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Gewählte Publikation:

Szolar, DH; Groell, R; Braun, H; Preidler, K; Stiskal, M; Kern, R; Kainz, J; Moelleken, S; Stammberger, H.
Ultrafast computed tomography and three-dimensional image processing of CT sialography in patients with parotid masses poorly defined by magnetic resonance imaging.
Acta Otolaryngol. 1996; 116(1):112-118
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Autor/innen der Med Uni Graz:
Braun Hannes
Gröll Reinhard
Kainz Josef
Stammberger Heinz
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Abstract:
The purpose of this study was to determine the efficacy of ultrafast computed tomography (UF CT) in patients with parotid masses poorly defined by magnetic resonance imaging (MRI) and to evaluate the diagnostic potential of three-dimensional (3-D) UF CT sialography when compared with conventional CT sialograms. Thirteen patients with clinical suspicion of a parotid mass, in whom MRI was degraded by motion, underwent UF CT of the parotid region. Two radiologists independently assessed the CT and MR with respect to tumor localization, intraglandular tumor location, tumor margin characteristics, and infiltration of surrounding tissue. In 9 patients, CT sialography was performed using 3-D image processing. Anatomical details and pathologic findings were assessed by three readers using a numerical grad and compared with the findings derived from conventional CT sialography. Histopathologic specimens were obtained in all cases and correlated with the radiographic findings in a consensus manner following the blinded interpretations. UF CT and (suboptimal) MRI provided the same diagnostic information for the evaluation of tumor localization, and intraglandular location. UF CT was superior to MRI in the detection of tumor infiltration, and definition of tumor margins in 2 cases (15%), resulting in a substantial difference in treatment. Three-dimensional CT sialography offered significant improvement in demonstration of anatomic detail (2.5 +/- 0.2 vs 1.5 +/- 0.1, respectively) and pathologic findings (2.6 +/- 0.1 vs 1.3 +/- 0.2, respectively) when compared with conventional CT sialography. UF CT is a viable alternative in uncooperative patients with parotid masses. UF CT 3-D sialography has the potential to allow more precise pre-surgical planning and contributes to the diagnosis and therapy planning of parotid masses.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Female -
Humans -
Magnetic Resonance Imaging -
Male -
Middle Aged -
Neoplasm Invasiveness -
Parotid Gland - pathology Parotid Gland - surgery
Parotid Neoplasms - diagnosis Parotid Neoplasms - pathology Parotid Neoplasms - surgery
Retrospective Studies -
Sialography -
Tomography, X-Ray Computed -

Find related publications in this database (Keywords)
Parotid Gland
Neoplasms
Parotid Gland
Computed Tomography (CT) Parotid Gland
Magnetic Resonance Imaging (MRI)
Parotid Gland
3-Dimensional Imaging
Parotid Gland
3-D CT Sialography
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