Abstract:
AIM:To investigate how spectral computed tomography (SCT) values impact the staging of non-small cell lung cancer (NSCLC) patients. MATERIALS AND METHODS:One hundred and thirteen patients with confirmed NSCLC were included in a prospective cohort study. All patients underwent single-phase contrast-enhanced SCT (using the fast tube voltage switching technique, 80-140 kV). SCT values (iodine content [IC], spectral slope pitch, and radiodensity increase) of malignant tissue (primary and metastases) and lymph nodes (LNs) were measured. Adrenal masses were evaluated in a virtual non-contrast series (VNS). If pulmonary embolism was present, pulmonary perfusion was analysed as an additional finding. RESULTS:Fifty-two untreated primary NSCLC lesions were evaluable. Lung adenocarcinoma had significantly higher normalised IC (NIC: 19.37) than squamous cell carcinoma (NIC: 12.03; p=0.035). Pulmonary metastases were not significantly different from benign lung nodules. A total of 126 LNs were analysed and histologically proven metastatic LNs (2.08 mg/ml) had significantly lower IC than benign LNs (2.58 mg/ml; p=0.023). Among 34 adrenal masses, VNS identified adenomas with high sensitivity (91%) and specificity (100%). In two patients, a perfusion defect due to pulmonary embolism was detected in the iodine images. CONCLUSION:SCT may contribute to the differentiation of histological NSCLC subtypes and improve the identification of LN metastases. VNS differentiates adrenal adenoma from metastasis. In case of pulmonary embolism, iodine imaging can visualise associated pulmonary perfusion defects.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Fehrenbach U,Kahn J,Böning G,Feldhaus F,Merz K,Frost N,Maurer MH,Renz D,Hamm B,Streitparth Fdoi
10.1016/j.crad.2019.02.010subject
Has Abstractpub_date
2019-06-01 00:00:00pages
456-466issue
6eissn
0009-9260issn
1365-229Xpii
S0009-9260(19)30121-7journal_volume
74pub_type
杂志文章abstract::An unusual case of multiple myeloma is reported in a 61-year-old man presenting with hepatomegaly and multiple hypoechoic lesions in the liver seen on ultrasound. Following cytotoxic chemotherapy the size and number of the lesions within the liver had significantly reduced. ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)82970-8
更新日期:1995-01-01 00:00:00
abstract:AIM:To retrospectively evaluate the efficacy of embolotherapy in patients with iatrogenic traumatic uterine arteriovenous malformations (AVMs). MATERIALS AND METHODS:A retrospective review of all patients who underwent uterine arterial embolization in Peking Union Medical College Hospital between January 2000 and Dece...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2011.11.002
更新日期:2012-06-01 00:00:00
abstract::The right and left basal artery have been measured in serial radiographs taken annually for 3 years or more, in 48 boys and 45 girls, all clinically normal. Centiles were constructed from 5 to 15 year old children. A study of the gain in size revealed a growth spurt during the pubertal period corresponding to that see...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(76)80130-4
更新日期:1976-10-01 00:00:00
abstract::In presenting five new cases of renal adenomas the authors describe the general nature of these rare tumours. If the small adenoma corresponding to microscopic forms is frequent, the large adenoma is rare and always solitary. Haematuria and pain are the most common signs. The classic criterion of non-malignancy in a s...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80100-2
更新日期:1979-05-01 00:00:00
abstract:OBJECTIVE:To assess the factors affecting patency of the hepatic artery during hepatic arterial infusion chemotherapy (HAIC) with an implantable port system inserted percutaneously. PATIENTS AND METHODS:Ninety patients with malignant hepatic tumours were given HAIC using percutaneous catheter placement. An end-hole ca...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章
doi:10.1016/s0009-9260(99)91155-8
更新日期:1999-04-01 00:00:00
abstract:AIM:To perform a retrospective review of all the conventional radiographic and magnetic resonance imaging (MRI) studies performed in patients with early postoperative pain following cobalt-chrome metal-on-metal total hip arthroplasty. METHODS:A retrospective review of the radiology, surgical findings and histology in ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2007.07.012
更新日期:2008-01-01 00:00:00
abstract::The visibility on ultrasound (US) of 79 screen-detected small breast cancers was studied retrospectively. Overall visibility on US was 61% (48/79). Cancers presenting as microcalcification alone on mammography were rarely demonstrated (1 of 26 tumours). However, the US visibility of cancers with other mammographic app...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)81973-7
更新日期:1994-11-01 00:00:00
abstract::The aims and objectives of radiological teaching to clinical medical students at one teaching hospital are defined and the methods of achieving these using systematic small group tutorials are described. The objectives of the course are to enable a newly qualified doctor to request radiological investigations sensibly...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(84)80125-7
更新日期:1984-05-01 00:00:00
abstract::Intravenous urography is the standard screening test for renovascular hypertension but there is a significant incidence of false negative and false positive results. In an attempt to improve the detection rate, indomethacin was administered orally to nine patients with renal artery stenosis (proven by arteriography an...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(81)80288-7
更新日期:1981-07-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80327-4
更新日期:1983-05-01 00:00:00
abstract::In a review of the cases of testicular tumours treated at the Christie Hospital between 1961 and 1974 there are six cases with spontaneous regression of metastases, which are now reported. In this period, 827 cases of testicular tumour have been treated giving an incidence of spontaneous regression of 0.72%, which is ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(77)80062-7
更新日期:1977-09-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80607-5
更新日期:1990-06-01 00:00:00
abstract:AIM:To analyse sensitivity, specificity and complication rate of endoscopy, and barium enema for the detection of colorectal neoplasia. MATERIALS AND METHODS:A MEDLINE search was performed (1980-2000) directed at the endoscopic and radiologic literature on barium enema. Articles were selected based on the type of stud...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1053/crad.2000.0672
更新日期:2001-05-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2017.02.004
更新日期:2017-07-01 00:00:00
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doi:10.1016/j.crad.2020.04.012
更新日期:2020-09-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(98)80315-2
更新日期:1998-10-01 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
abstract::Renal excretion of water soluble iodinated contrast media following oral administration has often been described but no reports describing renal excretion following rectal administration of such contrast have previously been described. We describe a case of renal excretion of diatrizoate methylglucamine (Gastrografin,...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80383-6
更新日期:1992-11-01 00:00:00
abstract::There are several anxiety-related reactions associated with magnetic resonance imaging (MRI). Patients who experience such reactions may disrupt the examination or move so much that images are degraded. These experiences may also influence patients' perceptions of the quality of their care. The objective of this study...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)83042-9
更新日期:1995-03-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2010.08.005
更新日期:2011-01-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2015.10.026
更新日期:2016-03-01 00:00:00
abstract:AIM:To test the performance of computed tomography angiography "source images" (CTA-SI) versus unenhanced CT (NCCT) for stroke detection and extent using the Alberta Stroke Programme Early CT Score (ASPECTS), and examine the effect of experience and clinical history. MATERIALS AND METHODS:Studies of 23 consecutive pat...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2006.11.019
更新日期:2007-05-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2017.07.011
更新日期:2018-02-01 00:00:00
abstract::A prospective study, followed by a retrospective audit, was made of the radiographs and clinical features of 225 consecutive neonates with abdominal distension presenting during a period of 4 years. More than one major cause for the distension was found in a third of cases. Excluding cases of ano-rectal atresia, diagn...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(83)80217-7
更新日期:1983-07-01 00:00:00
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journal_title:Clinical radiology
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doi:10.1016/j.crad.2016.10.015
更新日期:2017-03-01 00:00:00
abstract::Fifteen patients with ruptured hepatocellular carcinomas and intraperitoneal bleeding were considered for hepatic arterial embolization. Embolization was attempted in nine patients (60%) with patent or partially patent portal veins. Successful occlusion of the feeding tumour vessels was achieved in eight patients (53%...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80129-1
更新日期:1993-09-01 00:00:00
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journal_title:Clinical radiology
pub_type:
doi:10.1016/s0009-9260(96)80221-2
更新日期:1996-01-01 00:00:00
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journal_title:Clinical radiology
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journal_title:Clinical radiology
pub_type: 杂志文章
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更新日期:2019-06-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80934-1
更新日期:1990-01-01 00:00:00