Sarcomatoid pleural mesothelioma evaluated using diffusion-weighted whole-body imaging with background body signal suppression

IF 2 Q2 RESPIRATORY SYSTEM Respiratory investigation Pub Date : 2025-05-01 Epub Date: 2025-03-07 DOI:10.1016/j.resinv.2025.02.013
Ryosuke Kinoshita , Norihisa Takeda , Hiroko Kiyotoshi , Masahiro Sugihara , Mamiko Kuriyama , Makoto Nakao , Takuji Tsuyuki , Hideki Muramatsu
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Abstract

An 83-year-old man with a history of asbestos exposure presented with dyspnea. Thoracic computed tomography showed right-sided pleural effusion and heterogeneous pleural thickening with calcified plaques. Thoracentesis revealed exudative fluid, and the cytology results were negative for malignancy. He didn't want to undergo invasive biopsy for pathological diagnosis. Diffusion-weighted whole-body imaging with background body signal suppression (DWIBS) detected signal enhancement in the pleural thickening, ruling out metastasis. The patient died after one month, and sarcomatoid pleural mesothelioma was confirmed by autopsy. DWIBS is free of radioactive materials and can be used to evaluate lesion spread and metastases in hospitals equipped with magnetic resonance imaging.
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使用背景身体信号抑制的扩散加权全身成像评估肉瘤样胸膜间皮瘤
83岁男性,有石棉接触史,表现为呼吸困难。胸部计算机断层扫描显示右侧胸腔积液和非均匀胸膜增厚伴钙化斑块。胸腔穿刺显示渗出液,细胞学结果为恶性肿瘤阴性。他不想接受有创活检进行病理诊断。背景体信号抑制(DWIBS)的扩散加权全身成像检测到胸膜增厚的信号增强,排除转移的可能性。患者于1个月后死亡,尸检证实为肉瘤样胸膜间皮瘤。DWIBS无放射性物质,在配备磁共振成像的医院可用于评估病变的扩散和转移。
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来源期刊
Respiratory investigation
Respiratory investigation RESPIRATORY SYSTEM-
CiteScore
4.90
自引率
6.50%
发文量
114
审稿时长
64 days
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