists, in order to avoid confusion between complications of radiotherapy and the recurrence of a tumor. This pictorial essay aims to illustrate different thoracic changes after radiotherapy. Resumo A radioterapia tem papel fundamental no tratamento curativo ou paliativo de neoplasias da parede torácica ou intratorácicas. No entanto, mesmo com o avanço das técnicas, órgãos e tecidos vizinhos podem ser acometidos e apresentar alterações que devem ser reconhecidas pelos radiologistas, de maneira a evitar confusão com recidiva das lesões inicialmente tratadas, ou mesmo com outras complicações do tratamento oncológico. O objetivo deste ensaio iconográfico é ilustrar as diferentes consequências torácicas da radioterapia.
ISSN:1678-7099
0100-3984
1678-7099
DOI:10.1590/0100-3984.2020.0070