Evaluation of anterior mediastinal solid tumors by CT perfusion: a preliminary study

PURPOSE:We aimed to assess the role of computed tomography (CT) perfusion in differentiation of thymoma from thymic hyperplasia, lymphoma, thymic carcinoma, and lung cancer invading anterior mediastinum.METHODS:In this study, 25 patients with an anterior mediastinal lesion underwent CT perfusion ima...

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Main Authors: Selim Bakan, Sedat Giray Kandemirli, Atilla Süleyman Dikici, Ezel Erşen, Onur Yıldırım, Cesur Samancı, Şebnem Batur, Deniz Çebi Olgun, Fatih Kantarcı, Canan Akman
Format: Article
Language:English
Published: Galenos Publishing House 2017-01-01
Series:Diagnostic and Interventional Radiology
Online Access: http://www.dirjournal.org/archives/archive-detail/article-preview/evaluation-of-anterior-mediastinal-solid-tumors-by/55354
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author Selim Bakan
Sedat Giray Kandemirli
Atilla Süleyman Dikici
Ezel Erşen
Onur Yıldırım
Cesur Samancı
Şebnem Batur
Deniz Çebi Olgun
Fatih Kantarcı
Canan Akman
author_facet Selim Bakan
Sedat Giray Kandemirli
Atilla Süleyman Dikici
Ezel Erşen
Onur Yıldırım
Cesur Samancı
Şebnem Batur
Deniz Çebi Olgun
Fatih Kantarcı
Canan Akman
author_sort Selim Bakan
collection DOAJ
description PURPOSE:We aimed to assess the role of computed tomography (CT) perfusion in differentiation of thymoma from thymic hyperplasia, lymphoma, thymic carcinoma, and lung cancer invading anterior mediastinum.METHODS:In this study, 25 patients with an anterior mediastinal lesion underwent CT perfusion imaging from January 2015 to February 2016. Diagnoses included thymoma (n=7), thymic hyperplasia (n=8), lymphoma (n=4), thymic carcinoma (n=3), and invasive lung cancer (n=3). Lymphoma, thymic carcinoma, and lung cancer were grouped as malignant tumors for statistical analysis. Values for blood flow, blood volume, and permeability surface were measured in CT perfusion.RESULTS:Blood flow and blood volume values were higher in thymoma in comparison to thymic hyperplasia; however, the difference was not statistically significant. Blood volume values were significantly higher in thymoma (mean, 11.4 mL/100 mL; range, 5.2–20.2 mL/100 mL) compared with lymphoma (mean, 5.3 mL/100 mL; range, 2.5–7.2 mL/100 mL) (P = 0.023). Blood flow and blood volume values were significantly higher in thymoma compared with non-thymoma malignant tumors (P = 0.025).CONCLUSION:CT perfusion is helpful in differentiating thymoma from non-thymoma malignancies including lymphoma, thymic carcinoma, and invasive lung cancer involving the anterior mediastinum.
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spelling doaj.art-8b4e5207cdde4b7a8e9393a181bbea5f2023-09-06T13:29:34ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122017-01-01231101410.5152/dir.2016.1609313049054Evaluation of anterior mediastinal solid tumors by CT perfusion: a preliminary studySelim Bakan0Sedat Giray Kandemirli1Atilla Süleyman Dikici2Ezel Erşen3Onur Yıldırım4Cesur Samancı5Şebnem Batur6Deniz Çebi Olgun7Fatih Kantarcı8Canan Akman9 Department of Radiology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey Department of Radiology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey Department of Radiology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey Department of Thoracic Surgery, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey Department of Radiology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey Department of Radiology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey Department of Pathology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey Department of Radiology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey Department of Radiology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey Department of Radiology, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey PURPOSE:We aimed to assess the role of computed tomography (CT) perfusion in differentiation of thymoma from thymic hyperplasia, lymphoma, thymic carcinoma, and lung cancer invading anterior mediastinum.METHODS:In this study, 25 patients with an anterior mediastinal lesion underwent CT perfusion imaging from January 2015 to February 2016. Diagnoses included thymoma (n=7), thymic hyperplasia (n=8), lymphoma (n=4), thymic carcinoma (n=3), and invasive lung cancer (n=3). Lymphoma, thymic carcinoma, and lung cancer were grouped as malignant tumors for statistical analysis. Values for blood flow, blood volume, and permeability surface were measured in CT perfusion.RESULTS:Blood flow and blood volume values were higher in thymoma in comparison to thymic hyperplasia; however, the difference was not statistically significant. Blood volume values were significantly higher in thymoma (mean, 11.4 mL/100 mL; range, 5.2–20.2 mL/100 mL) compared with lymphoma (mean, 5.3 mL/100 mL; range, 2.5–7.2 mL/100 mL) (P = 0.023). Blood flow and blood volume values were significantly higher in thymoma compared with non-thymoma malignant tumors (P = 0.025).CONCLUSION:CT perfusion is helpful in differentiating thymoma from non-thymoma malignancies including lymphoma, thymic carcinoma, and invasive lung cancer involving the anterior mediastinum. http://www.dirjournal.org/archives/archive-detail/article-preview/evaluation-of-anterior-mediastinal-solid-tumors-by/55354
spellingShingle Selim Bakan
Sedat Giray Kandemirli
Atilla Süleyman Dikici
Ezel Erşen
Onur Yıldırım
Cesur Samancı
Şebnem Batur
Deniz Çebi Olgun
Fatih Kantarcı
Canan Akman
Evaluation of anterior mediastinal solid tumors by CT perfusion: a preliminary study
Diagnostic and Interventional Radiology
title Evaluation of anterior mediastinal solid tumors by CT perfusion: a preliminary study
title_full Evaluation of anterior mediastinal solid tumors by CT perfusion: a preliminary study
title_fullStr Evaluation of anterior mediastinal solid tumors by CT perfusion: a preliminary study
title_full_unstemmed Evaluation of anterior mediastinal solid tumors by CT perfusion: a preliminary study
title_short Evaluation of anterior mediastinal solid tumors by CT perfusion: a preliminary study
title_sort evaluation of anterior mediastinal solid tumors by ct perfusion a preliminary study
url http://www.dirjournal.org/archives/archive-detail/article-preview/evaluation-of-anterior-mediastinal-solid-tumors-by/55354
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