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 Radioljournal_title
Clinical radiologyauthors
Hawnaur JM,Reynolds K,Wilson G,Hillier V,Kitchener HCdoi
10.1053/crad.2002.1057subject
Has Abstractpub_date
2002-11-01 00:00:00pages
995-1000issue
11eissn
0009-9260issn
1365-229Xpii
S0009926002910573journal_volume
57pub_type
杂志文章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
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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
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/s0009-9260(98)80188-8
更新日期:1998-11-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80934-1
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journal_title:Clinical radiology
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journal_title:Clinical radiology
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doi:10.1016/s0009-9260(99)90687-6
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journal_title:Clinical radiology
pub_type: 杂志文章
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.06.013
更新日期:2018-11-01 00:00:00
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journal_title:Clinical radiology
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doi:10.1016/j.crad.2012.10.001
更新日期:2013-01-01 00:00:00
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doi:10.1016/j.crad.2015.01.007
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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
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doi:10.1016/j.crad.2018.04.011
更新日期:2018-09-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80432-2
更新日期:1983-11-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0547
更新日期:2000-11-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/s0009-9260(96)80211-x
更新日期:1996-01-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2020.07.016
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2018.07.199
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2016.04.001
更新日期:2016-11-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2020.10.017
更新日期:2020-12-09 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.11.020
更新日期:2016-03-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(97)80008-6
更新日期:1997-06-01 00:00:00
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章
doi:10.1016/j.crad.2013.06.023
更新日期:2013-12-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2012.10.020
更新日期:2013-06-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80484-2
更新日期:1991-03-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81158-4
更新日期:1993-03-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(86)80265-3
更新日期:1986-07-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2014.05.006
更新日期:2014-09-01 00:00:00