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 |