Poster électronique

Apport du scanner volumique dynamique dans le diagnostic d'ostéome ostéoïde
O. Heck, M. Louis, J. Wassel, S. Lecocq, P. Gondim-Teixeira, A. Moisei, A. Blum - Nancy - France
Congrès 2010
Poster primé par le jury
Résumé
Objectifs
Préciser l'aspect d'ostéome ostéoïde en scanner volumique dynamique (SVD).
Comparer les courbes de rehaussement TDM et IRM de ces lésions.
Matériels et méthodes
Analyse rétrospective de 13 cas d'ostéomes ostéoïdes explorés par SVD sur un scanner 320 canaux (Aquilion one, Toshiba) et une angio-IRM avec séquences dynamiques. L'analyse a porté sur la courbe de rehaussement tumoral et sur l'aspect du rehaussement sur les séquences avec soustraction osseuse.
Résultats
Le nidus était visible dans 12 cas sur 13 avant injection et dans tous les cas sur l'acquisition dynamique soustraite avec un pic de rehaussement à la phase artérielle. Huit patients présentaient un pic artériel puis un plateau et 5 patients présentaient un pic puis un lavage. Toutes ces courbes étaient conformes à celles observées en IRM, avec néanmoins une dynamique de contraste et une échelle temporelle différentes. Une prise de contraste médullaire a pu être visualisée chez 8 patients.
Conclusion
Le SVD permet de coupler en un seul examen les bénéfices de la résolution spatiale du scanner et de l'étude dynamique du rehaussement tumoral jusque maintenant réservéà l'IRM. Cependant, il s'agit d'une technique irradiante, dont les indications doivent être pesées.
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2017-08-31 18.00 :
Ann Tabares

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2017-04-12 17.27 :
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2017-04-12 16.25 :
Ann Tabares

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2017-04-12 15.07 :
Ann Tabares

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