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荻原 幸宏 - 長崎大学 博士(医学) - 塵肺患者における進行性塊状線維化巣:肺癌との鑑別におけるMRIの有用性

  1. 長崎大学 (6493)
  2. 博士(医学) (5120)
  3. 荻原 幸宏

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書誌事項

タイトル

Progressive massive fibrosis in patients with pneumoconiosis: utility of MRI in differentiating from lung cancer

タイトル別名

塵肺患者における進行性塊状線維化巣:肺癌との鑑別におけるMRIの有用性

著者名

荻原 幸宏

学位授与大学

長崎大学

取得学位

博士(医学)

学位授与番号

甲医歯薬第977号

学位授与年月日

2017-06-07

注記・抄録

Background: It is occasionally difficult to distinguish progressive massive fibrosis (PMF) from lung cancer on computed tomography (CT) in patients with pneumoconiosis. Purpose: To evaluate the magnetic resonance imaging (MRI) features of PMF and to assess its ability to differentiate PMF from lung cancer. Material and Methods: Between 2000 and 2014, 40 pulmonary lesions suspected to be lung cancer on the basis of CT in 28 patients with known pneumoconiosis were evaluated. Twenty-four of the 40 lesions were pathologically or clinically diagnosed as PMF. The signal pattern on T2-weighted (T2W) images, post-contrast enhancement pattern on T1-weighted (T1W) images, and the pattern of the time intensity curve (TIC) on contrast-enhanced dynamic studies were evaluated. All images were analyzed independently by two chest radiologists. Results: All 24 PMF lesions showed low signal intensity (SI) on T2W images (sensitivity, 100%), while 15 of 16 lung cancer lesions showed intermediate or high SI on T2W images (specificity, 94%) when PMF was regarded as a positive result. Six of 17 PMF lesions showed a homogeneous enhancement pattern (sensitivity, 35%), and 4/9 lung cancer lesions showed an inhomogeneous or a ring-like enhancement pattern (specificity, 44%). Six of 16 PMF lesions showed a gradually increasing enhancement pattern (sensitivity, 38%), and 7/9 lung cancer lesions showed rapid enhancement pattern (specificity, 78%). Conclusion: When differentiation between PMF and lung cancer in patients with pneumoconiosis is difficult on CT, an additional MRI study, particularly the T2W imaging sequence, may help differentiate between the two.

元資料の権利情報 : © 2017 SAGE Publications

元資料の権利情報 : The final, definitive version of this paper has been published in Acta Radiologica, article in press, by SAGE Publications Ltd, All rights reserved.

Background: It is occasionally difficult to distinguish progressive massive fibrosis (PMF) from lung cancer on computed tomography (CT) in patients with pneumoconiosis. Purpose: To evaluate the magnetic resonance imaging (MRI) features of PMF and to assess its ability to differentiate PMF from lung cancer. Material and Methods: Between 2000 and 2014, 40 pulmonary lesions suspected to be lung cancer on the basis of CT in 28 patients with known pneumoconiosis were evaluated. Twenty-four of the 40 lesions were pathologically or clinically diagnosed as PMF. The signal pattern on T2-weighted (T2W) images, post-contrast enhancement pattern on T1-weighted (T1W) images, and the pattern of the time intensity curve (TIC) on contrast-enhanced dynamic studies were evaluated. All images were analyzed independently by two chest radiologists. Results: All 24 PMF lesions showed low signal intensity (SI) on T2W images (sensitivity, 100%), while 15 of 16 lung cancer lesions showed intermediate or high SI on T2W images (specificity, 94%) when PMF was regarded as a positive result. Six of 17 PMF lesions showed a homogeneous enhancement pattern (sensitivity, 35%), and 4/9 lung cancer lesions showed an inhomogeneous or a ring-like enhancement pattern (specificity, 44%). Six of 16 PMF lesions showed a gradually increasing enhancement pattern (sensitivity, 38%), and 7/9 lung cancer lesions showed rapid enhancement pattern (specificity, 78%). Conclusion: When differentiation between PMF and lung cancer in patients with pneumoconiosis is difficult on CT, an additional MRI study, particularly the T2W

imaging sequence, may help differentiate between the two.

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荻原 幸宏 - 長崎大学 博士(医学) - 塵肺患者における進行性塊状線維化巣:肺癌との鑑別におけるMRIの有用性 - 博士論文 - プレビュー画像

各種コード

NII論文ID(NAID)
500001033701
NII著者ID(NRID)
  • 8000001139376
DOI(出版社)
10.1177/0284185117700929
DOI
本文言語コード
  • eng
大学ID

0073

CAT機関ID

KI000877

データ提供元
  • 機関リポジトリ
  • NDLデジタルコレクション

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長崎大学 博士(医学) - 博士論文

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