Determining the organ of origin of large pelvic masses in females using multidetector CT angiography and three-dimensional volume rendering CT angiography
| Autor: | Xiu-Guo Zhou, AiQun Cai, JianBang Lin, XueYin Chen, Yu Zheng, Yang-Kang Li, JunWei Chen |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
endocrine system medicine.medical_specialty endocrine system diseases Adolescent Ovarian artery Young Adult Imaging Three-Dimensional medicine.artery Multidetector Computed Tomography medicine Humans Radiology Nuclear Medicine and imaging Uterine artery Neuroradiology Aged Retrospective Studies Aged 80 and over Ovarian Neoplasms medicine.diagnostic_test business.industry Angiography Interventional radiology General Medicine Middle Aged Internal iliac artery female genital diseases and pregnancy complications medicine.anatomical_structure Female Radiology business Ovarian vein Artery |
| Zdroj: | European radiology. 25(4) |
| ISSN: | 1432-1084 |
| Popis: | To study the value of tumour feeding arteries and the ovarian vein in determining the organ of origin of large pelvic tumours in females using multidetector CT. One hundred and thirty patients with 131 pathologically proven tumours (>6.5 cm) were retrospectively reviewed. Conventional CT images and CT angiography were evaluated, with focus on assessing the value of tumour feeding arteries and the ovarian vein in differentiating ovarian from non-ovarian tumours. For 97 ovarian tumours, the feeding arteries included the ovarian artery (n = 51) and the ovarian branch of uterine artery (n = 64). For 34 non-ovarian tumours, the feeding arteries included the ovarian artery (n = 2), the uterine artery (n = 21), the mesenteric artery (n = 5), and the internal iliac artery (n = 1). The ovarian vein was identified in 86 ovarian tumours and 12 non-ovarian tumours. When the feeding arteries and the ovarian vein were combined to confirm ovarian origin, the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 97.8 %, 84.2 %, 93.8 %, 94.1 %, and 93.9 %, respectively. The accuracy was significantly higher than that of independently using the ovarian vein or the ovarian feeding arteries. Combined application of tumour feeding arteries and the ovarian vein is valuable to differentiate large ovarian from non-ovarian tumours. • CT is a valuable modality for diagnosing pelvic tumours. • Determining the organ of origin is difficult for large pelvic tumours. • Contrast-enhanced CT and CT angiography are helpful in depicting abdominopelvic vessels. • Tracking tumour-associated vessels can help differentiate large ovarian from non-ovarian tumours. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink