DIFFERENTIATION OF LYMPHOMA VERSUS SARCOIDOSIS IN THE SETTING OF MEDIASTINAL - HILAR LYMPHADENOPATHY: ASSESSMENT WITH DIFFUSION-WEIGHTED MR IMAGING


Gumustas S., Inan N., AKANSEL G. , Basyigit I., Ciftci E.

SARCOIDOSIS VASCULITIS AND DIFFUSE LUNG DISEASES, cilt.30, ss.52-59, 2013 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 30 Konu: 1
  • Basım Tarihi: 2013
  • Dergi Adı: SARCOIDOSIS VASCULITIS AND DIFFUSE LUNG DISEASES
  • Sayfa Sayıları: ss.52-59

Özet

Objectives: To determine the performance of diffusion-weighted magnetic resonance imaging in differentiating lymphoma from sarcoidosis in mediastinal-hilar lymphadenopathy. Materials and Methods: Forty-four mediastinal-hilar lymphadenopathy were examined in 27 patients with T1- and T2-weighted conventional images. Then, two diffusion-weighted images were obtained with b = 0 and 1000 s/mm(2) values and apparent diffusion coefficients (ADCs) were calculated. The statistical significance of differences between measurements was tested using the Student-t test. Results: The ADC value in the lymphoma group was lower than in the sarcoidosis group, and the difference was statistically significant (p < 0.001). By using the cut-off value of 1.266 x 10(-3) mm(2)/s, ADC had a sensitivity of 100%, specificity of 81%, positive predictive value of 100%, and negative predictive value of 77% for the differentiation of lymphoma and sarcoidosis. With the cut-off value of 1,97 x 10(-3) mm(2)/s, ADC had a sensitivity of 50%, specificity of 99.4%, positive predictive value of 68%, and negative predictive value of 91%. Conclusions: Diffusion-weighted imaging may be useful besides other modalities in differentiating lymphoma from sarcoidosis in mediastinal-hilar lymphadenopathy.