PMID: 8600000Jan 1, 1996Paper

Magnetic resonance imaging is superior to computed tomography and ultrasonography in imaging infectious liver foci in acute leukaemia

European Journal of Haematology
V J AnttilaP Ruutu

Abstract

We conducted a prospective study in order to compare ultrasonography, computed tomography and magnetic resonance imaging in the detection of liver foci in patients with acute leukaemia and clinical suspicion of hepatic candidiasis. 28 adult patients fulfilling set entry criteria after recovery from neutropenia were studied. Lesions in the liver were detected by at least one imaging modality in 21 patients: by ultrasonography in 7 (33% of detected cases), computed tomography in 12 (57%) and by magnetic resonance imaging in 20 patients (95%). Magnetic resonance imaging was significantly more sensitive than ultrasonography (p<0.001) and computed tomography (p<0.02). The difference between computed tomography and ultrasonography was not statistically significant (p=0.1). Invasive procedures performed in 10 patients provided definite proof of candidiasis in 5 patients, and nodes on the liver surface, compatible with yeast infection, were seen during laparoscopy in 3 other patients without proof of fungal infection. We confirm that magnetic resonance imaging is superior to ultrasonography and computed tomography in imaging liver foci in leukaemic patients recovering from neutropenia with persistent non-specific signs of infection or ...Continue Reading

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Citations

May 31, 2001·British Journal of Haematology·C LiatsosA K Burroughs
Dec 31, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Cesar YaghiRaymond Sayegh
Aug 5, 2006·Alimentary Pharmacology & Therapeutics·G B McDonald
Jul 17, 2004·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Koenraad J MorteléPablo R Ros
Feb 8, 2019·Journal of Pediatric Hematology/oncology·Tiraje CelkanRejin Kebudi
Feb 11, 2020·Insights Into Imaging·Ali Devrim KaraosmanogluPeter F Hahn
Nov 14, 1997·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·V J AnttilaP Ruutu
Nov 21, 2007·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Nuno Pinto LeiteClaude B Sirlin
Dec 19, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Peter G PappasJack D Sobel
Oct 16, 2015·Pediatric Radiology·Govind B ChavhanSue C Kaste
Aug 24, 2015·Clinical Liver Disease·Oliver A CornelyNatalie I Jaspers
Feb 9, 2002·Medical and Pediatric Oncology·Annemarie Elisabeth MüllerDieter Körholz
Mar 21, 1998·Seminars in Ultrasound, CT, and MR·E S Siegelman, E K Outwater

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