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. 2020 Feb 18;52(1):83–89. [Article in Chinese] doi: 10.19723/j.issn.1671-167X.2020.01.013

1.

腮腺肿物PI-RADS诊断结果与影像学征象

Correlations between PI-RADS grades of the parotid gland neoplasms and radiologic signs

Items PI-RADS 2 PI-RADS 3 PI-RADS 3b PI-RADS 4 PI-RADS 5 PI-RADS 6 Benign Malignancy
PI-RADS, Parotid Imaging Reporting and Data System. The numbers of neoplasms were calculated here.
Size
Small (<2.0 cm) 30 82 7 7 2 0 118 10
Medium (2.0-3.0 cm) 158 453 4 49 14 1 624 55
Large (>3.0 cm) 56 102 1 20 14 3 163 33
Single/multiple
Single on one side 139 584 0 62 19 3 730 77
Multiple on one side 33 25 5 11 9 1 66 18
Multiple on two sides 72 28 7 3 2 0 109 3
Boundary
Absolutely clear 153 153 0 3 0 0 309 0
Majorly clear 68 261 2 21 4 0 345 11
Partially ill-defined 17 182 1 26 3 1 210 20
Majorly ill-defined 6 38 7 18 8 3 37 43
Ill-defined 0 3 2 8 15 0 4 24
Shape
Round 54 269 5 21 7 0 334 22
Oval 154 162 3 13 3 0 322 13
Scalloped 31 182 2 27 6 2 222 28
Irregular 5 24 2 15 14 2 27 35
Dominant density on plain CT
Fat 7 1 0 0 0 0 8 0
Liquid 30 59 0 4 12 0 91 2
Soft-tissue (partial fluid) 66 239 1 36 18 3 311 46
Soft-tissue 141 338 11 36 0 1 495 50
Enhancement degree on first enhanced phase
No significant 25 42 0 3 0 0 68 2
Slightly 10 122 0 12 4 0 140 8
Medium 29 203 5 32 13 1 236 47
Obvious 89 114 7 21 11 3 217 28
Significant 67 53 0 5 1 0 119 7
Enhancement pattern
Gradual 20 294 5 30 11 1 333 28
Fast in-out 124 128 1 23 7 2 254 31
Basically no enhancement 4 4 0 2 1 0 8 3
Gradual in-out 9 51 2 10 2 0 61 13
Enhancement distribution
Membrane enhancement 5 34 0 7 0 0 40 6
Even 152 182 12 24 15 1 346 36
Uneven to even 17 198 0 21 5 1 223 20
Uneven 14 84 0 17 8 2 99 26
No enhancement 32 36 0 4 0 0 72 0
Calcification
No 239 602 12 59 26 4 861 81
Small granular or capsule 5 31 0 10 1 0 38 9
Large irregular 0 4 0 7 3 0 6 8
Cystic percentage
0 177 488 12 49 26 2 683 71
≤25% 19 53 0 10 2 2 72 14
>25%, ≤50% 7 17 0 6 2 0 23 9
>50%, ≤75% 5 33 0 5 0 0 40 3
>75% 36 46 0 6 0 0 87 1
Adjacent structure destruction
No 237 609 7 64 16 3 867 69
Move 5 19 0 5 0 0 26 3
Poor boundary 2 8 5 6 9 0 12 18
Significant 0 1 0 1 5 1 0 8