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Pelvic Primary and Metastatic Tumors: Computed Tomography Images

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Book cover Imaging Atlas of the Pelvic Floor and Anorectal Diseases

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Abstract

Modern computed tomography (CT), particularly with the now readily available compatible software, is an important imaging technique for diagnosing and evaluating many different types of pelvic neoplasms. Multidetector scanners that permit coronal- and sagittal-plane isotropic image reconstruction, provide a distinct advantage over magnetic resonance imaging, particularly for imaging the rectum and bladder, and may redefine the role of CT imaging of the pelvis. In this chapter, we discuss our routine protocol for single-slice scanners with contrast-enhanced helical acquisition in relation to the specific organ being examined. We also discuss some benign and malignant pelvic tumors encountered in our clinical practice and studied using CT imaging.

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References

  1. Kulinna C, Eibel R, Matzek W et al (2004) Staging of rectal cancer: diagnostic potential of multiplanar reconstructions with MDCT. AJR Am J Roentgenol 183:421–427

    PubMed  CAS  Google Scholar 

  2. Diel J, Ortiz O, Losada RA et al (2001) The sacrum: pathologic spectrum, multimodality imaging, and subspecialty approach. Radiographics 21:83–104

    PubMed  CAS  Google Scholar 

  3. Grimer RJ, Carter SR, Tillman RM et al (1999) Osteo — sarcoma of the pelvis. J Bone Joint Surg Br 81(5):796–802

    Article  PubMed  CAS  Google Scholar 

  4. Kim JK, Park SY, Ahn HJ et al (2004) Bladder cancer: analysis of multi-detector row helical CT enhancement pattern and accuracy in tumor detection and perivesical staging. Radiology 231:725–731

    Article  PubMed  Google Scholar 

  5. Outwater KO, Siegelman ES, Hunt JL (2001) Ovarian teratomas: tumor types and imaging characteristics. Radiographics 21:475–490

    PubMed  CAS  Google Scholar 

  6. Jung SE, Lee JM, Rha SE et al (2002) CT and MR imaging of ovarian tumors with emphasis on differential diagnosis. Radiographics 22:1305–1325

    Article  PubMed  Google Scholar 

  7. Imaoka I, Wada A, Kaji Y et al (2006) Developing an MR imaging strategy for diagnosis of ovarian masses. Radiographics 26:1431–1448

    Article  PubMed  Google Scholar 

References

  1. Soye I, Levine E, Banitzky S, Price HI (1982) Computed tomography of sacral and presacral lesions. Neuroradiology 24:71–76

    Article  PubMed  CAS  Google Scholar 

  2. Wolpert A, Beer-Gabel M, Lifschitz O, Zbar AP (2002) The management of presacral masses in the adult. Techn Coloprctol 6:43–49

    Article  CAS  Google Scholar 

  3. Dozois RR (1990) Retrorectal tumors: spectrum of disease, diagnosis and surgical management. Perspect Colon Rectal Surg 3:241–255

    Google Scholar 

  4. Bohm B, Milsom JW, Fazio VW et al (1993) Our approach to the management of congenital presacral tumors in adults. Int J Colorect Dis 8:134–138

    Article  CAS  Google Scholar 

  5. Currarino G, Coln D, Votteler T (1981) Triad of anorectal, sacral and presacral anomalies. AJR Am J Roentgenol 137:395–398

    PubMed  CAS  Google Scholar 

  6. Zbar AP, Rambarat C, Shenoy RK (2007) Routine preoperative abdominal computed tomography in colon cancer: a utility study. Techn Coloproctol 11:105–110

    Article  CAS  Google Scholar 

  7. MERCURY Study Group (2007) Extramural depth of tumor invasion at thin-section MR in patients with rectal cancer: results of the MERCURY study. Radiology 243:132–139

    Article  Google Scholar 

  8. Yeoman LJ, Mason MD, Olliff JF (1991) Non-Hodgkin’s lymphoma of the bladder — CT and MRI appearances. Clin Radiol 44:389–392

    Article  PubMed  CAS  Google Scholar 

  9. Chow LC, Kwan SW, Olcott EW, Sommer G (2007) Split-bolus MDCT urography with synchronous nephrographic and excretory phase enhancement. AJR Am J Roentgenol 189:314–322

    Article  PubMed  Google Scholar 

  10. Umeoka S, Koyama T, Togashi K et al (2004) Vascular dilatation in the pelvis: identification with CT and MR imaging. RadioGraphics 24:193–208

    Article  PubMed  Google Scholar 

  11. Petsieau SR, Jelinek JS, Sugarbaker PH (2002) Abdominal and pelvic CT for detection and volume assessment of peritoneal sarcomatosis. Tumori 88:209–214

    Google Scholar 

  12. Inniss M, Sandiford N, Shenoy RK et al (2005) Carcinoma of the jejunum with multideposit peritoneal seeding. Resection and intraperitoneal chemotherapy. West Indian Med J 54:242–246

    Article  Google Scholar 

  13. Jacquet P, Jelinek JS, Steves MA, Sugarbaker PH (1993) Evaluation of computed tomography in patients with peritoneal carcinomatosis. Cancer 72:1631–1636

    Article  PubMed  CAS  Google Scholar 

  14. Kim J, Li S, Pradhan D et al (2007) Comparison of similarity measures for rigid-body CT/dual X-ray image registrations. Technol Cancer Res Treat 6:337–346

    PubMed  Google Scholar 

  15. Sandrasegaran K, Rydberg J, Tann M et al (2007) Benefits of routine use of coronal and sagittal reformations in multi-slice CT examination of the abdomen and pelvis. Clin Radiol 62:340–347

    Article  PubMed  CAS  Google Scholar 

  16. Russell ST, Kawashima A, Vrtiska TJ et al (2005) Three-dimensional CT virtual endoscopy in the detection of simulated tumors in a novel phantom bladder and ureter model. J Endourol 19:188–192

    Article  PubMed  Google Scholar 

  17. Schaffler GJ, Groell R, Schoellnast H et al (2000) Digital image fusion of CT and PET data sets — clinical value in abdominal/pelvic malignancies. J Comput Assist Tomogr 24:644–647

    Article  PubMed  CAS  Google Scholar 

  18. Schaefer O, Langer M (2007) Detection of recurrent rectal cancer with CT, MRI and PET/CT. Eur Radiol 17:2044–2054

    Article  PubMed  CAS  Google Scholar 

  19. Capirci C, Rampin L, Erba PA et al (2007) Sequential FDG-PET/CT reliably predicts response of locally advanced rectal cancer to neo-adjuvant chemoradiation therapy. Eur J Nucl Med Mol Imaging 34:1583–1593

    Article  PubMed  CAS  Google Scholar 

  20. Kubik-Huch RA, Dorffler W, von Schulthess GK et al (2000) Value of (18F)-FDG positron emission tomography, computed tomography and magnetic resonance imaging in diagnosing primary and recurrent ovarian carcinoma. Eur Radiol 10:761–767

    Article  PubMed  CAS  Google Scholar 

  21. Thrall MM, DeLoia JA, Gallion H, Avril N (2007) Clinical use of combined positron emission tomography and computed tomography (FDG PET/CT) in recurrent ovarian cancer. Gynecol Oncol 105:17–22

    Article  PubMed  Google Scholar 

  22. Li XA, Qi XS, Pitterle M et al (2007) Interfractional variations in patient setup and anatomic change assessed by daily computed tomography. Int Radiat Oncol Biol Phys 68:581–591

    Google Scholar 

  23. Tannous WN, Azouz EM, Homsy YL et al (1989) CT and ultrasound imaging of pelvic rhabdomyosarcoma in children. A review of 56 patients. Pediatr Radiol 19:530–534

    Article  PubMed  CAS  Google Scholar 

  24. Rice HE, Frush DP, Harker MJ et al (2007) APSA Education Committee. Peer assessment of pediatric surgeons for potential risks of radiation exposure from computed tomography scans. J Pediatr Surg 42:1157–1564

    Article  PubMed  Google Scholar 

  25. Kreuzberg B, Koudelova J, Ferda et al (2007) Diagnostic problems of abdominal desmoid tumors in various locations. Eur J Radiol 62:180–185

    Article  PubMed  CAS  Google Scholar 

  26. Chiappa A, Zbar AP, Biffi R et al (2004) Primary and recurrent retroperitoneal sarcoma: factors affecting survival and long-term outcome. Hepatogastroenterology 51:1304–1309

    PubMed  Google Scholar 

  27. Bercovich A, Guy M, Karayiannakis AJ (2003) Ureteral obstruction and reconstruction in pelvic actinomycosis. Urology 61:224 (iv–vii)

    Article  PubMed  Google Scholar 

  28. Li Y, Yang ZG, Guo YK et al (2007) Distribution and characteristics of hematogenous disseminated tuberculosis within the abdomen on contrast-enhanced CT. Abdom Imaging 32:484–488

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Diagnostic Imaging, Cancer Hospital of Barretos, Barretos, São Paulo, Brazil

    Ana Karina Nascimento Borges, Alexandre Cecin & Rafael Darahem

  2. Department of Surgery, Cancer Hospital of Barretos, Barretos, SP, Brazil

    Armando Melani

Authors
  1. Ana Karina Nascimento Borges
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  2. Alexandre Cecin
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  3. Rafael Darahem
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  4. Armando Melani
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© 2008 Springer-Verlag Italia

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Borges, A.K.N., Cecin, A., Darahem, R., Melani, A. (2008). Pelvic Primary and Metastatic Tumors: Computed Tomography Images. In: Imaging Atlas of the Pelvic Floor and Anorectal Diseases. Springer, Milano. https://doi.org/10.1007/978-88-470-0809-0_14

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  • DOI: https://doi.org/10.1007/978-88-470-0809-0_14

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0808-3

  • Online ISBN: 978-88-470-0809-0

  • eBook Packages: MedicineMedicine (R0)

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