ABSTRACT
We report here on a case of primary extraskeletal mesenchymal chondrosarcoma that arose from the pancreas. A 41-year-old man was evaluated by CT to find the cause of his abdominal pain. The CT scans showed a heterogeneously enhancing necrotic mass with numerous areas of coarse calcification, and this was located in the left side of the retroperitoneal space and involved the body and tail of the pancreas. Portal venography via the celiac axis also showed invasion of the splenic vein. Following excision of the mass, it was pathologically confirmed to be primary extraskeletal mesenchymal chondrosarcoma that arose from the pancreas.
Subject(s)
Adult , Humans , Male , Abdominal Pain/etiology , Chondrosarcoma, Mesenchymal/complications , Contrast Media/administration & dosage , Diagnosis, Differential , Iohexol/analogs & derivatives , Necrosis , Pancreas/pathology , Pancreatic Neoplasms/complications , Portal Vein/diagnostic imaging , Radiographic Image Enhancement/methods , Rare Diseases , Retroperitoneal Space/diagnostic imaging , Splenic Vein/diagnostic imaging , Tomography, X-Ray Computed/methodsABSTRACT
Solitary fibrous tumor (SFT) is a benign mesenchymal neoplasm of a spindle-cell origin, and it usually involves the pleura. It's occurrence in various organs of the body has recently been described. Meningeal SFT is very rare. Radiologically, it is a strongly enhancing solid mass and is undistinguishable from fibrous meningioma and hemangiopericytoma. Yet we report here on a case of SFT with massive cystic degeneration that arose from the meninges of the left occipital region.
Subject(s)
Hemangiopericytoma , Meninges , Meningioma , Pleura , Solitary Fibrous TumorsABSTRACT
PURPOSE: We wanted to evaluate an acceptable compression rate of JPEG2000 for long term archiving of CT and MR images in PACS. MATERIALS AND METHODS: Nine CT images and 9 MR images that had small or minimal lesions were randomly selected from the PACS at our institute. All the images are compressed with rates of 5:1, 10:1, 20:1, 40:1 and 80:1 by the JPEG2000 compression protocol. Pairs of original and compressed images were compared by 9 radiologists who were working independently. We designed a JPEG2000 viewing program for comparing two images on one monitor system for performing easy and quick evaluation. All the observers performed the comparison study twice on 5 mega pixel grey scale LCD monitors and 2 mega pixel color LCD monitors, rspectively. The PSNR (Peak Signal to Noise Ratio) values were calculated for making quantitative comparisons. RESULTS: On MR and CT, all the images with 5:1 compression images showed no difference from the original images by all 9 observers and only one observer could detect a image difference on one CT image for 10:1 compression on only the 5 mega pixel monitor. For the 20:1 compression rate, clinically significant image deterioration was found in 50% of the images on the 5M pixel monitor study, and in 30% of the images on the 2M pixel monitor. PSNR values larger than 44 dB were calculated for all the compressed images. CONCLUSION: The clinically acceptable image compression rate for long term archiving by the JPEG2000 compression protocol is 10:1 for MR and CT, and if this is applied to PACS, it would reduce the cost and responsibility of the system.