title: [Spiral CT: differential diagnosis of cervical swelling. Initial clinical results].
abstract: Spiral CT examinations were performed pretherapeutically in 27 patients in whom cervical lymph node enlargement had been suspected. The M/Q quotient known from sonography and MR can also be employed in CT by means of coronary and sagittal reconstruction. This improves CT differentiation between reactively changed and metastatically infiltrated lymph nodes in tumour patients. Hence, CT diagnosis can now make use of a highly sensitive and highly specific criterion for diagnosing lymph nodes. Another diagnostic improvement is that vascular infiltrations by lymph node metastases can now be visualised or excluded more readily. Spiral CT is also suitable in tumorous and non-tumorous processes for an accurate assessment of the extension of e.g. retropharyngeal abscesses or laryngoceles.
authors.affiliation: Strahlenklinik und Poliklinik, Universitätsklinikum Rudolf Virchow/Standort Wedding, Freie Universität Berlin.
authors.forename: H J
authors.initials: HJ
authors.lastname: Steinkamp
authors.forename: D
authors.initials: D
authors.lastname: Knöbber
authors.forename: N
authors.initials: N
authors.lastname: Hosten
authors.forename: R
authors.initials: R
authors.lastname: Felix
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D000328:Adult; D000368:Aged; D003560:Cysts / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D008220:Lymphography / Q000379:methods*; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D010608:Pharyngeal Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods*
vernacular_title: Spiral-CT: Differentialdiagnose zervikaler Schwellungen. Erste klinische Ergebnisse.