Document Detail


Thin-rim enhancement in Gd-DTPA-enhanced magnetic resonance images of tuberculoma: a new finding of potential differential diagnostic importance.
MedLine Citation:
PMID:  1501268     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The article describes rim enhancement seen on Gd-DTPA-enhanced magnetic resonance (MR) images of two patients with tuberculoma. Pathologic examination of the surgical specimens disclosed that the peripheral portion of the tuberculoma, which showed contrast enhancement, was composed mainly of a fibrous capsule and epithelioid granulomas and that the central zone, which showed no contrast enhancement, was composed of caseous necrotic material. In a retrospective study of MR images from 20 consecutive cases of surgically proven bronchogenic carcinoma, none showed a thin enhancing rim on postcontrast MR images. Although confirmation of these findings must await further experience, the postcontrast MR findings described here may prove to be of value in distinguishing tuberculoma and possibly other granulomatous lesions from bronchogenic carcinoma.
Authors:
F Sakai; S Sone; A Maruyama; T Kawai; S Imai; J Aoki; M Morimoto; M Haniuda; H Ueda; T Honda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of thoracic imaging     Volume:  7     ISSN:  0883-5993     ISO Abbreviation:  J Thorac Imaging     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-09-17     Completed Date:  1992-09-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8606160     Medline TA:  J Thorac Imaging     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  64-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, School of Medicine, Shinshu University, Matsumoto, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Carcinoma, Bronchogenic / diagnosis*
Contrast Media
Diagnosis, Differential
Gadolinium DTPA
Humans
Image Enhancement / methods
Lung Neoplasms / diagnosis
Magnetic Resonance Imaging / methods*
Male
Organometallic Compounds / diagnostic use
Pentetic Acid / diagnostic use
Sensitivity and Specificity
Solitary Pulmonary Nodule / diagnosis*
Tuberculoma / diagnosis*
Tuberculosis, Pulmonary / diagnosis*
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Organometallic Compounds; 67-43-6/Pentetic Acid; 80529-93-7/Gadolinium DTPA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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