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[Computer tomography: physico-technical basis, indications and clinical application (author's transl)].

G Canigiani, H Imhof

    Wiener Klinische Wochenschrift
    |October 12, 1979
    PubMed
    Summary

    Whole body computerized tomography (CT) significantly aids in diagnosing diseases, especially for space-occupying lesions in the head, retroperitoneum, lungs, and mediastinum. CT also detects bone metastases earlier than other methods.

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    Area of Science:

    • Radiology
    • Medical Imaging
    • Oncology

    Background:

    • Computerized tomography (CT) is increasingly utilized in routine radiological practice.
    • The diagnostic capabilities of CT have revolutionized disease diagnosis and treatment.
    • This study evaluates the clinical importance of CT based on initial patient data.

    Purpose of the Study:

    • To assess the clinical significance of whole-body computerized tomography (CT) in routine radiological work.
    • To compare the diagnostic accuracy of CT with other methods for various conditions.
    • To highlight the early findings on the utility of CT in diagnosing space-occupying lesions and metastases.

    Main Methods:

    • Analysis of clinical data from the first 1000 patients examined with whole-body CT.

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  • Evaluation of CT's effectiveness in detecting space-occupying lesions in the head, retroperitoneum, pelvis, lungs, and mediastinum.
  • Comparison of CT's ability to detect bone metastases against bone scintigraphy.

    • Main Results:

    • CT of the head is highly reliable for detecting space-occupying lesions.
    • CT excels in diagnosing space-occupying lesions in the retroperitoneum, pelvis, lungs, and mediastinum.
    • CT demonstrates earlier detection of osteoblastic and osteolytic bone metastases compared to bone scintigraphy.

    Conclusions:

    • Whole-body CT is a valuable tool in diagnosing various diseases, particularly space-occupying lesions and bone metastases.
    • While promising, the long-term clinical importance and comparisons with other methods require further investigation due to evolving technology.
    • CT has established a leading role in the diagnostic work-up for specific oncological and radiological conditions.