Identification of inguinal lymph node metastases from vulval carcinoma by magnetic resonance imaging: an initial report.

Abstract:

AIM:Magnetic Resonance Imaging (MRI) has the potential to assess inguinal lymph nodes more accurately than palpation and less invasively than surgical exploration. The objective of this study was to measure the accuracy of MRI in identifying inguinal metastases by demonstrating abnormal lymph node morphology. MATERIALS AND METHODS:10 women with vulval malignancy underwent T1- and fat-suppressed T2-weighted surface coil MRI of both groins before surgery. Each groin was prospectively categorised as normal or as having metastatic lymphadenopathy using criteria established in normal volunteers. Histopathological findings in patients undergoing groin dissection for invasive vulval carcinoma were used as validation. RESULTS:MRI had a positive predictive value of 89%, negative predictive value of 91%, sensitivity of 89%, specificity of 91% and accuracy of 90%. The most useful observations on MRI to identify metastatic lymphadenopathy were those of lymph node contour irregularity, cystic change in a lymph node, short axis diameter exceeding 10mm and abnormal long: short axis diameter ratio. CONCLUSION:High resolution MRI of the inguinal regions has potential to screen for lymph node metastases in patients with vulval cancer, with the aim of reducing the number of women who have to undergo groin dissection.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Hawnaur JM,Reynolds K,Wilson G,Hillier V,Kitchener HC

doi

10.1053/crad.2002.1057

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

995-1000

issue

11

eissn

0009-9260

issn

1365-229X

pii

S0009926002910573

journal_volume

57

pub_type

杂志文章
  • Correlation of 111indium WBC scintigraphy with ultrasound in the detection and assessment of inflammatory bowel disease.

    abstract::111Indium (111In) WBC scintigraphy is an accurate method of assessing the extent of inflammatory bowel disease. A prospective study was performed to determine the correlation of ultrasound scanning with 111In WBC scintigraphy in the assessment of inflammatory bowel disease. Eighty-three indium and ultrasound scans wer...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0009-9260(05)80896-7

    authors: Khaw KT,Saverymuttu SH,Joseph AE

    更新日期:1990-12-01 00:00:00

  • Osteonecrosis and fractures following renal transplantation.

    abstract::Skeletal radiological surveys in 161 renal transplant recipients identified 36 patients with 115 lesions of osteonecrosis. A further two patients with osteonecrosis found at autopsy had had no radiographic abnormality. The total incidence of osteonecrosis was, therefore, 38 (24%) out of 161. The lesions were frequentl...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(85)80012-x

    authors: Davidson JK,Tsakiris D,Briggs JD,Junor BJ

    更新日期:1985-01-01 00:00:00

  • Non-contrast-enhanced imaging of haemodialysis fistulas using quiescent-interval single-shot (QISS) MRA: a feasibility study.

    abstract:AIM:To assess the efficiency of a novel quiescent-interval single-shot (QISS) technique for non-contrast-enhanced magnetic resonance angiography (MRA) of haemodialysis fistulas. MATERIALS AND METHODS:QISS MRA and colour Doppler ultrasound (CDU) images were obtained from 22 haemodialysis patients with end-stage renal d...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.11.010

    authors: Okur A,Kantarci M,Karaca L,Yildiz S,Sade R,Pirimoglu B,Keles M,Avci A,Çankaya E,Schmitt P

    更新日期:2016-03-01 00:00:00

  • Fetal lung abnormalities--what do they mean?

    abstract::Antenatal diagnosis of lung abnormalities by ultrasound has been a much more frequent occurrence in recent years. There is a range of appearances from uniform increased echogenicity through to lesions containing large echo-free areas. Bilateral uniformly increased echogenicity has a poor outlook but in all other situa...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/s0009-9260(98)80188-8

    authors: Pilling D

    更新日期:1998-11-01 00:00:00

  • Magnetic resonance differentiation of acute and chronic osteomyelitis in children.

    abstract::A comparison has been made of the MRI findings of 17 studies in 16 patients with osteomyelitis: eight studies were performed in patients with acute osteomyelitis, six in chronic and three in healed osteomyelitis. Soft tissues, cortex and marrow were assessed in all patients. The best predictors of acute osteomyelitis ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80934-1

    authors: Cohen MD,Cory DA,Kleiman M,Smith JA,Broderick NJ

    更新日期:1990-01-01 00:00:00

  • Imaging of adult nasal obstruction.

    abstract::The commonest causes of nasal obstruction are rhinitis and chronic rhinosinusitis, which affect up to 30% and 14% of the adult population, respectively. The global financial burden is huge, estimated at $5 billion for rhinitis and $8.6 billion for chronic rhinosinusitis per annum in the USA. On referral for imaging, c...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2019.07.027

    authors: Whyte A,Boeddinghaus R

    更新日期:2020-09-01 00:00:00

  • Imaging of mucocoele of the appendix with emphasis on the CT findings: a report of 10 cases.

    abstract:AIM:Mucocoele of the appendix denotes an obstructive dilatation of the appendiceal lumen due to abnormal accumulation of mucus. It is sometimes associated with pseudomyxoma peritonei, which predicts a malignant origin. We present the CT findings and additional imaging studies of 10 patients with neoplastic appendiceal ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(99)90687-6

    authors: Zissin R,Gayer G,Kots E,Apter S,Peri M,Shapiro-Feinberg M

    更新日期:1999-12-01 00:00:00

  • Evaluation of FDG PET combined with cardiac MRI for the diagnosis and therapeutic monitoring of cardiac sarcoidosis.

    abstract:AIM:To compare combined 2-[18F]-fluoro-2-deoxy-d-glucose (FDG)-positron-emission tomography (PET) and cardiac magnetic resonance imaging (CMR) for the diagnosis and therapy monitoring of cardiac sarcoidosis (CS). MATERIALS AND METHODS:Eighty patients with sarcoidosis and a suspicion of CS who underwent PET and CMR wer...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2018.09.015

    authors: Sgard B,Brillet PY,Bouvry D,Djelbani S,Nunes H,Meune C,Valeyre D,Soussan M

    更新日期:2019-01-01 00:00:00

  • Can we use pulsed fluoroscopy to decrease the radiation dose during video fluoroscopic feeding studies in children?

    abstract:AIM:To investigate whether it is possible to reduce the radiation dose during video fluoroscopic feeding studies below the current 30 frames/s (continuous fluoroscopy). METHODS:Ten consecutive children who had supraglottic penetration while swallowing barium were evaluated as part of a video fluoroscopic feeding study...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2008.07.011

    authors: Cohen MD

    更新日期:2009-01-01 00:00:00

  • Radiological features and metastatic patterns of thymic neuroendocrine tumours.

    abstract:AIM:To investigate the clinical and image features of thymic neuroendocrine tumours (NETs), and characterise the radiological patterns of recurrence and metastasis on serial imaging studies. MATERIALS AND METHODS:The study included 14 patients (11 males) with a histopathological diagnosis of thymic NETs (one typical c...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2017.11.025

    authors: Araki T,Sholl LM,Hatabu H,Nishino M

    更新日期:2018-05-01 00:00:00

  • How confident are general practitioners in interpreting neuroradiology reports?

    abstract:AIM:To determine the level of confidence general practitioners (GPs) have in radiology reports provided by neuroradiologists and to elicit the preferences of GPs regarding report format and level of detail. MATERIALS AND METHODS:Electronic surveys comprising anonymised neuroradiology reports were sent to GP practices ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2018.06.013

    authors: Currie S,Saunders D,Khoshneviszadeh S,Craven I

    更新日期:2018-11-01 00:00:00

  • CT appearance of common cosmetic and reconstructive surgical procedures and their complications.

    abstract::In this review, we illustrate the spectrum of imaging features after plastic surgical procedures including transverse rectus abdominis myocutaneous flap, deep inferior epigastric perforators flap, latissimus dorsi flap, liposuction, abdominoplasty, and buttocks augmentation. Examples of complications, including seroma...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2012.10.001

    authors: Frank SJ,Flusberg M,Friedman S,Swinburne N,Sternschein M,Wolf EL,Stein MW

    更新日期:2013-01-01 00:00:00

  • Obesity and extent of emphysema depicted at CT.

    abstract:AIM:To investigate the underlying relationship between obesity and the extent of emphysema depicted at CT. METHODS AND MATERIALS:A dataset of 477 CT examinations was retrospectively collected from a study of chronic obstructive pulmonary disease (COPD). The low attenuation areas (LAAs; ≤950 HU) of the lungs were ident...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.01.007

    authors: Gu S,Li R,Leader JK,Zheng B,Bon J,Gur D,Sciurba F,Jin C,Pu J

    更新日期:2015-05-01 00:00:00

  • Does pre-scan oxygen improve ultrasonic imaging of the pancreas?

    abstract::Ultrasonic imaging of the pancreas is often impaired by overlying bowel gas. Oxygen therapy has, in the past, been shown to be effective in reducing the gas in the cysts of pneumatosis coli. Using the same hypothesis, a randomized, single blind study comparing ultrasonic imaging of the pancreas with and without prior ...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0009-9260(05)82961-7

    authors: Marshall RE,Steger AC,Delicata R,Wafula JM,Brunell CL,Wyatt AP

    更新日期:1995-01-01 00:00:00

  • Histogram analysis of apparent diffusion coefficient from whole-body diffusion-weighted MRI to predict early response to chemotherapy in patients with metastatic colorectal cancer: preliminary results.

    abstract:AIM:To evaluate apparent diffusion coefficient (ADC) histogram analysis parameters, acquired from whole-body diffusion-weighted magnetic resonance imaging (DW-MRI), as very early predictors of response to chemotherapy in patients with metastatic colorectal cancer (mCRC). MATERIALS AND METHODS:This was a single-institu...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2018.04.011

    authors: Lavdas I,Rockall AG,Daulton E,Kozlowski K,Honeyfield L,Aboagye EO,Sharma R

    更新日期:2018-09-01 00:00:00

  • Spontaneous aorto-caval fistulae.

    abstract::The clinical and radiological presentation of four cases of spontaneous aorto-caval fistula is described. This is an unusual complication of an abdominal aortic aneurysm and presents with abdominal pain, a pulsatile abdominal mass and an abdominal bruit. Our cases illustrate the variable clinical presentation, outline...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(83)80432-2

    authors: Gregson RH,Sutton D,Brennan J,Small PG,O'Sullivan E

    更新日期:1983-11-01 00:00:00

  • Magnetic resonance imaging in the management of suspected spinal canal disease in patients with known malignancy.

    abstract:AIM:The aim of this study was to examine the spectrum of spinal canal disease in patients with known malignancy using magnetic resonance imaging (MRI). MATERIALS AND METHODS:One hundred and fifty-five patients underwent a total of 159 spinal MRI examinations over a three-year period. Patients were examined using a 1.0...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1053/crad.2000.0547

    authors: Loughrey GJ,Collins CD,Todd SM,Brown NM,Johnson RJ

    更新日期:2000-11-01 00:00:00

  • Pictorial review: MR imaging of neuronal migration anomalies.

    abstract::Neuronal migration anomalies form a spectrum of congenital brain malformations with a variety of clinical manifestations. The widespread use of MRI in the investigation of neurological symptoms, and particularly in the imaging of epilepsy, has made the correct recognition and interpretation of these disorders importan...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/s0009-9260(96)80211-x

    authors: Boardman P,Anslow P,Renowden SA

    更新日期:1996-01-01 00:00:00

  • Imaging features of chondrosarcoma of the temporomandibular joint: report of nine cases and literature review.

    abstract:AIM:To investigate the imaging features of chondrosarcoma of the temporomandibular joint (TMJ) and review the literature. MATERIALS AND METHODS:Computed tomography (CT), magnetic resonance imaging (MRI), and integrated positron-emission tomography (PET)/CT images of nine patients with histopathologically confirmed cho...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2020.07.016

    authors: Jang BG,Huh KH,Kang JH,Kim JE,Yi WJ,Heo MS,Lee SS

    更新日期:2020-11-01 00:00:00

  • Can acoustic radiation force imaging of the liver and spleen predict the presence of gastroesophageal varices?

    abstract:AIM:To determine whether acoustic radiation force imaging (ARFI) of the liver/spleen could be used in patients with cirrhosis to predict the presence of gastroesophageal varices (GOVs). MATERIALS AND METHODS:Fifty-eight patients with cirrhosis who were undergoing 6-monthly ultrasound examinations for hepatoma surveill...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2018.07.199

    authors: Wiles R,Patanwala I,Hankinson B,Healey P,Farrell C,Griffin C,Bonnett L,Richardson P

    更新日期:2018-12-01 00:00:00

  • Improved image-quality consistency in coronary CT angiography using a test-bolus-based individually tailored contrast medium injection protocol.

    abstract:AIM:To develop and validate a test bolus (TB)-based quantitative model to create an individualised contrast medium injection protocol for use at coronary computed tomography angiography (CCTA) to improve patient-to-patient uniformity of intracoronary attenuation. MATERIALS AND METHODS:In the model-building phase, 175 ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2016.04.001

    authors: Zhu X,Zhu Y,Liu W,Yang G,Su Z,Tang L,Xu Y

    更新日期:2016-11-01 00:00:00

  • Mixed-reality hologram for diagnosis and surgical planning of double outlet of the right ventricle: a pilot study.

    abstract:AIM:To evaluate the mixed-reality (MR) hologram, a novel technology based on two-dimensional images, which simulates three-dimensional (3D) images and provides a dynamic and interactive alternative, for its usefulness in the diagnosis and surgical planning of double outlet of the right ventricle (DORV). MATERIALS AND ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2020.10.017

    authors: Ye W,Zhang X,Li T,Luo C,Yang L

    更新日期:2020-12-09 00:00:00

  • Analysing breast tissue composition with MRI using currently available short, simple sequences.

    abstract:AIM:To determine the most robust commonly available magnetic resonance imaging (MRI) sequence to quantify breast tissue composition at 1.5 T. MATERIALS AND METHODS:Two-dimensional (2D) T1-weighted, Dixon fat, Dixon water and SPAIR images were obtained from five participants and a breast phantom using a 1.5 T Siemens A...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.11.020

    authors: Chau AC,Hua J,Taylor DB

    更新日期:2016-03-01 00:00:00

  • The clinical importance of axillary lymphadenopathy detected on screening mammography.

    abstract::The aim of this study was to determine the incidence and cause of axillary lymphadenopathy detected by screening mammography and to devise a management protocol for this pathology. In a retrospective study of 95,806 consecutive screening mammograms, 37 cases of 'pathological' axillary nodes were identified using two o...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(97)80008-6

    authors: Murray ME,Given-Wilson RM

    更新日期:1997-06-01 00:00:00

  • Ultrasonographic elastography of thyroid nodules: is adding strain ratio to colour mapping better?

    abstract:AIM:To determine the diagnostic performance of colour mapping and strain ratio for characterizing malignant thyroid nodules on ultrasonographic (US) elastography. MATERIALS AND METHODS:The study was approved by the institutional review board and written informed consent was obtained. One hundred and thirty-one patient...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.crad.2013.06.023

    authors: Chong Y,Shin JH,Ko ES,Han BK

    更新日期:2013-12-01 00:00:00

  • Abdominal complications following neutropenia and haematopoietic stem cell transplantation: CT findings.

    abstract::In haematology units, acute abdominal symptoms are common and often challenging for the clinician in charge. Two haematological conditions that may induce specific diagnoses are of particular concern: neutropenia and haematopoietic stem cell transplantation. Clinical and biological manifestations, including abdominal ...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2012.10.020

    authors: Hordonneau C,Montoriol PF,Guièze R,Garcier JM,Da Ines D

    更新日期:2013-06-01 00:00:00

  • Case report: Tuberculous hepatic and splenic abscess.

    abstract::Tuberculous abscess of the liver is rare and delay in diagnosis is common. The case of a 66-year-old Singaporean Chinese female with tuberculous liver abscess is reported. The abscess had an unusual septated ('honeycomb-like') ultrasonographic and computed tomographic appearance and the diagnosis was made with difficu...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80484-2

    authors: Wilde CC,Kueh YK

    更新日期:1991-03-01 00:00:00

  • Duplex Doppler detection of hepatic artery thrombosis following liver transplantation.

    abstract::Hepatic artery thrombosis is a major cause of morbidity and mortality following liver transplantation. We assessed the value of prospective duplex Doppler ultrasound in detecting hepatic artery thrombosis. One hundred consecutive transplants in 90 patients were studied. Duplex Doppler detected all 10 proven cases of h...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)81158-4

    authors: Wellings RM,Olliff SP,Olliff JF,Deakin M,Alton H

    更新日期:1993-03-01 00:00:00

  • Computed tomography in diffuse lung disease: improving the image.

    abstract::Diffuse lung disease is often a difficult clinical and radiographic problem to resolve. Standard computed tomography (CT) techniques are often unhelpful. By combining practical physiological criteria with narrow section CT a protocol has been developed which yields more accurate information and is now the standard met...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(86)80265-3

    authors: Strickland B,Brennan J,Denison DM

    更新日期:1986-07-01 00:00:00

  • Spectrum of imaging findings on axial T2-weighted fat-saturated imaging of the lumbar spine.

    abstract::Axial T2-weighted fat-saturated imaging provides information not readily available from routine lumbar spine magnetic resonance imaging (MRI) protocols and routine inclusion of this sequence in place of axial T1-weighted imaging provides additional diagnostic information that can be obtained without increasing examina...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2014.05.006

    authors: Csillag A,Ly J

    更新日期:2014-09-01 00:00:00