RESUMO
The authors examine the use of CT and MR comparatively in tumours of nose, paranasal sinuses and facial bones. Both CT and MR are much more useful to assess the real extent of the pathology than to give specific diagnose. The resolution of the images and the possibility of examining them on many different planes give evident advantage to MR as regards the evaluation of tumors in this region. Nevertheless, CT with bone algoritme gives better details about bone structure.
Assuntos
Neoplasias Faciais/diagnóstico , Imageamento por Ressonância Magnética , Neoplasias Nasais/diagnóstico , Neoplasias dos Seios Paranasais/diagnóstico , Tomografia Computadorizada por Raios X , Ossos Faciais , HumanosRESUMO
The application of CT and MR techniques for the evaluation of degenerative disease of lumbar disk is illustrated in this work. A critical review of the literature was done.
Assuntos
Disco Intervertebral , Vértebras Lombares , Imageamento por Ressonância Magnética , Doenças da Coluna Vertebral/diagnóstico , Tomografia Computadorizada por Raios X , Humanos , Deslocamento do Disco Intervertebral/diagnósticoRESUMO
We discuss in this paper the reliability of neuroimaging techniques in the diagnosis of neoplastic masses of the posterior-lateral skull base. We also discuss the role of TC and MRI in the evaluation of the extension pattern of these masses.
Assuntos
Neoplasias Cerebelares/diagnóstico , Ângulo Cerebelopontino/diagnóstico por imagem , Imageamento por Ressonância Magnética , Neoplasias Cranianas/diagnóstico , Osso Temporal/diagnóstico por imagem , Neoplasias Cerebelares/classificação , Neoplasias Cerebelares/patologia , Ângulo Cerebelopontino/patologia , Diagnóstico por Imagem/métodos , Feminino , Humanos , Masculino , Meningioma/diagnóstico , Meningioma/patologia , Invasividade Neoplásica , Neurilemoma/diagnóstico , Neurilemoma/patologia , Neuroma Acústico/diagnóstico , Neuroma Acústico/patologia , Paraganglioma/diagnóstico , Paraganglioma/patologia , Neoplasias Cranianas/patologia , Osso Temporal/patologia , Tomografia Computadorizada por Raios XRESUMO
Between January 1986 and January 1991, 175 patients with suspected T3 or T4 bronchogenic carcinoma underwent computed tomographic (CT) examination of the chest before thoracotomy. We considered two groups of patients: group 1 includes 98 patients with a paramediastinal mass on standard chest X-ray; invasion of hilar and mediastinal structures was preoperatively investigated with CT and then assessed at thoracotomy. The sensitivity, specificity and accuracy were 72%, 75% and 73%, respectively; positive and negative predictive values were 71% and 76%. In group 2 77 patients had a peripheral tumor suspected of invading the parietal pleura and the soft tissues of the chest wall (patients with evident rib or vertebral invasion were not included). Sensitivity, specificity and accuracy of CT were 52%, 86% and 71%, respectively; positive and negative predictive values were 74% and 70%. We conclude that CT with injection of contrast material is indispensable when direct lung cancer infiltration must be ruled out; its accuracy is however not sufficient to be relied upon in all patients.