Congenital cystic lung disease: prenatal ultrasound and postnatal multidetector computer tomography evaluation. Correlation with surgical and pathological data

Autor: Andrea Tironi, L. Mascaro, Daniele Alberti, M. Signorelli, N Palai, Paola Tessitore, Giovanni Boroni, Vassilios Lougaris, Roberto Maroldi, Silvia Michelini, Maria Pia Bondioni, Giuseppe Di Gaetano, Diego Gatta
Rok vydání: 2014
Předmět:
Zdroj: La radiologia medica. 119:842-851
ISSN: 1826-6983
0033-8362
DOI: 10.1007/s11547-014-0398-8
Popis: The aim of this study was to evaluate the diagnostic accuracy of postnatal multidetector computed tomography (MDCT) compared with prenatal ultrasound (US), surgical findings, and histology, in 33 patients with congenital cystic lung disease.Thirty-three patients, 17 males and 16 females, were evaluated by MDCT. Twenty-seven of these patients underwent prenatal US between week 18 and 22, and between week 32 and 35 of gestation. Lung lobectomy, segmentectomy, atypical resection, lesion resection were performed in 31 patients and surgical specimens were analysed.Prenatal US and MDCT correctly diagnosed 76.9 and 94 % of the lesions, respectively. Disagreement occurred in six lesions with prenatal US and in two lesions with MDCT. No statistically significant differences were observed between the two techniques (P = 0.122).As most surgeons consider the surgical resection of these lesions mandatory, our study underscores the essential role of imaging, in particular CT, in providing invaluable preoperative information on congenital cystic lung diseases recognised in uterus.
Databáze: OpenAIRE