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Tomographic imaging of the spleen: the role of morphological and metabolic features in differentiating benign from malignant diseases

Abstract To evaluate the tomographic features in differentiating benign from malignant splenic diseases, 54 patients with a cytohistological examination and a contrast-enhanced multidetector computed tomography (ce-MDCT) and/or positron emission tomography/computed tomography (PET/CT) were retrospec...

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Published in:Clinical imaging 2012-09, Vol.36 (5), p.559-567
Main Authors: Mainenti, Pier Paolo, Iodice, Delfina, Cozzolino, Immacolata, Segreto, Sabrina, Capece, Sergio, Sica, Giacomo, Magliulo, Mario, Ciancia, Giuseppe, Pace, Leonardo, Salvatore, Marco
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creator Mainenti, Pier Paolo
Iodice, Delfina
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description Abstract To evaluate the tomographic features in differentiating benign from malignant splenic diseases, 54 patients with a cytohistological examination and a contrast-enhanced multidetector computed tomography (ce-MDCT) and/or positron emission tomography/computed tomography (PET/CT) were retrospectively selected. Significant associations were observed between ce-MDCT Pattern 3 (focal hyperdense lesion) and Pattern 4 (infarcts/cysts) as well as PET/CT Pattern 3 (focal photopenia/diffuse uptake
doi_str_mv 10.1016/j.clinimag.2012.01.015
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Significant associations were observed between ce-MDCT Pattern 3 (focal hyperdense lesion) and Pattern 4 (infarcts/cysts) as well as PET/CT Pattern 3 (focal photopenia/diffuse uptake&lt;liver) and benign pathologies, and between ce-MDCT Pattern 1 (splenomegaly without focal lesions) and Pattern 2 (focal hypodense lesion) as well as PET/CT Pattern 1 (diffuse uptake≥liver) and Pattern 2 (focal increased uptake) and malignant diseases. No significant association between benign or malignant diseases and spleen volumes and maximum standardized uptake value (SUVmax ) as well as lesion characteristics was observed. The metabolic data do not improve the performance of morphological patterns.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2012.01.015</identifier><identifier>PMID: 22920362</identifier><identifier>CODEN: CLIMEB</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Adolescent ; Adult ; Aged ; Benign disease ; Child ; Contrast Media ; Cysts ; Diagnosis, Differential ; Disease ; Female ; Humans ; Iohexol - analogs &amp; derivatives ; Lymphoma ; Male ; Malignant disease ; Medical imaging ; Middle Aged ; Multimodal Imaging - methods ; Pathology ; PET/CT ; Positron-Emission Tomography ; Radiographic Image Interpretation, Computer-Assisted ; Radiology ; Retrospective Studies ; Spleen ; Splenic Diseases - diagnostic imaging ; Splenic Diseases - pathology ; Tomography ; Tomography, X-Ray Computed - methods ; Work stations</subject><ispartof>Clinical imaging, 2012-09, Vol.36 (5), p.559-567</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. 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Significant associations were observed between ce-MDCT Pattern 3 (focal hyperdense lesion) and Pattern 4 (infarcts/cysts) as well as PET/CT Pattern 3 (focal photopenia/diffuse uptake&lt;liver) and benign pathologies, and between ce-MDCT Pattern 1 (splenomegaly without focal lesions) and Pattern 2 (focal hypodense lesion) as well as PET/CT Pattern 1 (diffuse uptake≥liver) and Pattern 2 (focal increased uptake) and malignant diseases. No significant association between benign or malignant diseases and spleen volumes and maximum standardized uptake value (SUVmax ) as well as lesion characteristics was observed. 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subjects Abdomen
Adolescent
Adult
Aged
Benign disease
Child
Contrast Media
Cysts
Diagnosis, Differential
Disease
Female
Humans
Iohexol - analogs & derivatives
Lymphoma
Male
Malignant disease
Medical imaging
Middle Aged
Multimodal Imaging - methods
Pathology
PET/CT
Positron-Emission Tomography
Radiographic Image Interpretation, Computer-Assisted
Radiology
Retrospective Studies
Spleen
Splenic Diseases - diagnostic imaging
Splenic Diseases - pathology
Tomography
Tomography, X-Ray Computed - methods
Work stations
title Tomographic imaging of the spleen: the role of morphological and metabolic features in differentiating benign from malignant diseases
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