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العنوان
Whole body magnetic resonance imaging Compared to positron emission Tomography/computed tomography in the Assessment of pediatric neuroblastoma/
المؤلف
Soliman, Heba Mahmoud Mostafa.
هيئة الاعداد
مشرف / خالد ابراهيم النويعم
مشرف / أشرف نجيب محمد عتابي
مشرف / شادي حسن فاضل
مشرف / أحمد محمد سعيد حلمي أبو جبل
الموضوع
Radiodiagnosis Intervention.
تاريخ النشر
2023.
عدد الصفحات
58 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
19/10/2023
مكان الإجازة
جامعة الاسكندريه - كلية الطب - Department of Radiodiagnosis and Intervention
الفهرس
Only 14 pages are availabe for public view

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Abstract

The aim of this study was to evaluate the diagnostic accuracy of whole-body MRI (WBMRI) in the staging of neuroblastoma and comparing it to FDG PET/CT.
A prospective study of 20 consecutive histopathologically proven neuroblastoma patients enrolled in this study from January 2021 to August 2022. Whole-body MRI and FDG-PET/CT were performed for all cases. Bone marrow biopsy served as a standard of reference in the evaluation of bone marrow. Sensitivity, specificity, NPV, PPV, and accuracy were calculated for WBMRI and PET/CT in the evaluation of bone marrow. Additionally, lesion-by-lesion analysis was performed and the number of bone marrow metastatic lesions in different body segments in both imaging modalities was recorded and compared.
WBMRI correctly identified true positives and true negatives in all cases with a sensitivity and specificity of 100%. In contrast, FDG PET/CT showed two false negative cases that resulted in sensitivity, specificity, PPV, NPV, and accuracy of 86.7%, 100%, 100%, 71.4%, and 92% respectively. In the lesion-by-lesion analysis, WBMRI detected significantly more (24.3%) bone marrow metastatic lesions than FDG-PET/CT.