The Possibilities and Limitations of Direct Digital Radiography, Ultrasound and Computed Tomography in Diagnosing Pleural MesoteliomaReportar como inadecuado




The Possibilities and Limitations of Direct Digital Radiography, Ultrasound and Computed Tomography in Diagnosing Pleural Mesotelioma - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Collegium antropologicum, Vol.34 No.4 December 2010. -

The goal of this study was to compare the possibilities and limitations of direct digital radiography of the chest DDR, the use of ultrasound of the chest US and single slice computed tomography of the chest CT in diagnosing pleural mesothelioma. The study was conducted during the course of one year, on 80 patients who were successively referred to a specialized institution, under clinical suspicion of mesothelioma. The method of investigation was the comparison of findings, obtained by the reviewed methods of examination, with the pathohistologic results of a biopsy performed on each patient. The findings that were obtained by the enumerated methods were classified according to the radiologic signs that were found in each individual patient. We evaluated following radiological findings signs, on each of the investigated methods: plaques, localized and generalized pleural thickenings, calcifications of the pleura, pleural effusions, parapneumonic effusions, pleural empyema, round atelectasis, pneumothorax, tumor mass or node, inflammatory infiltrate, elevation of the hemidiaphragm and osteolysis. The results of these were compared with pathohistologic findings and analyzed by means of standard statistical methods. The highest sensitivity was found for CT 94.4 %, followed by US 92.6%, and by DDR 90.7%. The highest specificity was obtained with DDR 46.2 %, followed by CT 35.5% and US 23.8%. The comparison of these methods showed 90% diagnostic accuracy for DDR in relation to CT. CT as an individual method best satisfied most of the criteria for diagnosing mesothelioma. No pathognomonic radiologic sign for mesothelioma was found.

pleural mesothelioma; malignant mesothelioma; diagnosing mesothelioma; sensitivity of imaging methods; specificity of imaging methods; diagnostic accuracy for DDR; US and CT



Autor: Jelena Popić Ramač - Andrija Hebrang - Zlata Ivanovi-Herceg - Vinko Vidjak - Zoran Brnić - Karlo Novačić - Ivan Fistonić -

Fuente: http://hrcak.srce.hr/



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