MRI of radiation-induced tumors of the head and neck in post-radiation nasopharyngeal carcinoma

The aim of this study was to document the sites and MRI features of radiation-induced tumors (RITs) in the head and neck following treatment for nasopharyngeal carcinoma (NPC). The MRI examinations and clinical records of 20 patients with 21 RITs were reviewed retrospectively. RITs developed 3–30 ye...

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Veröffentlicht in:European radiology 2009-05, Vol.19 (5), p.1197-1205
Hauptverfasser: Abrigo, Jill M., King, Ann D., Leung, Sing Fai, Vlantis, Alexander C., Wong, Jeffrey K. T., Tong, Michael C. F., Tse, Gary M. K., Ahuja, Anil T.
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container_end_page 1205
container_issue 5
container_start_page 1197
container_title European radiology
container_volume 19
creator Abrigo, Jill M.
King, Ann D.
Leung, Sing Fai
Vlantis, Alexander C.
Wong, Jeffrey K. T.
Tong, Michael C. F.
Tse, Gary M. K.
Ahuja, Anil T.
description The aim of this study was to document the sites and MRI features of radiation-induced tumors (RITs) in the head and neck following treatment for nasopharyngeal carcinoma (NPC). The MRI examinations and clinical records of 20 patients with 21 RITs were reviewed retrospectively. RITs developed 3–30 years after radiotherapy and included eleven squamous cell carcinomas, six sarcomas, two neuroendocrine carcinomas, one mucoepidermoid carcinoma and one meningioma. RITs arose in the maxillary region (9), oro/hypopharynx and oral cavity (5), external auditory canal (4), nasopharynx and sphenoid sinus (2) and brain (1). Radiation-induced carcinoma and sarcoma had MRI features that were useful to distinguish them from recurrent NPC. To improve early detection of RITs, the check areas on an MRI of a patient with previous NPC treated by radiation should always include the maxillary region, tongue, and external auditory canal/temporal bone.
doi_str_mv 10.1007/s00330-008-1265-6
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RITs arose in the maxillary region (9), oro/hypopharynx and oral cavity (5), external auditory canal (4), nasopharynx and sphenoid sinus (2) and brain (1). Radiation-induced carcinoma and sarcoma had MRI features that were useful to distinguish them from recurrent NPC. 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subjects Adult
Aged
Cancer
Carcinoma - pathology
Carcinoma - radiotherapy
Diagnostic Radiology
Female
Head and Neck
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - radiotherapy
Histology
Hospitals
Humans
Imaging
Internal Medicine
Interventional Radiology
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Nasopharyngeal Neoplasms - pathology
Nasopharyngeal Neoplasms - radiotherapy
Neck - pathology
Neoplasms, Radiation-Induced - pathology
Neoplasms, Radiation-Induced - radiotherapy
Neuroradiology
Patients
Radiation therapy
Radiology
Radiotherapy - adverse effects
Reproducibility of Results
Retrospective Studies
Sarcoma
Sinuses
Tumors
Ultrasound
Whole Body Imaging - methods
title MRI of radiation-induced tumors of the head and neck in post-radiation nasopharyngeal carcinoma
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