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In patients with a serum creatinine of >200 μmol/L, DCE-MRI was used to assess the kidneys and unenhanced CT for chest staging annually.
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Few studies compared staging chest CT with chest x-ray.
1, 6 One other study compared findings on staging chest x-ray with chest CT. 2 This study showed that in 4 of 7 patients the pulmonary metastases were visible on chest x-ray.
Thus in stage I disease, where abdominal CT and chest x-ray are normal, staging CT chest gives a false-positive rate of 100%.
Staging chest CT revealed pulmonary metastases in 6 patients, with 1 false positive finding.
Computed tomography is now often done before histology results are available so it is not practical to omit staging chest CT.
Complete history and physical examination, routine haematology and biochemistry, staging with chest radiographs, chest, brain and abdominal computed tomography (CT), and QoL assessment were required before randomisation.
The current standard of care for newly diagnosed extremity soft-tissue sarcoma involves imaging of the chest for staging and surveillance for metastatic lesions.
This is the largest reported series of staging CT chest in testicular seminoma.
Staging with chest CT during follow-up might be a better alternative.
Staging with chest CT did not result in a change of the treatment plan for the primary tumor, nor did it result in curative treatment of pulmonary metastases.
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