Comparison of CT and MR imaging for the detection of extranodal neoplastic spread in metastatic neck nodes

被引：99

作者：

King, AD

Tse, GMK

Yuen, EHY

To, EWH

Vlantis, AC

Zee, B

Chan, ABW

van Hasselt, AC

Ahuja, AT

机构：

[1] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Diagnost Radiol & Organ Imaging, Hong Kong, Hong Kong, Peoples R China

[2] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Anat & Cellular Pathol, Hong Kong, Hong Kong, Peoples R China

[3] St Teresas Hosp, Oral Maxillofacial Surg Ctr, Hong Kong, Hong Kong, Peoples R China

[4] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Surg, Hong Kong, Hong Kong, Peoples R China

[5] Chinese Univ Hong Kong, Prince Wales Hosp, Fac Med, Dept Oncol, Hong Kong, Hong Kong, Peoples R China

来源：

EUROPEAN JOURNAL OF RADIOLOGY | 2004年 / 52卷 / 03期

关键词：

head and neck neoplasms; lymphatic system; CT; MR; US; sensitivity and specificity;

D O I：

10.1016/j.ejrad.2004.03.004

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Purpose: To compare computed tomography (CT) and magnetic resonance (MR) imaging for the detection of extranodal neoplastic spread (ENS) in metastatic cervical nodes from head and neck squamous cell carcinoma. Materials and methods: 17 patients with a squamous cell carcinoma of the head and neck underwent CT and MR imaging. The neck nodes were assessed for ENS and the results compared using pathology from the surgical resection. Results: Radiologic-pathologic correlation was performed in 51 malignant nodes. The accuracy, sensitivity and specificity were respectively 73, 65, 93% for CT, and 80, 78, 86% for MR imaging. Comparison of CT and MR imaging showed that there was no significant difference between the two modalities for either sensitivity (P = 0.1317) or specificity (P = 0.3173). Conclusion: CT and MR imaging are comparable for the detection of ENS. (C) 2004 Elsevier Ireland Ltd. All rights reserved.

引用

页码：264 / 270

页数：7

共 29 条

[1] ORBIT, SKULL BASE, AND PHARYNX - CONTRAST-ENHANCED FAT SUPPRESSION MR IMAGING [J].

BARAKOS, JA ;

DILLON, WP ;

CHEW, WM .

RADIOLOGY, 1991, 179 (01) :191-198

[2] Morphologic predictors of lymph node status in rectal cancer with use of high-spatial-resolution MR imaging with histopathologic comparison [J].

Brown, G ;

Richards, CJ ;

Bourne, MW ;

Newcombe, RG ;

Radcliffe, AG ;

Dallimore, NS ;

Williams, GT .

RADIOLOGY, 2003, 227 (02) :371-377

[3] ACCURACY OF CT IN DETECTING SQUAMOUS CARCINOMA METASTASES IN CERVICAL LYMPH-NODES [J].

CARVALHO, P ;

BALDWIN, D ;

CARTER, R ;

PARSONS, C .

CLINICAL RADIOLOGY, 1991, 44 (02) :79-81

[4]

Collins SL, 1987, COMPREHENSIVE MANAGE, P1386

[5] EVALUATION OF CERVICAL LYMPH-NODE METASTASES IN SQUAMOUS-CELL CARCINOMA OF THE HEAD AND NECK [J].

DON, DM ;

ANZAI, Y ;

LUFKIN, RB ;

FU, YS ;

CALCATERRA, TC .

LARYNGOSCOPE, 1995, 105 (07) :669-674

[6] DOES NODE LOCATION AFFECT THE INCIDENCE OF DISTANT METASTASES IN HEAD AND NECK SQUAMOUS-CELL CARCINOMA [J].

ELLIS, ER ;

MENDENHALL, WM ;

RAO, PV ;

PARSONS, JT ;

SPANGLER, AE ;

MILLION, RR .

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1989, 17 (02) :293-297

[7] Extent of extracapsular spread - A critical prognosticator in oral tongue cancer [J].

Greenberg, JS ;

Fowler, R ;

Gomez, J ;

Mo, V ;

Roberts, D ;

El Naggar, AK ;

Myers, JN .

CANCER, 2003, 97 (06) :1464-1470

[8] Magnetic resonance imaging versus clinical palpation in evaluating cervical metastasis from head and neck cancer [J].

Hao, SP ;

Ng, SH .

OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2000, 123 (03) :324-327

[9]

HIRABAYASHI H, 1991, LARYNGOSCOPE, V101, P502

[10]

JOHNSON JT, 1981, ARCH OTOLARYNGOL, V107, P725

← 1 2 3 →