Diagnostic value of multidetector computed tomography in differentiation of benign and malignant omental lesions
Objective: To assess the diagnostic value of multidetector computed tomography (MDCT) in differentiation of benign and malignant omental lesions. Patients and methods: MDCT scan was performed for 37 patients with omental lesions after administration of oral and intravenous contrast. The CT diagnosis...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2015-06-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X15000479 |
| _version_ | 1828814037682487296 |
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| author | Alsiagy A. Salama Aly Aly Elbarbary Mohamed Hamdy Aboryia |
| author_facet | Alsiagy A. Salama Aly Aly Elbarbary Mohamed Hamdy Aboryia |
| author_sort | Alsiagy A. Salama |
| collection | DOAJ |
| description | Objective: To assess the diagnostic value of multidetector computed tomography (MDCT) in differentiation of benign and malignant omental lesions.
Patients and methods: MDCT scan was performed for 37 patients with omental lesions after administration of oral and intravenous contrast. The CT diagnosis was compared with the final histopathological findings. Sensitivity, specificity, and diagnostic accuracy of MDCT were calculated using surgical and histopathological findings as the gold standard.
Results: MDCT findings of all cases with omental torsion, cystic lymphangioma, and loculated fluid in the greater omentum correlated with the surgical and histopathological findings with 100% diagnostic accuracy. However, the diagnosis was missed in two patients from seven (2/7) with tuberculous peritonitis and in two patients from 21 (2/21) with peritoneal carcinomatosis with sensitivity, specificity and diagnostic accuracy of 73%, 92%, 85% and 90%, 95%, 93%, respectively.
Conclusion: MDCT is an excellent diagnostic tool for evaluating omental lesions, especially those present with nonspecific clinical manifestations. |
| first_indexed | 2024-12-12T10:14:54Z |
| format | Article |
| id | doaj.art-a7afe34ea82b43629ab990e03b03bb73 |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-12T10:14:54Z |
| publishDate | 2015-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-a7afe34ea82b43629ab990e03b03bb732022-12-22T00:27:42ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2015-06-0146230531410.1016/j.ejrnm.2015.02.003Diagnostic value of multidetector computed tomography in differentiation of benign and malignant omental lesionsAlsiagy A. Salama0Aly Aly Elbarbary1Mohamed Hamdy Aboryia2Radiodiagnosis & Imaging Department, Faculty of Medicine, Tanta University, EgyptRadiodiagnosis & Imaging Department, Faculty of Medicine, Tanta University, EgyptUnit of Gastrointestinal Surgery, General Surgery Department, Faculty of Medicine, Tanta University, EgyptObjective: To assess the diagnostic value of multidetector computed tomography (MDCT) in differentiation of benign and malignant omental lesions. Patients and methods: MDCT scan was performed for 37 patients with omental lesions after administration of oral and intravenous contrast. The CT diagnosis was compared with the final histopathological findings. Sensitivity, specificity, and diagnostic accuracy of MDCT were calculated using surgical and histopathological findings as the gold standard. Results: MDCT findings of all cases with omental torsion, cystic lymphangioma, and loculated fluid in the greater omentum correlated with the surgical and histopathological findings with 100% diagnostic accuracy. However, the diagnosis was missed in two patients from seven (2/7) with tuberculous peritonitis and in two patients from 21 (2/21) with peritoneal carcinomatosis with sensitivity, specificity and diagnostic accuracy of 73%, 92%, 85% and 90%, 95%, 93%, respectively. Conclusion: MDCT is an excellent diagnostic tool for evaluating omental lesions, especially those present with nonspecific clinical manifestations.http://www.sciencedirect.com/science/article/pii/S0378603X15000479MDCTOmental lesionsPeritoneal carcinomatosisTuberculous peritonitis |
| spellingShingle | Alsiagy A. Salama Aly Aly Elbarbary Mohamed Hamdy Aboryia Diagnostic value of multidetector computed tomography in differentiation of benign and malignant omental lesions The Egyptian Journal of Radiology and Nuclear Medicine MDCT Omental lesions Peritoneal carcinomatosis Tuberculous peritonitis |
| title | Diagnostic value of multidetector computed tomography in differentiation of benign and malignant omental lesions |
| title_full | Diagnostic value of multidetector computed tomography in differentiation of benign and malignant omental lesions |
| title_fullStr | Diagnostic value of multidetector computed tomography in differentiation of benign and malignant omental lesions |
| title_full_unstemmed | Diagnostic value of multidetector computed tomography in differentiation of benign and malignant omental lesions |
| title_short | Diagnostic value of multidetector computed tomography in differentiation of benign and malignant omental lesions |
| title_sort | diagnostic value of multidetector computed tomography in differentiation of benign and malignant omental lesions |
| topic | MDCT Omental lesions Peritoneal carcinomatosis Tuberculous peritonitis |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X15000479 |
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