[The comparative role of computed tomography and magnetic resonance imaging in the diagnosis of extracapsular spread of malignant lymphomatous masses invading blood vessels].
Aim of the study was to search for an optimal method an of investigation in diagnosis of extracapsular spread of the malignant lymphomas and invading the blood vessels. In the period of 1998 to 2002, 81 patients with malignant lymphomas with coverage of neck and body areas were examined in the Department of Tomography of Kaunas University of Medicine Hospital. It was performed by computed tomography (CT) and magnetic resonance imaging (MRI), with or without iv. application of contrast media. The data were processed with SPSS 10.1 (Statistical package for Social Sciences 10.1 for Windows), including application of chi(2), t-test. Specificity, sensitivity and diagnostic accuracy of CT and MRI methods were calculated and compared according to recommendations by Gefland D. W. and Ott D. J., 1985. Diagnosis of extracapsular spread of the lymphomatous tissue and invading the blood vessels was best performed by MR method (specificity, sensitivity, accuracy in this case 91-95%). Bolus CT angiography because of low resolution in the range of soft tissues, insufficient opacification of blood vessels with contrast medium and differences in blood flow was not informative enough (specificity, sensitivity, accuracy in this case 80-85%).
Clinic of Radiology, Kaunas University of Medicine Hospital, Eiveniu 2, Lithuania. dobro@takas.lt
Laima
L
Dobrovolskiene
Rasa
R
Griniûtë
D000293:Adolescent; D000792:Angiography; D016009:Chi-Square Distribution; D003287:Contrast Media; D003627:Data Interpretation, Statistical; D005260:Female; D006689:Hodgkin Disease / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D008223:Lymphoma / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013902:Radiography, Thoracic; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D019043:Vascular Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging*
D003287:Contrast Media