Pemeriksaan Radiology Onkologi

dr. Herman Pieter Louis Wungouw, Sp.Rad

Departemen Radiologi FK Undana

The role of Radiology imaging in Oncology

To find tumor
To identify : site, morphology, size,
extension and distant metastasis
Staging
Predictive/prognostic
Guide biopsy
Therapy : intervensional, radiotherapy
Follow up
Guide biopsy
Evaluasi respon terapi
Gambaran Radiologi pada Tumor
Intracranial tumor
Modalities
Plain skull radiography
CT-scan
MRI
Cerebral angiography
Plain radiography
Sensitifity and spesificity are low
Signs of increase intracranial pressure
Signs of increase of intracranial pressure
 CT-Scan
Very useful in showing nodul/mass
Tumor appears as hypodense or hyperdense
lesions
Perifocal edema
Mass effect : to ventricless system, midline shift
Obstruction : ventricles dilatation hydrosephalus
Bone erosion/destruction
Astrocytoma
Low grade astrocytoma

hypodense lesion
High grade astrocytoma
Craniopharyngioma
Spinal Cord Tumors
MRI is the modality of
choise
Very useful in detecting
intramedulary &
extramedulary tumors
MRI, MR myelo
NPC
Malignant limphoma
Lung Tumor
Chest X-ray
Mass, spiculated border
Displacement of bronchial
Pleural effusion
Rib destruction
Pulmonary Metastase
Mediastinal tumor

Chest X-ray

HODGKINS
LYMPHOMA
GIT TUMOR

Esophagus Esophagography
Maag-Duodenum MD foto
(gastroduodenography)
Colon Colon in loop (Barium enema)
Filling defect (cacat pengisian)
Malignant tumor irreguler border/wall
Benign tumor smooth
Obstruction
Esophageal Cancer
Hepatoma / HCC
Metastasis
Renal Tumor
WILMS Tumor (pediatric)
GRAWITZ (adult)

Radiology :
Plain abdomen
IVP
USG
CT Scan / MRI
Bladder tumor

Cystography
USG
CT Scan
MRI
 Ginecology Tumors

Uterus : mioma, choriocarcinoma, ca

cervix
Adnexa : Tumor/cyst ovarium

Radiology :
USG - CT Scan - MRI
Ca cervix
Std IV
Breast cancer
Mammogram of breast carcinoma
Bone Tumors

OSTEOCHONDROMA
OSTEOSARCOMA
Radiological
appearances :
- Osteolytic
- Osteoblastic
- Codmans triangle
- Sunray appearance
- Soft tissue swelling
TUMOR METASTASIS

Chest X-ray :
- Multiple nodules
- Single nodules
- Pleural effusion
- Pneumonia
- Limfangitik spread
- Miliary type
METASTASE to Bone
METASTASES FROM
CARCINOMA OF THE
BREAST TO THE LEFT
PEDICLE
TUMOR METASTASE
BLASTIC METASTASES IN
CARCINOMA OF THE PROSTAT
Terima kasih