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العنوان
Diagnostic role of diffusion tensor imaging in differentiation of salivary glands lesions /
المؤلف
El-Menshawy, Sally Salah El-Bahy.
هيئة الاعداد
مشرف / سالي صلاح البهي المنشاوي
مناقش / غاده محمد جاب الله
مشرف / دعاء خضر محمد خضر
مناقش / مصطفي محمد شقوير
الموضوع
Salivary Glands - Pathology. Salivary glands - Tumors. Lymphogranuloma. Glands lesions.
تاريخ النشر
2022.
عدد الصفحات
online resource (160 pages) :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة المنصورة - كلية الطب - قسم الاشعة التشخيصية
الفهرس
Only 14 pages are availabe for public view

from 160

from 160

Abstract

This prospective study included 50 patients. There were 43 cases with lesions and 7 cases normal cases as control, the patients with post-operative changes 10 patients (2 males and 8 females), regarding patients with lesions They were 33 patients; 18 males (54.5%) and 15 females (45.5 %). Their age ranged from 12-85 years with average age of 48.5 years.The aim of this study is to assess the reliability of DTI in evaluation of Salivary gland tumors.On static MRI, margin definition had high sensitivity, specificity, positive, negative predictive values and accuracy (100%, 95%, 92.9 %,100% and 96.9% respectively).As regard T1SI; sensitivity, specificity, positive, negative predictive values and accuracy were (76.9%,30%, 41.7%, 66.7%, and 51.5% respectively).T2SI shows sensitivity, specificity, positive, negative predictive values and accuracy were (76.9%,30%, 41.7%, 66.7%, and 51.5% respectively) which is typically similar to the diagnostic performance of T1SI.As regard ADC by AUC 0.810 ROC curve analysis revealed that by using cut-off value of (1.25×10−3mm2/s) to differentiate benign from malignant lesions had sensitivity, specificity, +ve predictive, -ve predictive and Accuracy of 92.3%, 55.0%, 57.1 %, 91.7%, 69.7% respectively. After exclusion Warthin’s tumors from benign lesion as they have restricted diffusion unlike other most benign lesions ROC curve analysis revealed that AUC (0.908) by using cut-off value of (1.25×10−3mm2/s) to differentiate benign from malignant lesions had sensitivity, specificity, +ve predictive, -ve predictive and Accuracy of 92.3 %, 73.3 %, 75 %, 91.7 %, 82.1 % respectively.