The Value of Coronal STIR MR Imaging On Evaluation of Pediatric Patients with Hodgkin's Lymphoma


Karaman Z. F. , Saraçoğlu S., Doğan S., Kula M., Karakükçü M. , Coşkun A.

4'th Erciyes Pediatrics Academy Winter Congress , Kayseri, Turkey, 22 - 24 February 2018, pp.14

  • Publication Type: Conference Paper / Summary Text
  • City: Kayseri
  • Country: Turkey
  • Page Numbers: pp.14

Abstract

Introduction: In Hodgkin’s Lymphoma (HL), PET-CT is the ‘‘gold-standard’’ examination for clinical staging. However in HL, MR imaging with whole-body screening also widely used for ease of accessibility and examination, lack of ionizing radiation and radioactive substances. However, not enough study has been found in the literature in this regard. Material and Method: Whole-body coronal STIR sequential MR findings were compared with PET-CT findings which is done for staging and follow-up of 15 children with HL, between February 2016 and October 2017, in our clinic. Results: Nodal findings and extra-nodal findings were documented according to the location and the presence of suspicious or malignant features in 15 patients (7 females) with a mean age of 12.9 (3-17) years. In 14 cases, nodular findings were compatible, whereas in one case, cervical lymp nodes considered as benign in MRI were suspicious in PET-CT due to mild hypermetabolism. We found that coronal STIR MR imaging has an important contribution to the evaluation of nodular and extra-nodular findings of HL. Conclusion: While whole-body STIR MR imaging for HL staging and follow-up makes a significant contribution in appropriate indications, larger series required. Keywords: Hodgkin’s Lymphoma, MRI, pediatric, STIR