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Wang D.,Shandong University | Li L.,Shandong University | Li N.,Hospital of Binzhou Medical College | He J.,Shandong University
Medicine (United States) | Year: 2015

The aim of this retrospective study was to compare accuracies of axial, multiplanar, and volume-rendered 3-dimensional (3D) images in the diagnosis of costal bone lesions. Forty-one patients, aged from 10 to 72-years old, with costal bone lesions underwent multidetector CT (MDCT). Axial, multiplanar, and 3D-volume-rendered images were reviewed by 3 reviewers for the property of the lesions (fracture, tumor, and tumor-like lesions or inflammation). In case of fracture, the diagnosis was demonstrated with the location of the fracture and the amounts of the costal bone involved. In case of a tumor or tumor-like lesions, the diagnosis was demonstrated pathological property. Final diagnosis was determined by biopsy or surgery. Diagnostic accuracy and interreviewers agreement were evaluated. For the diagnosis of fractures, average accuracy was 77%, 100%, and 100% for axial, multiplanar, and 3D-volume-rendered images, respectively. For the diagnosis of tumor and tumor-like lesions, average accuracy was 90% for axial, 96% for multiplanar, and 99% for 3D-volume-rendered images. For the diagnosis of inflammation lesions, average accuracy was 100% for all the 3 image formats. Interobserver agreement independence of imaging formats was high. Multiplanar and 3D-volume-rendered images were superior to axial images in diagnosis of fracture, tumor, and tumor-like lesions; however, for the evaluation of inflammation lesions, there were no difference by 3 image formats. © 2015 Wolters Kluwer Health, Inc. All rights reserved.


Xu S.,Hospital of Binzhou Medical College | Zhao C.,Hospital of Binzhou Medical College | Meng K.,Central Hospital of Taian | Wang X.,Hospital of Binzhou Medical College | And 4 more authors.
International Journal of Clinical and Experimental Medicine | Year: 2015

Lipid-rich carcinoma of the breast is a rare variant of breast cancer, especially in males. Herein we report a case occurring in a 54-year-old male patient, who presented with a noticed painless, pea-sized lump in his left breast. Clinical examination and mammography suggested malignancy. Subsequent modified radical mastectomy revealed the diagnosis of lipid-rich carcinoma. To our knowledge, this subtype of mammary carcinoma is unprecedented in Chinese males in literature. © 2015, Int J Clin Exp Med. All rights reserved.

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