Imaging of oncologic emergencies: What every radiologist should know

Venkata Katabathina, Carlos S Restrepo, Sonia L. Betancourt Cuellar, Roy F. Riascos, Christine O. Menias

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Acute life-threatening conditions in oncology patients may develop either because of underlying malignancy or as a complication from treatment. Oncologic emergencies can be categorized as metabolic, hematologic, and structural conditions. Metabolic and hematologic emergencies are mainly diagnosed on the basis of clinical and laboratory findings. Structural pathologic conditions that result in bleeding, mechanical compression, or obstruction to the hollow organs, such as the trachea and bowel loops, may first be suspected because of clinical findings, including decreasing hematocrit levels, difficulty in breathing, and abdominal pain; however, performance of imaging studies is critical for timely diagnosis and management. Life-threatening conditions of the central nervous system (such as cerebral herniation, carcinomatous meningitis, and spinal cord compression), thoracic emergent conditions (such as central airway obstruction, esophagores- piratory fistula, massive hemoptysis, pulmonary embolism, superior vena cava syndrome, and pericardial tamponade), and abdominopelvic emergencies (such as uncontrolled intraabdominal hemorrhage, bowel obstruction, intestinal perforation, bowel ischemia, intussusception, and urinary tract obstruction) can be definitively diagnosed on the basis of projectional or cross-sectional imaging findings in appropriate clinical scenarios. Select emergent conditions in cancer patients related to chemotherapy and radiation treatment, as well as iatrogenic emergencies secondary to either surgery or placement of central venous catheters, may also demonstrate characteristic findings at imaging studies. In addition, interventional procedures are of great help in the treatment of acute superior vena cava syndrome, massive hemoptysis, and uncontrolled intraabdominal hemorrhage. Radiologists should be aware of these select, "not to be missed" imaging findings of oncologic emergencies to make an accurate, timely diagnosis and provide appropriate patient care.

Original languageEnglish (US)
Pages (from-to)1533
Number of pages1
JournalRadiographics
Volume33
Issue number6
DOIs
StatePublished - Oct 2013

Fingerprint

Emergencies
Superior Vena Cava Syndrome
Hemoptysis
Hemorrhage
Meningeal Carcinomatosis
Intestinal Perforation
Spinal Cord Compression
Cardiac Tamponade
Intussusception
Central Venous Catheters
Airway Obstruction
Trachea
Urinary Tract
Pulmonary Embolism
Hematocrit
Abdominal Pain
Fistula
Neoplasms
Patient Care
Respiration

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Katabathina, V., Restrepo, C. S., Betancourt Cuellar, S. L., Riascos, R. F., & Menias, C. O. (2013). Imaging of oncologic emergencies: What every radiologist should know. Radiographics, 33(6), 1533. https://doi.org/10.1148/rg.336135508

Imaging of oncologic emergencies : What every radiologist should know. / Katabathina, Venkata; Restrepo, Carlos S; Betancourt Cuellar, Sonia L.; Riascos, Roy F.; Menias, Christine O.

In: Radiographics, Vol. 33, No. 6, 10.2013, p. 1533.

Research output: Contribution to journalArticle

Katabathina, V, Restrepo, CS, Betancourt Cuellar, SL, Riascos, RF & Menias, CO 2013, 'Imaging of oncologic emergencies: What every radiologist should know', Radiographics, vol. 33, no. 6, pp. 1533. https://doi.org/10.1148/rg.336135508
Katabathina V, Restrepo CS, Betancourt Cuellar SL, Riascos RF, Menias CO. Imaging of oncologic emergencies: What every radiologist should know. Radiographics. 2013 Oct;33(6):1533. https://doi.org/10.1148/rg.336135508
Katabathina, Venkata ; Restrepo, Carlos S ; Betancourt Cuellar, Sonia L. ; Riascos, Roy F. ; Menias, Christine O. / Imaging of oncologic emergencies : What every radiologist should know. In: Radiographics. 2013 ; Vol. 33, No. 6. pp. 1533.
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