Diagnostic accuracy of magnetic resonance imaging (MRI) in the assessment of tumor invasion depth in oral/oropharyngeal cancer

Summary The purpose of the present study was to evaluate the diagnostic value of MRI for measuring invasion depth in oral/oropharyngeal carcinoma. We retrospectively reviewed pathologic specimens and MRI findings of 114 patients who were diagnosed with squamous cell carcinoma of the oral cavity and...

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Veröffentlicht in:Oral oncology 2011-05, Vol.47 (5), p.381-386
Hauptverfasser: Park, Jun-Ook, Jung, So-Lyung, Joo, Yong-Hoon, Jung, Chan-Kwon, Cho, Kwang-Jae, Kim, Min-Sik
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container_end_page 386
container_issue 5
container_start_page 381
container_title Oral oncology
container_volume 47
creator Park, Jun-Ook
Jung, So-Lyung
Joo, Yong-Hoon
Jung, Chan-Kwon
Cho, Kwang-Jae
Kim, Min-Sik
description Summary The purpose of the present study was to evaluate the diagnostic value of MRI for measuring invasion depth in oral/oropharyngeal carcinoma. We retrospectively reviewed pathologic specimens and MRI findings of 114 patients who were diagnosed with squamous cell carcinoma of the oral cavity and oropharynx. Invasion depths were evaluated in pathologic specimens and by MRI. The mean histologic and MRI invasion depths were 13.57 ± 8.476 and 15.24 ± 10.700 mm, respectively. The overall Pearson’s correlation coefficient for histologic and MRI (T1W-MRI) invasion depths was 0.825, which was statistically significant ( P < 0.001). Pearson’s correlation coefficients for histologic and MRI invasion depths in oral tongue, tongue base, and tonsil cancers were 0.949, 0.941, and 0.578, respectively. The MRI invasion depth was significantly different according to nodal status in cancers of the oral tongue ( P = 0.001∗ ) and tongue base ( P = 0.003∗ ). With MRI, the invasion depth cutoff values for determining positive nodes were 9.5 and 14.5 mm in cancers of the oral tongue and tongue base, respectively. Preoperative MRI is an accurate method for measuring tumor invasion depth in oral tongue and tongue base cancers. Furthermore, it has predictive value for nodal metastasis in the oral tongue and tongue base.
doi_str_mv 10.1016/j.oraloncology.2011.03.012
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We retrospectively reviewed pathologic specimens and MRI findings of 114 patients who were diagnosed with squamous cell carcinoma of the oral cavity and oropharynx. Invasion depths were evaluated in pathologic specimens and by MRI. The mean histologic and MRI invasion depths were 13.57 ± 8.476 and 15.24 ± 10.700 mm, respectively. The overall Pearson’s correlation coefficient for histologic and MRI (T1W-MRI) invasion depths was 0.825, which was statistically significant ( P &lt; 0.001). Pearson’s correlation coefficients for histologic and MRI invasion depths in oral tongue, tongue base, and tonsil cancers were 0.949, 0.941, and 0.578, respectively. The MRI invasion depth was significantly different according to nodal status in cancers of the oral tongue ( P = 0.001∗ ) and tongue base ( P = 0.003∗ ). With MRI, the invasion depth cutoff values for determining positive nodes were 9.5 and 14.5 mm in cancers of the oral tongue and tongue base, respectively. 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We retrospectively reviewed pathologic specimens and MRI findings of 114 patients who were diagnosed with squamous cell carcinoma of the oral cavity and oropharynx. Invasion depths were evaluated in pathologic specimens and by MRI. The mean histologic and MRI invasion depths were 13.57 ± 8.476 and 15.24 ± 10.700 mm, respectively. The overall Pearson’s correlation coefficient for histologic and MRI (T1W-MRI) invasion depths was 0.825, which was statistically significant ( P &lt; 0.001). Pearson’s correlation coefficients for histologic and MRI invasion depths in oral tongue, tongue base, and tonsil cancers were 0.949, 0.941, and 0.578, respectively. The MRI invasion depth was significantly different according to nodal status in cancers of the oral tongue ( P = 0.001∗ ) and tongue base ( P = 0.003∗ ). With MRI, the invasion depth cutoff values for determining positive nodes were 9.5 and 14.5 mm in cancers of the oral tongue and tongue base, respectively. 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Stomatology</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Tumors</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><issn>1368-8375</issn><issn>1879-0593</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkkuLFDEQgBtR3If-BWkEUQ8zW5V0ZzIeBNn1sbAi-DiHTFKZydiTjEn3Ql_2t5tmxgeePCVUvnrko6rqKcIcAcXFdh6T7mIwsYvrcc4AcQ58DsjuVacoF8sZtEt-v9y5kDPJF-1JdZbzFgBabOFhdcKwaZdCsNPq7srrdYi596bWxgxJm7GOrt6VKE3BRDkGHQzVvsR8WNcvPn6-fln7UPcbqnXOlPOOQj9l9cMupvJ0q7OPoba07zcTOc17EVPcb3Qaw5p0V5upZnpUPXC6y_T4eJ5X3969_Xr5YXbz6f315ZubmWk59DMyiIycRdk06CxH65gmXFgmrbCS2xW4FUlhnSAnpAPRWEOOyyWzaFvLz6vnh7r7FH8MlHu189lQ1-lAcchKCgmsXbSykK8OpEkx50RO7VP5eRoVgpr0q636W7-a9CvgqugvyU-ObYbVjuzv1F--C_DsCOhsdOdSseDzH65hnAEXhbs6cFSk3HpKKhtPxZj1iUyvbPT_N8_rf8qYzgdfOn-nkfI2DikU7QpVZgrUl2lhpn1BBECQDf8JabjCew</recordid><startdate>20110501</startdate><enddate>20110501</enddate><creator>Park, Jun-Ook</creator><creator>Jung, So-Lyung</creator><creator>Joo, Yong-Hoon</creator><creator>Jung, Chan-Kwon</creator><creator>Cho, Kwang-Jae</creator><creator>Kim, Min-Sik</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110501</creationdate><title>Diagnostic accuracy of magnetic resonance imaging (MRI) in the assessment of tumor invasion depth in oral/oropharyngeal cancer</title><author>Park, Jun-Ook ; Jung, So-Lyung ; Joo, Yong-Hoon ; Jung, Chan-Kwon ; Cho, Kwang-Jae ; Kim, Min-Sik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c530t-ec112efd18441fd31df2ae17d28d6d83db0fbe86df6ef68f064dcef3892d1d5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Squamous Cell - diagnosis</topic><topic>Carcinoma, Squamous Cell - mortality</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Female</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Lymphatic Metastasis</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Magnetic Resonance Imaging - standards</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mouth Neoplasms - diagnosis</topic><topic>Mouth Neoplasms - mortality</topic><topic>Mouth Neoplasms - pathology</topic><topic>Neck Dissection - methods</topic><topic>Neoplasm invasion</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Staging</topic><topic>Nodal metastasis</topic><topic>Oral cancer</topic><topic>Oropharyngeal cancer</topic><topic>Oropharyngeal Neoplasms - diagnosis</topic><topic>Oropharyngeal Neoplasms - mortality</topic><topic>Oropharyngeal Neoplasms - pathology</topic><topic>Otolaryngology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Tumors</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Jun-Ook</creatorcontrib><creatorcontrib>Jung, So-Lyung</creatorcontrib><creatorcontrib>Joo, Yong-Hoon</creatorcontrib><creatorcontrib>Jung, Chan-Kwon</creatorcontrib><creatorcontrib>Cho, Kwang-Jae</creatorcontrib><creatorcontrib>Kim, Min-Sik</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Oral oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Jun-Ook</au><au>Jung, So-Lyung</au><au>Joo, Yong-Hoon</au><au>Jung, Chan-Kwon</au><au>Cho, Kwang-Jae</au><au>Kim, Min-Sik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic accuracy of magnetic resonance imaging (MRI) in the assessment of tumor invasion depth in oral/oropharyngeal cancer</atitle><jtitle>Oral oncology</jtitle><addtitle>Oral Oncol</addtitle><date>2011-05-01</date><risdate>2011</risdate><volume>47</volume><issue>5</issue><spage>381</spage><epage>386</epage><pages>381-386</pages><issn>1368-8375</issn><eissn>1879-0593</eissn><abstract>Summary The purpose of the present study was to evaluate the diagnostic value of MRI for measuring invasion depth in oral/oropharyngeal carcinoma. We retrospectively reviewed pathologic specimens and MRI findings of 114 patients who were diagnosed with squamous cell carcinoma of the oral cavity and oropharynx. Invasion depths were evaluated in pathologic specimens and by MRI. The mean histologic and MRI invasion depths were 13.57 ± 8.476 and 15.24 ± 10.700 mm, respectively. The overall Pearson’s correlation coefficient for histologic and MRI (T1W-MRI) invasion depths was 0.825, which was statistically significant ( P &lt; 0.001). Pearson’s correlation coefficients for histologic and MRI invasion depths in oral tongue, tongue base, and tonsil cancers were 0.949, 0.941, and 0.578, respectively. The MRI invasion depth was significantly different according to nodal status in cancers of the oral tongue ( P = 0.001∗ ) and tongue base ( P = 0.003∗ ). With MRI, the invasion depth cutoff values for determining positive nodes were 9.5 and 14.5 mm in cancers of the oral tongue and tongue base, respectively. Preoperative MRI is an accurate method for measuring tumor invasion depth in oral tongue and tongue base cancers. Furthermore, it has predictive value for nodal metastasis in the oral tongue and tongue base.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>21459662</pmid><doi>10.1016/j.oraloncology.2011.03.012</doi><tpages>6</tpages></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Female
Hematology, Oncology and Palliative Medicine
Humans
Lymphatic Metastasis
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Magnetic Resonance Imaging - standards
Male
Medical sciences
Middle Aged
Mouth Neoplasms - diagnosis
Mouth Neoplasms - mortality
Mouth Neoplasms - pathology
Neck Dissection - methods
Neoplasm invasion
Neoplasm Invasiveness
Neoplasm Staging
Nodal metastasis
Oral cancer
Oropharyngeal cancer
Oropharyngeal Neoplasms - diagnosis
Oropharyngeal Neoplasms - mortality
Oropharyngeal Neoplasms - pathology
Otolaryngology
Otorhinolaryngology. Stomatology
Predictive Value of Tests
Prognosis
Retrospective Studies
Sensitivity and Specificity
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Diagnostic accuracy of magnetic resonance imaging (MRI) in the assessment of tumor invasion depth in oral/oropharyngeal cancer
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