الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Multi-detector computed tomography (MDCT) has many
advantages in diagnosis, such as higher temporal and spatial resolution,
radiation dose reduction, and powerful post-processing capabilities.
The aim of this study was to assess the role of multi-detector
computed tomography in differentiation and diagnosis of different fatty
renal and adrenal region lesions. Although there is no simple method for
classifying these lesions, a reasonable approach is to classify the masses
into benign and malignant masses. Adrenal adenoma and retroperitoneal
liposarcoma were the most common of them. The current study included
34 patients referred to Radiology department, Theodor Bilharz Research
Institute. Their age ranged from 20 years to 81 years old with average
(56.35 years±13.61). Most of the patients were males 21cases while
female were 13 cases. The patients were referred from oncology, general
surgery, and urology departments of Theodor Bilharz Research Institute
hospital as well as the outpatient clinics to perform MDCT in the period
from November 2021 to June 2022. All studies were performed using CT
scan machine Toshiba Alexion 16 slice. The study was done on 34
patients with 28 cases were proven to be benign and 6 cases were
malignant. In our study 15 out of 34 cases were adrenal lesions while 12
were renal and the remaining 6 cases were retroperitoneal. The study was
done for evaluation of the diagnostic accuracy and clinical value of CT in
the detection of renal and adrenal region fatty lesions. MDCT
examinations were done for 34 patients and concluded that MDCT should
be used in the first place in the course of diagnostic procedures of patients
with renal and adrenal region fatty lesions and this was justified by an
overall diagnostic accuracy of 100% for benign lesions and 82% for
malignant lesions, where MDCT could correctly diagnose (33/34) cases
Summary and Conclusion
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and only 1 case was misdiagnosed, confirming the ability of MDCT to
show up the accurate diagnosis, the exact location, extent of tumor ,along
with involvement of adjacent organs and vessels. It also has a high
accuracy in differentiation of malignant from benign lesions and detection
of lymph node involvement & metastasis. There by improving the
prognosis. Finally MDCT could improve diagnosis, extensive staging and
follow up of different renal and adrenal region fatty masses.