Abstract:
PURPOSE:To evaluate the diagnostic accuracy of percutaneous image-guided cutting-needle biopsy of pleural thickening in the presence of a suspected malignant pleural effusion. MATERIALS AND METHODS:Thirty-three adult patients with diffuse or focal pleural thickening (median, 1.0 cm; range, 0.2-6.0 cm), pleural effusion, and suspected pleural malignancy underwent percutaneous image-guided cutting-needle biopsy. Biopsy guidance was performed with computed tomography in 24 patients and ultrasonography in nine patients. A final diagnosis of benign or malignant disease was established with radiologic and clinical follow-up findings and with other histologic or cytologic findings, when available. RESULTS:A correct histologic diagnosis of malignant disease was made in 21 of 24 patients (sensitivity, 88%; specificity, 100%), including 13 of 14 patients with mesothelioma (sensitivity, 93%). A correct histologic diagnosis of benign pleural disease was made in nine patients. Positive and negative predictive values for malignant disease were 100% and 75%, respectively. The overall accuracy was 91%. Complications comprised a chest wall hematoma in one patient. CONCLUSION:Image-guided percutaneous cutting-needle biopsy of pleural thickening in the presence of a pleural effusion is a safe procedure, with an overall accuracy of 91% in the diagnosis of malignancy.
journal_name
Radiologyjournal_title
Radiologyauthors
Adams RF,Gleeson FVdoi
10.1148/radiology.219.2.r01ma07510subject
Has Abstractpub_date
2001-05-01 00:00:00pages
510-4issue
2eissn
0033-8419issn
1527-1315journal_volume
219pub_type
杂志文章相关文献
RADIOLOGY文献大全abstract:PURPOSE:To determine the radiologic appearance of ganglioneuromas of the adrenal gland and extra-adrenal retroperitoneum. MATERIALS AND METHODS:A retrospective review was performed of imaging findings in nine patients with ganglioneuroma, two with ganglioneuroma-pheochromocytoma, and two with malignant peripheral nerv...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.202.3.9051020
更新日期:1997-03-01 00:00:00
abstract::Magnetic resonance (MR) images and computed tomograms of 25 patients with head trauma were compared. MR proved to be superior in many ways for demonstrating extracerebral as well as intracerebral traumatic lesions. Isodense subdural hematomas, which present a diagnostic dilemma on CT images were clearly seen on MR, re...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.150.1.6689790
更新日期:1984-01-01 00:00:00
abstract:PURPOSE:To evaluate clinical response to treatment of calcified tendinitis of the shoulder by using a modified percutaneous ultrasonography (US)-guided fine-needle technique. MATERIALS AND METHODS:Thirty shoulders of 30 consecutive patients (23 women, seven men; mean age, 47.4 years) with chronic shoulder pain (averag...
journal_title:Radiology
pub_type: 临床试验,杂志文章
doi:10.1148/radiol.2212000830
更新日期:2001-11-01 00:00:00
abstract::Human white matter fiber crossings were investigated with use of the full eigenstructure of the magnetic resonance diffusion tensor. Intravoxel fiber dispersions were characterized by the plane spanned by the major and medium eigenvectors and depicted with three-dimensional graphics. This method improves the analysis ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.217.3.r00nv43897
更新日期:2000-12-01 00:00:00
abstract:PURPOSE:To determine the accuracy of contrast material-enhanced computed tomographic (CT) colonography for postoperative surveillance in colorectal cancer patients without clinical or laboratory evidence of disease recurrence. MATERIALS AND METHODS:The Institutional Review Board approved this HIPAA-compliant study and...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.10100385
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:To use coronary computed tomographic (CT) angiography to compare the prevalence, extent, and composition of coronary atherosclerotic lesions in African American and white patients with acute chest pain. MATERIALS AND METHODS:The institutional review board waived the requirement for informed consent for this re...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.11110158
更新日期:2011-08-01 00:00:00
abstract::Purpose To determine the association between the administration of the macrocyclic contrast medium gadobutrol and T1 relaxation time in the brains of patients with normal renal function by using multidynamic multiecho (MDME) magnetic resonance (MR) imaging sequences. Materials and Methods The institutional review boar...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2017162852
更新日期:2018-04-01 00:00:00
abstract::Management of advanced or recurrent primary tracheal neoplasms has been restricted to palliative external beam irradiation. A patient with recurrent adenoid cystic carcinoma of the trachea was recently treated again by combined external irradiation and endotracheal brachytherapy with iridium 192 sources; the results w...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/128.1.209
更新日期:1978-07-01 00:00:00
abstract::In 11 volunteers, magnetic resonance (MR) imaging of the cervical spine was performed with a magnetization transfer preparatory pulse (prepulsed), three-dimensional Fourier transform, turbo field echo sequence. The effects of flip angle, number of shots, phase-encoding profile order, and magnetization transfer prepuls...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.207.3.9609910
更新日期:1998-06-01 00:00:00
abstract::A survey of the members of the Society for Pediatric Radiology indicates that currently the majority of pediatric radiologists do not perform or interpret examinations using radionuclides, ultrasound, or computed tomography (CT). A decisive factor determining involvement with these techniques is the type of institutio...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.138.1.7455090
更新日期:1981-01-01 00:00:00
abstract::Tumors of the skull base frequently have some blood supply from cavernous branches of the internal carotid artery (ICA). Preoperative embolization of such pedicles can expedite the subsequently performed surgery. Sometimes, however, the tumor vessels are multiple and very small so selective catheterizations are not po...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.181.3.1947090
更新日期:1991-12-01 00:00:00
abstract::An asymptomatic hemorrhagic renal cyst was benign at angiography, nephrotomography, cystography, and cytologic examination. Malignancy was found at surgery. Malignancy cannot be excluded in a hemorrhagic cyst which is benign by all other criteria. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/123.3.599
更新日期:1977-06-01 00:00:00
abstract::Ten patients with presacral tumors proved by histologic and computed-tomographic investigations underwent ultrasound scanning. The sound beam was directed through the ischial foramen along longitudinal, transverse, and oblique planes. Nine of 10 tumors localized in the sacral fossa were identified sonographically. In ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.147.2.6836140
更新日期:1983-05-01 00:00:00
abstract:PURPOSE:To determine the usefulness of endorectal ultrasonography (US) in staging rectal cancer discovered at polypectomy. MATERIALS AND METHODS:Before surgical resection, endorectal US was performed in 18 consecutive patients with adenocarcinoma discovered in polypectomy specimens. A rotating 7-10-MHz endoprobe with ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.211.1.r99ap1231
更新日期:1999-04-01 00:00:00
abstract::In spite of long-term adjunctive oral dissolution therapy, residual gallstones have been reported in up to 50% of gallstone patients 3 months after extracorporeal shock-wave lithotripsy. Six women and five men, aged 31-75 years, underwent percutaneous endoscopic cholecystolithotripsy between April 1988 and October 198...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.173.2.2678260
更新日期:1989-11-01 00:00:00
abstract:PURPOSE:To quantify inter- and intrascanner conformity in computed tomographic (CT) densitometry of the lungs. MATERIALS AND METHODS:With six scanners from four manufacturers, a lung densitometry protocol with several variations was applied for performance comparison. Phantoms included water, air, and a humanoid thora...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.197.3.7480750
更新日期:1995-12-01 00:00:00
abstract::Arthrography is considered extremely safe since reactions to intraarticular contrast media are rare. We have only seen one severe complication in the performance of more than 2,000 arthrographic procedures. To determine the incidence of complications, a questionnaire was sent to 84 radiologists experienced in arthrogr...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.155.3.4001360
更新日期:1985-06-01 00:00:00
abstract::Haglund syndrome is a common cause of posterior heel pain, characterized clinically by a painful soft-tissue swelling at the level of the achilles tendon insertion. On the lateral heel radiograph the syndrome is characterized by a prominent calcaneal bursal projection, retrocalcaneal bursitis, thickening of the Achill...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.144.1.7089270
更新日期:1982-07-01 00:00:00
abstract::The authors reviewed the accuracy of stereotaxic fine-needle aspiration cytology in prediction of the presence of cancer. Seventy-four nonpalpable breast cancers and 144 benign lesions were studied. The rate of obtaining an inadequate sample was 8.1% for cancers and 20.8% for benign lesions. None of the cytology repor...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.173.1.2675190
更新日期:1989-10-01 00:00:00
abstract::In order to match the focal zone of the transducer with the depth of the organ, skin to pancreas distances were measured in 58 patients undergoing ultrasound studies. The measurements showed that a dynamically focused transducer would be most useful. In other cases the results of such measuring would help determine th...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.134.2.7352250
更新日期:1980-02-01 00:00:00
abstract::Results of transrectal ultrasound (TRUS) of the prostate and pathologic examination of specimens obtained at transurethral resection of the prostate (TURP) were compared in 29 patients with clinical stage A adenocarcinoma. Ten specimens contained no residual tumors larger than 5 mm in diameter; in the remaining 19 gla...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.179.1.2006300
更新日期:1991-04-01 00:00:00
abstract::The effect of fasting on gallbladder opacification during oral cholecystography was studied in 10 normal volunteers using 2 oral cholecystographic agents, iopanoic acid and sodium tryopanoate. Radiographs made 15 hours after ingestion of the contrast agents revealed good opacification of the gallbladder in all subject...
journal_title:Radiology
pub_type: 临床试验,杂志文章
doi:10.1148/126.2.395
更新日期:1978-02-01 00:00:00
abstract:PURPOSE:To compare the occurrence of several central sulcus variants and to assess the reproducibility of a sulcal pattern named the power button sign (PBS) in patients with type 2 focal cortical dysplasia (FCD2) and healthy control subjects. MATERIALS AND METHODS:The local institutional review board approved the stud...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.14140773
更新日期:2015-02-01 00:00:00
abstract::Isolated skin calcifications can be mistaken for intramammary clustered microcalcifications. Confirmation of the dermal location of benign skin deposits will avoid unnecessary biopsy procedures. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.149.2.6622710
更新日期:1983-11-01 00:00:00
abstract::It is usually easy to distinguish the round nipple shadow from a lesion, especially by means of repeat radiographs with nipple markers. However, the radiologist must occasionally interpret a round density in the lower chest on the basis of a single radiograph or series of radiographs. Fortunately, a nipple shadow usua...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/121.2.293
更新日期:1976-11-01 00:00:00
abstract::In order to assess its potential uses in the staging and treatment planning of lymphoma, CT was performed in 27 newly diagnosed, previously untreated patients with Hodgkin's disease or non-Hodgkin's lymphoma; 18 staging laparotomies provided pathologic correlations. CT detected and defined disease in areas not well ev...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/126.1.159
更新日期:1978-01-01 00:00:00
abstract::T1-weighted magnetic resonance (MR) images of the pituitary gland and sella turcica routinely demonstrate a region of high signal intensity in the neurohypophysis. High-resolution MR imaging studies of the sella turcica in 200 subjects with a normal or abnormal sella were analyzed. The hyperintensity was found in the ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.165.2.3659370
更新日期:1987-11-01 00:00:00
abstract::The goals of reconstructive surgery for scaphoid fracture nonunions include restoration of normal scaphoid length and shape by use of the contralateral scaphoid bone as a geometric model. A literature search revealed limited documentation of normal biometric measurements and no validation of scaphoid anatomic symmetry...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.187.1.8451410
更新日期:1993-04-01 00:00:00
abstract:PURPOSE:To evaluate the magnetic resonance (MR) imaging appearance of the testes in women with complete androgen insensitivity syndrome (CAIS), including any benign or malignant changes. MATERIALS AND METHODS:This was a retrospective review of the testicular MR images and histologic reports from 25 patients with CAIS ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.13121068
更新日期:2013-07-01 00:00:00
abstract::In a 27-year-old man with claudication, computed tomography (CT) demonstrated a popliteal cyst and an adventitial cyst of the popliteal artery. Adventitial cystic disease was unexpected because the patient had a diminished pedal pulse on plantar flexion of the foot, a physical finding suggesting popliteal artery entra...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.163.1.3823430
更新日期:1987-04-01 00:00:00