Dual-energy CT perfusion imaging for differentiating WHO subtypes of thymic epithelial tumors

Abstract To evaluate the role of conventional contrast-enhanced CT (CECT) imaging and dual-energy spectral CT (DECT) perfusion imaging in differentiating the WHO histological subtypes of thymic epithelial tumours (TETs). Eighty-eight patients with TETs who underwent DECT perfusion scans (n = 51) and...

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Autores principales: Chunhai Yu, Ting Li, Ruiping Zhang, Xiaotang Yang, Zhao Yang, Lei Xin, Zhikai Zhao
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Lenguaje:EN
Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/d257ff1a088e4e45b74cec7c263b58b2
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spelling oai:doaj.org-article:d257ff1a088e4e45b74cec7c263b58b22021-12-02T17:04:08ZDual-energy CT perfusion imaging for differentiating WHO subtypes of thymic epithelial tumors10.1038/s41598-020-62466-12045-2322https://doaj.org/article/d257ff1a088e4e45b74cec7c263b58b22020-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-62466-1https://doaj.org/toc/2045-2322Abstract To evaluate the role of conventional contrast-enhanced CT (CECT) imaging and dual-energy spectral CT (DECT) perfusion imaging in differentiating the WHO histological subtypes of thymic epithelial tumours (TETs). Eighty-eight patients with TETs who underwent DECT perfusion scans (n = 51) and conventional CT enhancement scans (n = 37) using a GE Discovery CT750 HD scanner were enrolled in this study. The mean maximal contrast-enhanced range (mean CEmax) and the perfusion and spectral parameters of the lesions were analysed. Among the six WHO subtypes (Type A, AB, B1, B2, and B3 thymoma and thymic carcinoma), the mean CEmax values and most of the perfusion and spectral parameter values of Type A and Type AB were significantly higher than those of the other subtypes (all P < 0.05), and there was no difference among Type B1, B2 and B3 (all P > 0.05). The mean CEmax value was not different between Type B (including Type B1, B2, and B3) and thymic carcinoma (P = 1.000). The PS, IC, NIC and λHU values in the optimal venous phase of thymic carcinoma were higher than those of Type B (all P < 0.05). The parameters of conventional CECT imaging and DECT perfusion imaging can help identify the subtype of TETs, especially those of DECT perfusion imaging in type B thymomas and thymic carcinomas.Chunhai YuTing LiRuiping ZhangXiaotang YangZhao YangLei XinZhikai ZhaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-10 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Chunhai Yu
Ting Li
Ruiping Zhang
Xiaotang Yang
Zhao Yang
Lei Xin
Zhikai Zhao
Dual-energy CT perfusion imaging for differentiating WHO subtypes of thymic epithelial tumors
description Abstract To evaluate the role of conventional contrast-enhanced CT (CECT) imaging and dual-energy spectral CT (DECT) perfusion imaging in differentiating the WHO histological subtypes of thymic epithelial tumours (TETs). Eighty-eight patients with TETs who underwent DECT perfusion scans (n = 51) and conventional CT enhancement scans (n = 37) using a GE Discovery CT750 HD scanner were enrolled in this study. The mean maximal contrast-enhanced range (mean CEmax) and the perfusion and spectral parameters of the lesions were analysed. Among the six WHO subtypes (Type A, AB, B1, B2, and B3 thymoma and thymic carcinoma), the mean CEmax values and most of the perfusion and spectral parameter values of Type A and Type AB were significantly higher than those of the other subtypes (all P < 0.05), and there was no difference among Type B1, B2 and B3 (all P > 0.05). The mean CEmax value was not different between Type B (including Type B1, B2, and B3) and thymic carcinoma (P = 1.000). The PS, IC, NIC and λHU values in the optimal venous phase of thymic carcinoma were higher than those of Type B (all P < 0.05). The parameters of conventional CECT imaging and DECT perfusion imaging can help identify the subtype of TETs, especially those of DECT perfusion imaging in type B thymomas and thymic carcinomas.
format article
author Chunhai Yu
Ting Li
Ruiping Zhang
Xiaotang Yang
Zhao Yang
Lei Xin
Zhikai Zhao
author_facet Chunhai Yu
Ting Li
Ruiping Zhang
Xiaotang Yang
Zhao Yang
Lei Xin
Zhikai Zhao
author_sort Chunhai Yu
title Dual-energy CT perfusion imaging for differentiating WHO subtypes of thymic epithelial tumors
title_short Dual-energy CT perfusion imaging for differentiating WHO subtypes of thymic epithelial tumors
title_full Dual-energy CT perfusion imaging for differentiating WHO subtypes of thymic epithelial tumors
title_fullStr Dual-energy CT perfusion imaging for differentiating WHO subtypes of thymic epithelial tumors
title_full_unstemmed Dual-energy CT perfusion imaging for differentiating WHO subtypes of thymic epithelial tumors
title_sort dual-energy ct perfusion imaging for differentiating who subtypes of thymic epithelial tumors
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/d257ff1a088e4e45b74cec7c263b58b2
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