Metastases computed tomography

Fig. 7.14 Computed tomography of the lung from a patient enrolled in a clinical trial, using transfected, autologous tumor cells in combination with dSLIM. (A) Lung metastasis of renal carcinoma (red circles) before vaccination treatment (B) after vaccination.

Figure 102.5 Post-treatment 1-131 scan of a patient in whom iodine uptake increased after retinoic acid (RA) therapy. After radioiodine, a hot spot is demonstrated at the lower lateral chest wall (arrowed), which correlated with a metastasis of the sixth rib demonstrated on bone scan and computed tomography scan.

Fig. lO.la-e. Painful thoracic metastasis with rupture of the posterior wall. Percutaneous vertebroplasty under dual guidance of computed tomography (CT) and fluoroscopy, a Plani-flcation of the needle intercostovertebral pathway on CT. b A 22-gauge spinal needle is used for local anesthesia. This needle is used as a pilot (tandem technique) for the vertebroplasty needle, c The 10-gauge needle positioned in the anterior part of the tumor. Injection of methylmethacrylate under strict lateral fluoroscopy, d, e Good vertebral Ailing with excellent pain relief... 

Fig. 10.3a-c. Painful metastasis of T2 vertebral body. Percutaneous vertebroplasty under dual guidance of computed tomography and fluoroscopy, a Lytic metastasis of T2. b Transpedicular needle placement. The needle was positioned in the anterior portion of the lesion, c A total of 1.5 ml of cement was injected under fluoroscopy control. Complete pain relief after the procedure... 

Fig.8.6a,b. Lateral chest radiograph (a) and computed tomography scan of the chest (b) show smooth pleural thickening (arrows) in a patient with left renal carcinoma and homolateral pleural metastasis... 

Computed tomography (CT) certainly is the key imaging modality used for the evaluation of mesothelioma. This applies to both the clinical assessment of mesothelioma and the staging of mesothelioma for therapeutic or epidemiological purposes. The morphological descriptors and criteria for the tumor node metastasis staging of mesothelioma are summarized in Tables 9.1-9.3. 

Yutani, K., Shiba, E., Kusuoka, H., Tatsumi, M., Uehara, T., Taguchi, T., Takai, S. I., and Nishimura, T. (2000). Comparison of FDG-PET with MIBI-SPECT in the detection of breast cancer and axillary lymph node metastasis, Journal of Computer Assisted Tomography, 24 274-280. 

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