Computed Tomographic Evaluation of Mediastinal Mass Lesions

Singh, Sharvani; Sachar, Sudhir; Toppo, J N; Acharya, Anand

doi:10.21276/ijcmsr.2019.4.1.23

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…In a study by VV Hattiholi et al [14] S Satbeer Singh et al [15] in their study CT evaluation of mediastinal mass lesions in 2019 concluded that cough 44% , dyspnoea 38% , fever 20% , chest pain 20% were among the most common symptoms along with few asymptomatic cases, lesions of anterior mediastinum 52%, middle mediastinum 18%, and posterior mediastinum 30%. thymic masses 26.9% was most common anterior lesion followed by metastatic lymph node 19.2%, tuberculous lymph node 15.4%, aortic mass 15.4%, lymphoma were 11.6%, thyroid mass about 7.7% and germ cell tumour were seen in remaining 3.8%.…”

Section: Discussionmentioning

confidence: 99%

Multi-Detector Computed Tomography for Evaluating Characteristics, Distribution and Extension of Mediastinal Masses

Jayprakash

Guru

Dhande

2021

JPRI

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Background: The area in the thorax between the lungs is Mediastinum which is surrounded above by thoracic inlet, in front by sternum, below by diaphragm, back by vertebral column laterally by pleura of both lungs. Multiple classification systems are used by doctors. Shields classification system is most commonly used, however the conventional Fraser and Paré, Felson, and other categorization are in daily use in radiology. The present schemes used in practice of radiology is more of nonanatomic divisions based primarily on the chest radiograph. So a typical classification based on multi detector CT is demanded to describe mediastinum and make to the purpose differential diagnoses. This study aims to assess characteristics, distribution and extension of Mediastinal masses by MDCT and correlate the histopathological diagnosis to CT scan findings. Methodology: This will be a prospective study conducted at AVBRH, Wardha. Total 100 patients with Mediastinal Masses diagnosed clinically and on Chest X ray will be enrolled in the study. Contrast CT scan of all patients will be done. Histopathology reports of masses (FNAC/Biopsy) will be collected. Results: Significant accuracy of mediastinal CT in diagnosing the mediastinal masses and a significant corelation to FNAC/biopsy reports is expected. Conclusion: MDCT will prove to be an useful evaluation method for diagnosis and classification of mediastinal masses.

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Section: Discussionmentioning

confidence: 99%

Multi-Detector Computed Tomography for Evaluating Characteristics, Distribution and Extension of Mediastinal Masses

Jayprakash

Guru

Dhande

2021

JPRI

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International Thymic Malignancy Interest Group Classification – The Future of Mediastinal Mass Evaluation using Multidetector Computed Tomography

Bhansali

Mishra

Parihar

et al. 2023

Journal of Datta Meghe Institute of Medical Sciences University

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Background: The diagnosis of mediastinal masses is a demanding task as it is like Pandora’s box with diverse masses. Multidetector computed tomography (MDCT), along with intravenous contrast, is the diagnostic technique of choice to diagnose mediastinal masses. Hence, the International Thymic Malignancy Interest Group (ITMIG) uses MDCT as a gold standard for defining mediastinal compartments. Aim and Objectives: The purpose of this study was to ascertain characteristics, the accurate extension of mediastinal masses, and its distribution according to classification by ITMIG and to correlate the fine-needle aspiration cytology/biopsy diagnosis to the findings of the computed tomography (CT) scan where ever possible. Materials and Methods: The present study was conducted at the Radiodiagnosis Department of AVBRH, a Teaching Hospital of DMIHER, Sawangi (Meghe) Wardha. It was a prospective cross-sectional study. A purposive convenience sampling method was used with a sample size of 100 participants needed for 2 years. Results: In the study population, the predominant (63%) participants were male, and the remaining 37 (37.00%) participants were female. Fifteen (15.00%) lesions were in prevascular, 55 (55.00%) were in visceral, 15 (15.00%) were in paravertebral, 8 (8.00%) involved Prevascular + Visceral, 7 (7.00%) lesions involved all three compartments, i.e., Prevascular + Visceral + Paravertebral localization. In the present study, in 94.73% of the masses, the same diagnosis was made by both CT and holoprosencephaly. In 5.27% of the masses, the diagnosis was different. The total diagnostic accuracy was 100% (95% confidence interval 93.73%–100%). Conclusion: CT has a cardinal part in the assessment of different masses in the mediastinum in regards to their characterization, distribution, and distinguishing malignant and benign lesions. The novel mediastinal division system introduced by ITMIG is intended to facilitate uniform communication between health-care professionals and radiologists at cross-sectional imaging.

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Computed Tomographic Evaluation of Mediastinal Mass Lesions

Cited by 2 publications

References 8 publications

Multi-Detector Computed Tomography for Evaluating Characteristics, Distribution and Extension of Mediastinal Masses

Multi-Detector Computed Tomography for Evaluating Characteristics, Distribution and Extension of Mediastinal Masses

International Thymic Malignancy Interest Group Classification – The Future of Mediastinal Mass Evaluation using Multidetector Computed Tomography

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