COMPARISON OF MAGNETIC RESONANCE IMAGING AND MUTIDETECTOR COMPUTER TOMOGRAPHY FOR THE DIAGNOSIS OF MEDIASTINAL TUMORS

Authors

  • SURESH KUMAR M Department of Radio Diagnosis, Narayana Medical College, Nellore, Andhra Pradesh, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i7.48623

Keywords:

Computed tomography, Mediastinal tumors, Magnetic resonance imaging

Abstract

Objective: The aim of this study is to identify the diagnostic accuracy of mediastinal masses using multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI).

Method: A total of 30 cases were referred to the Department of Radiodiagnosis for clinically suspected mediastinal masses for 2 years were included and MDCT and MRI were done.

Results: Lymphoma in 37.5% of cases, lymphoma and thymic masses in 31.25% of cases, Ca. esophagus and Schwannoma were the common mediastinal masses in the anterior, superior, middle, and posterior mediastinal compartments, respectively. MDCT sensitivity was 100% and MDCT specificity was 75%. MRI sensitivity was 100%, and MRI specificity was 80%. It was concluded that MDCT is a highly useful modality for the investigation of the mediastinal masses. It has the major role to play in the evaluation of a mediastinal mass regarding the organ of origin, its density, mass effect on adjacent structures, distribution pattern, and extent of the lesion diagnosis. MRI accurately well-characterized mediastinal mases such as thymoma, lymphoma, neurogenic tumor, Schwannoma, and ganglioneuroma.

Conclusion: MRI was useful in the characterization of the normal thymus and differentiation of hyperplastic thymus and thymictumors

Downloads

Download data is not yet available.

References

Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L. A diagnostic approach to the mediastinal masses. Insights Imaging 2013;4:29-52. doi: 10.1007/s13244-012-0201-0, PMID 23225215

Takeda SI, Miyoshi S, Minami M, Ohta M, Masaoka A, Matsuda H. Clinical spectrum of mediastinal cysts. Chest 2003;124:125-32. doi: 10.1378/chest.124.1.125, PMID 12853514

Manchanda V, Mohta A, Khurana N, Das S. Subcutaneous bronchogenic cyst. J Cutan Aesthet Surg 2010;3:181-3. doi: 10.4103/0974- 2077.74498, PMID 21430834

Brillantino C, Rossi E, Minelli R, Bifano D, Baldari D, Pizzicato P, et al. Mediastinalthymoma: A difficult diagnosis in the pediatric age. Rad Case Rep 2021;16:2579-85. doi: 10.1016/j.radcr.2021.06.035, PMID 34285726

Sarper A, Ayten A, Golbasi I, Demircan A, Isin E. Bronchogenic cyst. Tex Heart Inst J 2003;30:105-8. PMID 12809250

Li WW, van Boven WJ, Annema JT, Eberl S, Klomp HM, de Mol BA. Management of large mediastinal masses: Surgical and anesthesiological considerations. J Thorac Dis 2016;8:E175-84. doi: 10.21037/jtd.2016.02.55, PMID 27076967

Pons F, Lang-Lazdunski L, Bonnet PM, Meyrat L, Jancovici R. Videothoracoscopic resection of neurogenic tumors of the superior sulcus using the harmonic scalpel. Ann Thorac Surg 2003;75:602-4. doi: 10.1016/s0003-4975(02)04160-7, PMID 12607692

Dutta P, Patel KK, Choudhury PR. Mediastinal masses: A radiologica l study of 50 cases. Int J Biomed Res 2014;5:468-73.

Rai H, Debnath M, Verma AP. Role of multidetector computed tomography scan in the assessment of mediastinal masses. Asian J Pharm Clin Res 2020;13:159-61.

Felson B, editor. The mediastinum. Chest Roentgenology. Ch. 11. Philadelphia, PA: WB Saunders; 2002. p. 389-420.

El Bargisy MA, Dawoud MA, Taha AM, Hassanien OA. Role of multidetecter CT in diagnosis of mediastinal masses. Egypt J Hosp Med 2019;75:2763-8. doi: 10.21608/ejhm.2019.32973

Cohen AJ, Thompson LN, Edwards FH, Bellamy RF. Primary cysts and tumors of the mediastinum. Ann Thorac Surg 1991;51:378-84; discussion 385. doi: 10.1016/0003-4975(91)90848-k, PMID 1998414

Naidich DP, Webb WR, Muller NL, Zerhouni EA, Seigelmann SS, Krinsky GA, editors. Mediastinum. Computed Tomography and Magnetic Resonance of the Thorax. 3rd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 1999. p. 38-160.

Azizad S, Sannananja B, Restrepo CS. Solid tumors of the mediastinum in adults. Semin Ultrasound CT MR 2016;37:196-211. doi: 10.1053/j. sult.2016.03.002, PMID 27261345

Chen J, Weisbrod GL, Herman SJ. Computed tomography and pathologic correlations of thymiclesion. J Thorac Imaging 1988;3:61-5.

Wychulis AR, Payne WS, Clagett OT, Woolner LB. Surgical treatment of mediastinal tumors: A 40 year experience. J Thorac Cardiovasc Surg 1971;62:379-92. PMID 4331304

Davis RD Jr., Oldham HN Jr., Sabiston DC Jr. Primary cysts and neoplasms of the mediastinum: Recent changes in clinical presentations, methods of diagnosis, management and results. Ann Thorac Surg 1987;44:229-37.

Prasad A, Chauhan BK. Computerized tomographic evaluation of mediastinal lesions-a Pictorial assay. Ind J Radiol Imag 2001;11:65-70.

Patil SS, Tathode RS. Evaluation of mediastinal masses using computed tomography. Int J Radiol Diagn Imaging 2019;2:36-9. doi: 10.33545/26644436.2019.v2.i2a.38

Published

07-07-2023

How to Cite

M, S. K. “COMPARISON OF MAGNETIC RESONANCE IMAGING AND MUTIDETECTOR COMPUTER TOMOGRAPHY FOR THE DIAGNOSIS OF MEDIASTINAL TUMORS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 16, no. 7, July 2023, pp. 121-4, doi:10.22159/ajpcr.2023.v16i7.48623.

Issue

Section

Original Article(s)