Background/Objectives: Primary central nervous system lymphoma (PCNSL) is a rare tumour with poor prognosis. Due to the increased number of patients with PCNSL over the past two decades our purpose are to describe magnetic resonance imaging (MRI) and Computed Tomography (CT) findings in (PCNSL) of the brain, and to study the differences between immunocompetent and immunodeficient patients with PCNSL.
Methods:A retrospective, descriptive study was performed with 59 patients diagnosed of PCNSL in two hospitals from 1997 to 2010. Immunocompetent (n=38) and immunodeficient (n=21) patients were compared and differences between both groups were analyzed. Patients were evaluated according to sex, age, median time from clinical symptoms presentation to pathologic diagnosis, clinical symptoms, location, number of lesions, size, MRI and CT characteristics. Significance was defined as p < 0.05.Results: MRI findings: 50% of lesions in immunocompetent and 52.4% in immunodeficient group were heterogeneous, 89.5% of lesions in immunocompetent and 85,7% in immunodeficient were hypo-isointense on T1WI; 63.2% of lesions in immunocompetent and 76.2% in immunodeficient group were hyperintense on T2WI. CT images: 48.39% of lesions in immunocompetent and 20% in immunodeficient group were hyperdense. Statistically significant differences between immunocompetent and immunodeficient patients were found when evaluating the age (p < 0.000) and median time from clinical symptoms presentation to pathologic diagnosis (p < 0.008).Conclusions: MRI and CT are able to define imaging characteristics of PCNSL, promoting a quick diagnosis. There are no significant differences between immunocompetent and immunodeficient patients for MR and CT features.
In this work we have studied the adequacy of dose levels of irradiation in oncologic chest CT obtained in our daily practice. The secondary objective was to evaluate the effect on radiation dose of individual adjustment of kilovoltage in thoracic multidetector row computed tomography (MDCT) images acquired with both single and dual-source technology. The impact of lowering the kilovoltage in the diagnostic quality of these studies was also evaluated. 161 patients were included in the study. CT examinations were performed using two different equipments: a conventional CT scanner and a dual-source computed tomography. The average values of dose length product (DLP) obtained in our daily practice meet the recommendations of the existing referral guidelines. Lower values can be achieved through individual adjustment of kilovoltage and with dual-source CT technology, maintaining the diagnostic quality of these studies. Reduced lungcancer mortality with low-dose computed tomographic screening. The New England Journal of Medicine 365: 395-409. 23. Bankier AA, Kressel HY (2012) Through the looking glass revisited: The need for more meaning and less drama in the reporting of dose and dose reduction in CT. Radiology 265: 4-8.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.