الفهرس | Only 14 pages are availabe for public view |
Abstract Multi-detector computed tomography (MDCT) has many advantages in diagnosis, such as higher temporal and spatial resolution, radiation dose reduction, and powerful post-processing capabilities. The aim of this study was to assess the role of multi-detector computed tomography in differentiation and diagnosis of different fatty renal and adrenal region lesions. Although there is no simple method for classifying these lesions, a reasonable approach is to classify the masses into benign and malignant masses. Adrenal adenoma and retroperitoneal liposarcoma were the most common of them. The current study included 34 patients referred to Radiology department, Theodor Bilharz Research Institute. Their age ranged from 20 years to 81 years old with average (56.35 years±13.61). Most of the patients were males 21cases while female were 13 cases. The patients were referred from oncology, general surgery, and urology departments of Theodor Bilharz Research Institute hospital as well as the outpatient clinics to perform MDCT in the period from November 2021 to June 2022. All studies were performed using CT scan machine Toshiba Alexion 16 slice. The study was done on 34 patients with 28 cases were proven to be benign and 6 cases were malignant. In our study 15 out of 34 cases were adrenal lesions while 12 were renal and the remaining 6 cases were retroperitoneal. The study was done for evaluation of the diagnostic accuracy and clinical value of CT in the detection of renal and adrenal region fatty lesions. MDCT examinations were done for 34 patients and concluded that MDCT should be used in the first place in the course of diagnostic procedures of patients with renal and adrenal region fatty lesions and this was justified by an overall diagnostic accuracy of 100% for benign lesions and 82% for malignant lesions, where MDCT could correctly diagnose (33/34) cases Summary and Conclusion 88 and only 1 case was misdiagnosed, confirming the ability of MDCT to show up the accurate diagnosis, the exact location, extent of tumor ,along with involvement of adjacent organs and vessels. It also has a high accuracy in differentiation of malignant from benign lesions and detection of lymph node involvement & metastasis. There by improving the prognosis. Finally MDCT could improve diagnosis, extensive staging and follow up of different renal and adrenal region fatty masses. |