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
Rok vydání: 2018
Předmět:
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