Normal and abnormal thymus in childhood: MR imaging
Autor: | J. I. Wiener, Paul L. Molina, Marilyn J. Siegel, Harvey Glazer |
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Rok vydání: | 1989 |
Předmět: |
Adult
Pathology medicine.medical_specialty Adolescent Thymus Gland Fibrosis Reference Values medicine Humans Radiology Nuclear Medicine and imaging Child medicine.diagnostic_test business.industry Thymus Neoplasm Infant Newborn Infant Magnetic resonance imaging Anatomy Thymus Neoplasms Hyperplasia medicine.disease Magnetic Resonance Imaging Lymphoma Leukemia Child Preschool Thymus hyperplasia Thymus Hyperplasia business Calcification |
Zdroj: | Radiology. 172(2) |
ISSN: | 0033-8419 |
Popis: | Magnetic resonance (MR) imaging studies of 47 children without thymic disease were compared with those of 14 children with proved thymic abnormalities (eg, lymphoma, leukemia, hyperplasia) to evaluate the spectrum of MR features of the normal and abnormal thymus and to determine the best indicators of thymic disease. In healthy children younger than 5 years of age, the thymus had a quadrilateral shape and biconvex lateral contours. Older children and adolescents had a triangular thymus with straight lateral margins. The thymus appeared homogeneous with a signal intensity slightly greater than that of muscle on T1-weighted images and close to that of fat on T2-weighted images. Qualitative evaluation of gross thymic morphology (size, shape, margins, and signal intensity) usually was sufficient for distinguishing between the normal and abnormal thymus. The abnormal thymus generally was enlarged, multilobular, or inhomogeneous because of the presence of cystic degeneration, hemorrhage, septations, fibrosis, or calcification on pathologic sections. In patients with lymphoma, the presence of associated lymphadenopathy also was helpful in distinguishing the normal from the abnormal thymus. |
Databáze: | OpenAIRE |
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