Imaging of the pleura
โ Scribed by Emma J. Helm; Tahreema N. Matin; Fergus V. Gleeson
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 710 KB
- Volume
- 32
- Category
- Article
- ISSN
- 1053-1807
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โฆ Synopsis
Abstract
Pleural disease is a problem of global significance which causes significant morbidity and mortality. Pleural disease is usually first suspected on chest xโray but further imaging, often ultrasound, is usually required as part of the diagnostic workโup. Complex imaging with computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET)โCT are less often performed but are routinely required in patients with mesothelioma and occasionally required in patients with pleural infection and other pleural diseases. Crossโsectional imaging may be used to suggest the diagnosis of pleural disease, quantify disease severity, guide biopsy, and even predict prognosis. This review will focus on the contributions of CT, MRI, and PET to the management of pleural disease with discussion of their relative strengths and weaknesses. J. Magn. Reson. Imaging 2010;32:1275โ1286. ยฉ 2010 WileyโLiss, Inc.
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The case of a 64-year-old man with "adenosquamous" mesothelioma of the pleura is described. These two elements were intimately associated, which suggested that they formed an integral part of the tumor. To the authors, pluripotentiality of the mesothelium seems essential for the pathogenesis of this