Computed tomography or magnetic resonance imaging for axillary symptoms following treatment of breast carcinoma? A randomized trial
Identifieur interne : 00CF51 ( Main/Curation ); précédent : 00CF50; suivant : 00CF52Computed tomography or magnetic resonance imaging for axillary symptoms following treatment of breast carcinoma? A randomized trial
Auteurs : A. K. Dixon [Royaume-Uni] ; T. K. Wheeler [Royaume-Uni] ; D. J. Lomas [Royaume-Uni] ; R. Mackenzie [Royaume-Uni]Source :
- Clinical Radiology [ 0009-9260 ] ; 1993.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Aisselle, Douleur (étiologie), Femelle, Fibrose (diagnostic), Humains, Imagerie par résonance magnétique, Lymphoedème (diagnostic), Lésions radio-induites (anatomopathologie), Lésions radio-induites (diagnostic), Métastase lymphatique, Noeuds lymphatiques (anatomopathologie), Noeuds lymphatiques (imagerie diagnostique), Sujet âgé, Tomodensitométrie, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (radiothérapie).
- MESH :
- anatomopathologie : Lésions radio-induites, Noeuds lymphatiques, Tumeurs du sein.
- diagnostic : Fibrose, Lymphoedème, Lésions radio-induites.
- imagerie diagnostique : Noeuds lymphatiques.
- radiothérapie : Tumeurs du sein.
- étiologie : Douleur.
- Adulte d'âge moyen, Aisselle, Femelle, Humains, Imagerie par résonance magnétique, Métastase lymphatique, Sujet âgé, Tomodensitométrie, Tumeurs du sein.
English descriptors
- KwdEn :
- Aged, Axilla, Breast Neoplasms (pathology), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Female, Fibrosis (diagnosis), Humans, Lymph Nodes (diagnostic imaging), Lymph Nodes (pathology), Lymphatic Metastasis, Lymphedema (diagnosis), Magnetic Resonance Imaging, Middle Aged, Pain (etiology), Radiation Injuries (diagnosis), Radiation Injuries (pathology), Tomography, X-Ray Computed.
- MESH :
- diagnosis : Fibrosis, Lymphedema, Radiation Injuries.
- diagnostic imaging : Lymph Nodes.
- etiology : Pain.
- pathology : Breast Neoplasms, Lymph Nodes, Radiation Injuries.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Aged, Axilla, Female, Humans, Lymphatic Metastasis, Magnetic Resonance Imaging, Middle Aged, Tomography, X-Ray Computed.
Abstract
Fifty-eight patients presenting with axillary symptoms (pain, oedema, etc) following radiation therapy for breast carcinoma were randomized to be investigated by either computed tomography (CT: 29 patients) or magnetic resonance imaging (MRI: 28). The objectives of the study were to compare the efficacy of the two tests in identifying the presence of tumour and their effectiveness as judged by quality of life (QOL) outcome measurements. Both tests proved efficacious; the predictive values for a positive result (tumour present) were 100% for both tests; the predictive values for negative findings were in the range of 76 to 90% for CT and 81 to 100% for MRI. As regards outcome, complete QOL data were available in 37 patients (17 of these patients had CT, 20 MRI). Although the mean change in QOL over 6 months was slightly more favourable in the patients investigated by MRI than in the CT group, the difference did not reach statistical significance.
Url:
DOI: 10.1016/S0009-9260(05)81103-1
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<front><div type="abstract" xml:lang="en">Fifty-eight patients presenting with axillary symptoms (pain, oedema, etc) following radiation therapy for breast carcinoma were randomized to be investigated by either computed tomography (CT: 29 patients) or magnetic resonance imaging (MRI: 28). The objectives of the study were to compare the efficacy of the two tests in identifying the presence of tumour and their effectiveness as judged by quality of life (QOL) outcome measurements. Both tests proved efficacious; the predictive values for a positive result (tumour present) were 100% for both tests; the predictive values for negative findings were in the range of 76 to 90% for CT and 81 to 100% for MRI. As regards outcome, complete QOL data were available in 37 patients (17 of these patients had CT, 20 MRI). Although the mean change in QOL over 6 months was slightly more favourable in the patients investigated by MRI than in the CT group, the difference did not reach statistical significance.</div>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Computed tomography or magnetic resonance imaging for axillary symptoms following treatment of breast carcinoma? A randomized trial.</title>
<author><name sortKey="Dixon, A K" sort="Dixon, A K" uniqKey="Dixon A" first="A K" last="Dixon">A K Dixon</name>
<affiliation><nlm:affiliation>Department of Radiology, Addenbrooke's Hospital, Cambridge.</nlm:affiliation>
<wicri:noCountry code="subField">Cambridge</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Wheeler, T K" sort="Wheeler, T K" uniqKey="Wheeler T" first="T K" last="Wheeler">T K Wheeler</name>
</author>
<author><name sortKey="Lomas, D J" sort="Lomas, D J" uniqKey="Lomas D" first="D J" last="Lomas">D J Lomas</name>
</author>
<author><name sortKey="Mackenzie, R" sort="Mackenzie, R" uniqKey="Mackenzie R" first="R" last="Mackenzie">R. Mackenzie</name>
</author>
</analytic>
<series><title level="j">Clinical radiology</title>
<idno type="ISSN">0009-9260</idno>
<imprint><date when="1993" type="published">1993</date>
</imprint>
</series>
</biblStruct>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Axilla</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Fibrosis (diagnosis)</term>
<term>Humans</term>
<term>Lymph Nodes (diagnostic imaging)</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymphatic Metastasis</term>
<term>Lymphedema (diagnosis)</term>
<term>Magnetic Resonance Imaging</term>
<term>Middle Aged</term>
<term>Pain (etiology)</term>
<term>Radiation Injuries (diagnosis)</term>
<term>Radiation Injuries (pathology)</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Douleur (étiologie)</term>
<term>Femelle</term>
<term>Fibrose (diagnostic)</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Lymphoedème (diagnostic)</term>
<term>Lésions radio-induites (anatomopathologie)</term>
<term>Lésions radio-induites (diagnostic)</term>
<term>Métastase lymphatique</term>
<term>Noeuds lymphatiques (anatomopathologie)</term>
<term>Noeuds lymphatiques (imagerie diagnostique)</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Tumeurs du sein (radiothérapie)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lésions radio-induites</term>
<term>Noeuds lymphatiques</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Fibrosis</term>
<term>Lymphedema</term>
<term>Radiation Injuries</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Fibrose</term>
<term>Lymphoedème</term>
<term>Lésions radio-induites</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pain</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Noeuds lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
<term>Radiation Injuries</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Douleur</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
<term>Magnetic Resonance Imaging</term>
<term>Middle Aged</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie par résonance magnétique</term>
<term>Métastase lymphatique</term>
<term>Sujet âgé</term>
<term>Tomodensitométrie</term>
<term>Tumeurs du sein</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Fifty-eight patients presenting with axillary symptoms (pain, oedema, etc) following radiation therapy for breast carcinoma were randomized to be investigated by either computed tomography (CT: 29 patients) or magnetic resonance imaging (MRI: 28). The objectives of the study were to compare the efficacy of the two tests in identifying the presence of tumour and their effectiveness as judged by quality of life (QOL) outcome measurements. Both tests proved efficacious; the predictive values for a positive result (tumour present) were 100% for both tests; the predictive values for negative findings were in the range of 76 to 90% for CT and 81 to 100% for MRI. As regards outcome, complete QOL data were available in 37 patients (17 of these patients had CT, 20 MRI). Although the mean change in QOL over 6 months was slightly more favourable in the patients investigated by MRI than in the CT group, the difference did not reach statistical significance.</div>
</front>
</TEI>
</PubMed>
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