Contrast-enhanced multidetector computed tomography features and histogram analysis can differentiate ameloblastomas from central giant cell granulomas  

作　　者：Adarsh Ghosh Meyyappan Lakshmanan Smita Manchanda Ashu Seith Bhalla Prem Kumar Ongkila Bhutia Asit Ranjan Mridha 

机构地区：[1]Department of Radiology,Children's Hospital of Philadelphia,Philadelphia,PA 19104,United States [2]Department of Radiology,All India Institute of Medical Sciences,New Delhi 110029,India [3]Department of Radiodiagnosis,All India Institute of Medical Sciences,New Delhi 110029,India [4]Department of Oral&Maxillofacial Surgery,All India Institute of Medical Sciences,New Delhi 110029,India [5]Department of Pathology,All India Institute of Medical Sciences,Ansari Nagar,New Delhi 110029,India

出　　处：《World Journal of Radiology》2022年第9期329-341,共13页世界放射学杂志（英文版）（电子版）

摘　　要：BACKGROUND No qualitative or quantitative analysis of contrast-enhanced computed tomography(CT)images has been reported for the differentiation between ameloblastomas and central giant cell granulomas(CGCGs).AIM To describe differentiating multidetector CT(MDCT)features in CGCGs and ameloblastomas and to compare differences in enhancement of these lesions qualitatively and using histogram analysis.METHODS MDCT of CGCGs and ameloblastomas was retrospectively reviewed to evaluate qualitative imaging descriptors.Histogram analysis was used to compare the extent of enhancement of the soft tissue.Fisher’s exact tests and Mann–Whitney U test were used for statistical analysis(P<0.05).RESULTS Twelve CGCGs and 33 ameloblastomas were reviewed.Ameloblastomas had a predilection for the posterior mandible with none of the CGCGs involving the angle.CGCGs were multilocular(58.3%),with a mixed lytic sclerotic appearance(75%).Soft tissue component was present in 91%of CGCGs,which showed hyperenhancement(compared to surrounding muscles)in 50%of cases,while the remaining showed isoenhancement.Matrix mineralization was present in 83.3%of cases.Ameloblastomas presented as a unilocular(66.7%),lytic(60.6%)masses with solid components present in 81.8%of cases.However,the solid component showed isoenhancement in 63%.No matrix mineralization was present in 69.7%of cases.Quantitatively,the enhancement of soft tissue in CGCG was significantly higher than in ameloblastoma on histogram analysis(P<0.05),with a minimum enhancement of>49.05 HU in the tumour providing 100%sensitivity and 85%specificity in identifying a CGCG.CONCLUSION A multilocular,lytic sclerotic lesion with significant hyperenhancement in soft tissue,which spares the angle of the mandible and has matrix mineralization,should indicate prospective diagnosis of CGCG.

关 键 词：AMELOBLASTOMA GRANULOMA Giant cell Multidetector CT 

分 类 号：R739.8[医药卫生—肿瘤]