caa a22 4500 475755979 CHVBK 20180406123538.0 cr unu---uuuuu 170329e20000701xx s 000 0 eng 10.1007/s002470000204 doi (NATIONALLICENCE)springer-10.1007/s002470000204 Chest radiography versus chest CT in the evaluation for pulmonary metastases in patients with Wilms' tumor: a retrospective review [Elektronische Daten] [S. L. Wootton-Gorges, Edythe A. Albano, Jenny M. Riggs, Heather Ihrke, Carol M. Rumack, John D. Strain] Background. Determination of the presence of pulmonary metastases in children with Wilms' tumor is an important part of staging and treatment. We sought to compare the efficacy of chest radiography (CXR) and chest CT in the evaluation for pulmonary metastases in patients with Wilms' tumor. Materials and methods. This retrospective study included 83 children with Wilms' tumor diagnosed between 1980 and 1993. All patients with pulmonary nodules (n = 12) as well as 14 Wilms' tumor patients without pulmonary metastases (control group) had blinded review of the CXR and chest CTs by three pediatric radiologists. Presence, size, and certainty of metastatic diagnosis were recorded. Medical records were reviewed. The remaining 57 patients had review of their medical and imaging records to confirm the absence of pulmonary metastases. Results. Ten of the 12 with pulmonary masses had imaging available for review. Eight had both positive CXR and chest CT examinations. Two patients had pulmonary nodules seen by CT only: one had a right cardiophrenic angle mass and died as a result of liver metastases. The other had a solitary nodule, which proved to be a plasma-cell granuloma. Overall, the CXR and chest CT data concur in 79/81 (98 %). Conclusion. CXR alone appears adequate for the diagnosis or exclusion of pulmonary metastases in patients with Wilms' tumor. Springer-Verlag Berlin Heidelberg, 2000 Wootton-Gorges S. L. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut Albano Edythe A. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut Riggs Jenny M. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut Ihrke Heather The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut Rumack Carol M. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut Strain John D. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut https://doi.org/10.1007/s002470000204 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470000204 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wootton-Gorges S. L. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut NATIONALLICENCE 700 1- Albano Edythe A. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut NATIONALLICENCE 700 1- Riggs Jenny M. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut NATIONALLICENCE 700 1- Ihrke Heather The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut NATIONALLICENCE 700 1- Rumack Carol M. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut NATIONALLICENCE 700 1- Strain John D. The Children's Hospital, and the University of Colorado Health Sciences Center, Department of Radiology, 1056 E. 19th Avenue, Denver, CO 80218, USA, US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer