Diagnostic value of single-source dual-energy spectral computed tomography in differentiating parotid gland tumors: initial results
Autor: | Xinming Zhao, Lei Hu, Dehong Luo, Lin Li, Wensheng Liu, Yanfeng Zhao, Yong Wang, Liang Yang |
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Rok vydání: | 2018 |
Předmět: |
medicine.diagnostic_test
Enhanced ct Dual energy business.industry Computed tomography Surgical procedures 030218 nuclear medicine & medical imaging Parotid gland 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine.artery Parotid tumors medicine Original Article Radiology Nuclear Medicine and imaging Common carotid artery Differential diagnosis business Nuclear medicine |
Zdroj: | Quantitative Imaging in Medicine and Surgery. 8:588-596 |
ISSN: | 2223-4306 2223-4292 |
Popis: | Background An accurate preoperative diagnosis that helps distinguish between benign and malignant parotid gland tumors is very important because the results strongly affect surgical procedures. We aimed to evaluate the value of single-source dual-energy computed tomography (ssDECT) in differentiating malignant from benign parotid gland tumors. Methods Fifty patients underwent enhanced neck ssDECT scanning before surgery. The images were analyzed using the gemstone spectral imaging (GSI) viewer software. Results Fifty-two tumors (43 patients) were confirmed histopathologically, comprising of 12 pleomorphic adenomas (PAs), 24 Warthin tumors (WTs) (15 patients), and 16 malignant tumors (MTs). The iodine concentration (IC), normalized iodine concentration to common carotid artery (NICA) and slope value of the spectral curve (λHU) of the WTs were significantly higher than those of MTs and PAs (all P |
Databáze: | OpenAIRE |
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