MAGNETIC RESONANCE IMAGING DIAGNOSIS OF LUNG LESIONS IN LYMPHOMA
Journal: Journal of the Grodno State Medical University (Vol.18, No. 3)Publication Date: 2020-10-02
Authors : S. A. Kharuzhyk;
Page : 292-303
Keywords : Hodgkin lymphoma; non-Hodgkin lymphoma; lungs; magnetic resonance imaging; positron emission tomography computed tomography;
Abstract
Aim: to study the MRI semiotics of lung involvement and compare the diagnostic efficacy of MRI, CT and PET/CT in lymphomas. Material and methods: the study included 314 patients with morphologically verified lymphoma, who before the start of treatment underwent MRI of the whole body and CT of the thorax and/or PET/CT of the whole body. Results. The frequency of lung involvement was 14%. The lesions were in the form of nodules/masses in 76% of cases, consolidation in 29% and interstitial changes in 9%. The sensitivity, specificity, and accuracy of MRI were 85%, 96%, and 94%, respectively, and the diagnostic efficiency was high (AUC 0.901). There were no significant differences in the sensitivity and efficiency of MRI and CT, MRI and PET/CT. Conclusion. MRI of the thorax is an effective method for diagnosing lung involvement in lymphoma and is recommended for practical use, especially in patients with variable fluorodeoxyglucose-avid lymphomas, young patients and pregnant women.
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