Layer G, Schmitteckert H, Steudel A, Tuengerthal S, Schirren J, van Kaick G, Schild H H
Radiologische Universitätsklinik Bonn.
Rofo. 1999 Apr;170(4):365-70. doi: 10.1055/s-2007-1011055.
Evaluation of the diagnostic value of the imaging modalities computed tomography (CT), magnetic resonance imaging (MRI), and thoracic sonography in the preoperative staging of malignant pleural mesothelioma.
The diagnostic accuracy of CT (n = 41), MRI (n = 24), and thoracic sonography (n = 37) were evaluated in 51 patients with histologically proven diffuse malignant pleural mesothelioma. Values of sensitivity, specificity, positive and negative predictive values, and accuracy were calculated for the assessment of the diaphragm, lung, thoracic wall, pericardial wall, myocardium, and (retro)peritoneal space.
The accuracy rates for CT were 85%, 98%, 83%, 73%, 71%, and 83%. MRI had an accuracy of 71%, 92%, 71%, 83%, 71%, and 96%, the thoracic ultrasound examinations of 76%, 63%, 51%, 60%, 71%, and 89%.
According to these results CT remains the method of choice in the preoperative assessment of T-stage of malignant pleural mesothelioma. MRI is of nearly the same value, but is not a must. Sonography may be supplementary method for operation planning.
评估计算机断层扫描（CT）、磁共振成像（MRI）和胸部超声检查在恶性胸膜间皮瘤术前分期中的诊断价值。
对51例经组织学证实为弥漫性恶性胸膜间皮瘤的患者进行CT（n = 41）、MRI（n = 24）和胸部超声检查（n = 37），评估其诊断准确性。计算评估膈肌、肺、胸壁、心包壁、心肌和（后）腹膜腔的敏感性、特异性、阳性和阴性预测值以及准确性。
CT的准确率分别为85%、98%、83%、73%、71%和83%。MRI的准确率分别为71%、92%、71%、83%、71%和96%，胸部超声检查的准确率分别为76%、63%、51%、60%、71%和89%。
根据这些结果，CT仍然是恶性胸膜间皮瘤术前T分期评估的首选方法。MRI价值相近，但并非必需。超声检查可为手术规划提供辅助。
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