Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses

OĞUL, Hayri; ÖZGÖKÇE, MESUT; Aydin, Yener; Akgün, Metin; ALPER, Fatih

Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses

Mesut ÖZGÖKÇE, (Atatürk Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Erzurum, Türkiye)

Fatih ALPER, (Atatürk Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Erzurum, Türkiye)

Yener AYDIN, (Atatürk Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Erzurum, Türkiye)

Hayri OĞUL, (Atatürk Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Erzurum, Türkiye)

Metin AKGÜN (Atatürk Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Erzurum, Türkiye)

Türk Göğüs Kalp Damar Cerrahisi Dergisi

3 0

Yıl: 2015 Cilt: 23 Sayı: 2 Sayfa Aralığı: 309 - 315 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses

Öz:

Amaç: Bu çalışmada bilgisayarlı tomografi ve konvansiyonelmanyetik rezonans görüntülemede (MRG) tespit edilenlezyonların hareket ve komşulukları sine MRG ile değerlendirildi.Çalışmaplanı: Bu prospektif çalışmaya mediastende solidveya kistik kitlesel lezyonu olan ve invazyondan şüphelenilen32 hasta (15 erkek, 17 kadın; ort. yaş 51 yıl; dağılım 24-86 yıl)dahil edildi. Hastalara öncelikle arka-ön göğüs radyografisive göğüs bilgisayarlı tomografi taraması uygulandı. Ardından,lezyonların statik morfolojik özellikleri konvansiyonel MRG(T1 , T2 , kısa T1 inversiyon iyileşme) ile araştırıldı. Lezyonlarındinamik özellikleri üç planda sine MRG ile gösterildi. Lezyonlarşekil, boyut, hareket ve komşu dokularla ilişkileri açısındandeğerlendirildi.Bul gu lar: Otuz iki hastanın 17si ameliyat edildi; bunlardan13 hastada benign kistler (dört mediastinal guatr, iki teratom,iki perikardiyal kist, bir bronkojenik kist, bir kist hidatik, birnöroenterik kist, bir schwannoma ve bir aort anevrizması)ve dört hastada malign kistler (iki özofagus kanseri, birakciğer kanseri ve bir sinoviyal sarkom) vardı. Ameliyatöncesi sine MRG bu hastaların 16sında invazyon olmadığını,birinde invazyon olduğunu gösterdi. Bulgularımız ameliyatsonuçları ile uyumlu idi. Histopatolojik tanı konulan 15 hastanınyedisinde invazyon olduğu düşünüldü. Bu 15 hastanın 13ündemalign kistler (yedi akciğer kanseri, üç lenfoma, bir özofaguskanseri, bir mezotelyoma ve bir timoma) var idi ve bu hastalarklinikoradyolojik olarak ameliyat edilemez kabul edildi. Osseözenflamatuvar patoloji ve tüberküloz lenfadenit tespit edileniki hastada tedavi başlandı. Mediastinal yapılara invazyonugöstermede sine MRG konvansiyonel MRGden istatistikselolarak anlamlı şekilde üstün idi (p<0.001).Sonuç: Mediastinal lezyonların tanısında ve komşu dokularlailişkilerinin değerlendirilmesinde sine MRG anlamlı yardımsağlayabilir.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi

Mediastinal kitlelerde invazyon derecesinin değerlendirilmesindesine manyetik rezonans görüntüleme kullanımı

Öz:

Background: This study aims to evaluate motion and contiguityof lesions detected in computed tomography and conventionalmagnetic resonance imaging (MRI) with cine MRI.Methods: This prospective study included 32 patients (15males, 17 females; mean age 51 years; range 24 to 86 years)with solid or cystic mediastinal mass lesion and suspectedof invasion. Firstly, patients were performed posteroanteriorchest radiography and chest computed tomography scan. Then,lesions static morphological characteristics were investigatedwith conventional MRI (T1 , T2 , short T1 inversion recovery).Dynamic characteristics of lesions were shown with cine MRIin three planes. Lesions were evaluated in terms of shape, size,motion, and relationships with adjacent tissues.Results: Of 32 patients, 17 were operated with 13 patientshaving benign cysts (four mediastinal goiters, two teratomas,two pericardial cysts, one bronchogenic cyst, one hydatid cyst,one neurenteric cyst, one schwannoma, and one aorta aneurysm),and four patients having malignant cysts (two esophagus cancer,one lung cancer, and one synovial sarcoma). Preoperativecine MRI showed no invasion in 16 of these patients, and presenceof invasion in one patient. Our findings were consistent with theoperation results. It was thought that seven of the 15 patientswho were diagnosed histopathologically had invasion. Of these15 patients, 13 had malignant cysts (seven lung cancer, threelymphomas, one esophagus cancer, one mesothelioma, and onethymoma) and were accepted clinicoradiologically inoperable.Treatment was started in two patients who were detected to haveosseous inflammatory pathology and tuberculosis lymphadenitis.Cine MRI was statistically significantly superior than conventionalMRI in showing invasion to mediastinal structures (p<0.001).Conclusion: Cine MRI may provide significant assistancein diagnosis of mediastinal lesions and evaluation of theirrelationships with adjacent tissues.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ÖZGÖKÇE M, ALPER F, Aydin Y, OĞUL H, Akgün M (2015). Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. , 309 - 315.
Chicago	ÖZGÖKÇE MESUT,ALPER Fatih,Aydin Yener,OĞUL Hayri,Akgün Metin Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. (2015): 309 - 315.
MLA	ÖZGÖKÇE MESUT,ALPER Fatih,Aydin Yener,OĞUL Hayri,Akgün Metin Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. , 2015, ss.309 - 315.
AMA	ÖZGÖKÇE M,ALPER F,Aydin Y,OĞUL H,Akgün M Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. . 2015; 309 - 315.
Vancouver	ÖZGÖKÇE M,ALPER F,Aydin Y,OĞUL H,Akgün M Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. . 2015; 309 - 315.
IEEE	ÖZGÖKÇE M,ALPER F,Aydin Y,OĞUL H,Akgün M "Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses." , ss.309 - 315, 2015.
ISNAD	ÖZGÖKÇE, MESUT vd. "Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses". (2015), 309-315.

APA	ÖZGÖKÇE M, ALPER F, Aydin Y, OĞUL H, Akgün M (2015). Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 23(2), 309 - 315.
Chicago	ÖZGÖKÇE MESUT,ALPER Fatih,Aydin Yener,OĞUL Hayri,Akgün Metin Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. Türk Göğüs Kalp Damar Cerrahisi Dergisi 23, no.2 (2015): 309 - 315.
MLA	ÖZGÖKÇE MESUT,ALPER Fatih,Aydin Yener,OĞUL Hayri,Akgün Metin Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.23, no.2, 2015, ss.309 - 315.
AMA	ÖZGÖKÇE M,ALPER F,Aydin Y,OĞUL H,Akgün M Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2015; 23(2): 309 - 315.
Vancouver	ÖZGÖKÇE M,ALPER F,Aydin Y,OĞUL H,Akgün M Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2015; 23(2): 309 - 315.
IEEE	ÖZGÖKÇE M,ALPER F,Aydin Y,OĞUL H,Akgün M "Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 23, ss.309 - 315, 2015.
ISNAD	ÖZGÖKÇE, MESUT vd. "Using cine magnetic resonance imaging to evaluate the degree of invasion in mediastinal masses". Türk Göğüs Kalp Damar Cerrahisi Dergisi 23/2 (2015), 309-315.