Incidental Enchondromas Of The Lower Extremity Long Bones And Atypical Chondroid Tumors Differentiation Based On Hounsfield Units   
Yazarlar (6)
Doç. Dr. Orhan BALTA Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Harun Altınayak
Sağlık Bilimleri Üniversitesi, Türkiye
Prof. Dr. Eyup Çağatay ZENGİN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Doç. Dr. Mehmet Burtaç EREN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Dr. Öğr. Üyesi Osman DEMİR Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Kürşad Aytekin
Giresun Üniversitesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü Uluslararası alan indekslerindeki dergilerde yayınlanan tam makale
Dergi Adı Eurasian Journal of Medical Investigation
Dergi ISSN 2602-3164
Dergi Tarandığı Indeksler EBSCO
Makale Dili İngilizce
Basım Tarihi 03-2022
Cilt No 6
Sayı 2
Sayfalar 245 / 258
DOI Numarası 10.14744/ejmi.2022.47497
Makale Linki https://www.ejmi.org/10.14744/ejmi.2022.47497/
Özet
Objectives: To determine the prevalence of enchondroma (EC) in adults, which was detected as an incidental finding
in the lower extremity long bones on magnetic resonance imaging (MRI) and to detect imaging differences between
EC and atypical chondroid tumor (ACT).
Methods: A retrospective review of lower extremity MRI scans was performed in patients over 18 years of age. The location,
size, and appearance of ECs and ACTs were established. The patients who were diagnosed with definitive EC and
ACT after undergoing a biopsy were evaluated whether they had computed tomography (CT) examinations. Sagittal,
coronal and axial reconstructions were performed in the patients with CT. Overall, minimum and maximum Hounsfield
Units measurements were conducted in all 3 planes using region-of-interest (ROI) circles.
Results: A total of 20,864 MR scans were reviewed. EC was detected in 2.2% and ACT in 0.08% of all MRIs including the
lower extremity long bones. EC was observed to be most in the MR images taken for the knee (2.209%). EC was detected
to be 1.6% in the proximal femur, 1.9% in the femur diaphysis, 1.8% in the distal femur, and 0.4% in the proximal tibia.
Conclusion: The present study showed that tumors may be significant for ACT if their length is more than 4.5 cm, their
width is greater than 2 cm, and they are growing more than 6 mm at follow-up. It was determined that the lower the CT
attenuation measurements (Hounsfield Units), the higher the probability of having ACT.
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