Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/19901
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dc.contributor.authorTsili, A. C.en
dc.contributor.authorTsampoulas, C.en
dc.contributor.authorGiannakopoulos, X.en
dc.contributor.authorStefanou, D.en
dc.contributor.authorAlamanos, Y.en
dc.contributor.authorSofikitis, N.en
dc.contributor.authorEfremidis, S. C.en
dc.date.accessioned2015-11-24T19:03:27Z-
dc.date.available2015-11-24T19:03:27Z-
dc.identifier.issn1546-3141-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19901-
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectHumansen
dc.subjectMagnetic Resonance Imaging/*methodsen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectNeoplasms, Germ Cell and Embryonal/*pathologyen
dc.subjectReproducibility of Resultsen
dc.subjectRetrospective Studiesen
dc.subjectSeminoma/*pathologyen
dc.subjectSensitivity and Specificityen
dc.subjectTesticular Neoplasms/*pathologyen
dc.titleMRI in the histologic characterization of testicular neoplasmsen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.2214/AJR.07.2267-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/18029845-
heal.identifier.secondaryhttp://www.ajronline.org/content/189/6/W331.full.pdf-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2007-
heal.abstractOBJECTIVE: The purpose of our study was to investigate the potential role of MRI in the preoperative characterization of the histologic type of testicular tumors and, more specifically, to differentiate seminomatous from nonseminomatous testicular neoplasms. MATERIALS AND METHODS: Twenty-one patients with histologically proven germ cell testicular tumors underwent MRI of the scrotum on a 1.5-T unit. T2- and T1-weighted sequences before and after i.v. administration of gadolinium chelate were performed. MRI studies were retrospectively reviewed by two radiologists and findings were correlated with the histopathologic diagnosis. An attempt was made to differentiate seminomatous from nonseminomatous testicular tumors on the basis of signal intensity and homogeneity of the lesions, presence of fibrovascular septa, tumor encapsulation, and patterns of contrast enhancement. Interobserver agreement was assessed using weighted kappa statistics. RESULTS: MRI findings correctly characterized 19 (91%) of 21 testicular neoplasms (nine seminomatous and 10 nonseminomatous testicular tumors), with excellent interobserver agreement. The presence of an intratesticular lesion of predominantly low signal intensity on T2-weighted images, with septa enhancing more than tumor tissue after contrast material administration, was more suggestive for the diagnosis of a seminoma. Tumors that were markedly heterogeneous both on unenhanced and contrast-enhanced images were indicative of a nonseminomatous neoplasm. CONCLUSION: Our study shows that MRI provides a credible preoperative differentiation of seminomatous from nonseminomatous testicular tumors, with excellent interobserver agreement.en
heal.journalNameAmerican Journal of Roentgenologyen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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