Lingual carcinoma : Correlation of MR imaging with histopathological findings

To determine the utility of MR imaging in the evaluation of lingual carcinomas. Eleven patients with lingual carcinoma were evaluated with MR imaging including dynamic study within one week before surgery. Nine patients underwent preoperative chemotherapy or irradiation, and 2 patients had no preope...

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Veröffentlicht in:Acta radiologica (1987) 1996-09, Vol.37 (5), p.700-707
Hauptverfasser: ARAKAWA, A, TSURUTA, J, ISHIKAWA, T, TAKAHASHI, M, NISHIMURA, R, SAKAMOTO, Y, KOROGI, Y, BABA, Y, FURUSAWA, M, ISHIMARU, Y, UJI, Y, TAEN, A
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container_issue 5
container_start_page 700
container_title Acta radiologica (1987)
container_volume 37
creator ARAKAWA, A
TSURUTA, J
ISHIKAWA, T
TAKAHASHI, M
NISHIMURA, R
SAKAMOTO, Y
KOROGI, Y
BABA, Y
FURUSAWA, M
ISHIMARU, Y
UJI, Y
TAEN, A
description To determine the utility of MR imaging in the evaluation of lingual carcinomas. Eleven patients with lingual carcinoma were evaluated with MR imaging including dynamic study within one week before surgery. Nine patients underwent preoperative chemotherapy or irradiation, and 2 patients had no preoperative treatment. Delineation of the tumor, the contrast between tumor and surrounding tissue, and extent of the tumor were evaluated in a blinded manner. After glossectomy, MR images were correlated with pathological findings. Statistical analysis was performed on the visual assessment ratings. Blinded evaluation suggested that dynamic and T2-weighted images (T2WI) were significantly superior to postcontrast T1WI in demonstrating the lesion. There were no significant differences between dynamic MR images and T2WIs. However, histopathological correlation showed that in patients with preoperative treatment, dynamic MR imaging demonstrated more accurately the size and extent of the residual tumor than did T2WI and postcontrast T1WI, which tended to demonstrate an area of signal abnormality that was more extensive than the true size of the residual lesion. In patients without preoperative treatment, dynamic MR imaging, T2WI, and postcontrast T1WI gave an equivalent depiction of the extent of the carcinoma. In patients with no preoperative treatment, dynamic MR imaging does not appear to offer any advantage over T2WI. However, in patients with preoperative treatment, dynamic MR imaging provides a more accurate assessment of the residual tumor than do T2WI and postcontrast T1WI.
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source Taylor & Francis:Master (3349 titles); MEDLINE
subjects Aged
Biological and medical sciences
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - surgery
Combined Modality Therapy
Contrast Media
Evaluation Studies as Topic
Female
Gadolinium DTPA
Glossectomy
Humans
Magnetic Resonance Imaging - methods
Male
Medical sciences
Organometallic Compounds
Otorhinolaryngology (head neck, general aspects and miscellaneous)
Otorhinolaryngology. Stomatology
Pentetic Acid - analogs & derivatives
Preoperative Care
Tongue - pathology
Tongue Neoplasms - diagnosis
Tongue Neoplasms - surgery
Tumors
title Lingual carcinoma : Correlation of MR imaging with histopathological findings
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