European Radiology

, Volume 26, Issue 6, pp 1696–1704 | Cite as

The value of a rapid contrast-enhanced angio-MRI protocol in the detection of head and neck paragangliomas in SDHx mutations carriers: a retrospective study on behalf of the PGL.EVA investigators*

  • Guillaume Gravel
  • Patricia Niccoli
  • Vincent Rohmer
  • Guy Moulin
  • Françoise Borson-Chazot
  • Pascal Rousset
  • Anne Pasco-Papon
  • Claude Marcus
  • Frédérique Dubrulle
  • Hervé Gouya
  • François Bidault
  • Benoit Dupas
  • Jean Gabrillargues
  • Aurore Caumont-Prim
  • Anne Hernigou
  • Anne-Paule Gimenez-Roqueplo
  • Philippe Halimi
Head and Neck

Abstract

Objectives

To assess the performance of a simplified MRI protocol consisting of a contrast-enhanced three-dimensional MR angiography (CE-MRA) in association with a post-contrast T1-weighted sequence (T1WIV) for the detection of HNPGLs in SDHx mutation carriers.

Methods

This retrospective sub-study is based on the multicenter PGL.EVA cohort, which prospectively enrolled SDHx mutation carriers from 2005 to 2009; 157 index cases or relatives were included. CE-MRA and the T1WIV images were read solely with knowledge of the clinical data but blind to the diagnosis. Sensitivity, specificity and likelihood ratios for the simplified MRI protocol were compared to the full MRI protocol reading results and to the gold standard status obtained through the consensus of an expert committee.

Results

The sensitivity and specificity of the readings of the simplified MRI protocol were, respectively, 88.7 % (95 % CI = 78.1–95.3) and 93.7 % (95 % CI = 86.8–97.7) versus 80.7 % (95 % CI = 68.6–89.6) and 94.7 % (95 % CI = 88.1–98.3) for the readings of the full MRI protocol.

Conclusions

The simplified post-contrast MRI with shorter duration (5 to 10 minutes) showed no performance difference compared to the lengthy standard full MRI and can be proposed for the detection of head and neck paragangliomas (HNPGLs) in SDHx mutation carriers.

Key Points

Rapid angio-MRI protocol and the usual lengthy protocol show equal diagnostic performance.

The CE-MRA is the key sequence for the detection of HNPGLs.

The T1WIV sequence assists in localizing HNPGLs.

Keywords

Paraganglioma Head and neck Magnetic resonance angiography Screening SDH 

Abbreviations

HNPGL

Head and neck paraganglioma

CE-MRA

Contrast-enhanced three-dimensional MR angiography

T1WIV

Post-contrast T1-weighted sequence

Supplementary material

330_2015_4024_MOESM1_ESM.docx (57 kb)
ESM 1(DOCX 57 kb)

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Copyright information

© European Society of Radiology 2015

Authors and Affiliations

  • Guillaume Gravel
    • 1
  • Patricia Niccoli
    • 2
  • Vincent Rohmer
    • 3
    • 4
  • Guy Moulin
    • 5
  • Françoise Borson-Chazot
    • 6
    • 7
    • 8
  • Pascal Rousset
    • 9
  • Anne Pasco-Papon
    • 10
  • Claude Marcus
    • 11
  • Frédérique Dubrulle
    • 12
  • Hervé Gouya
    • 13
  • François Bidault
    • 14
  • Benoit Dupas
    • 15
  • Jean Gabrillargues
    • 16
  • Aurore Caumont-Prim
    • 20
    • 21
  • Anne Hernigou
    • 1
  • Anne-Paule Gimenez-Roqueplo
    • 17
    • 18
    • 19
  • Philippe Halimi
    • 1
    • 19
  1. 1.Assistance Publique-Hôpitaux de Paris, Service de RadiologieHôpital Européen Georges PompidouParisFrance
  2. 2.Assistance Publique-Hôpitaux de Marseille, Service d’Endocrinologie, Diabète et Maladies MétaboliquesCentre Hospitalier Universitaire la TimoneMarseilleFrance
  3. 3.Service d’Endocrinologie, Diabétologie, NutritionCentre Hospitalier Universitaire d’AngersAngersFrance
  4. 4.LUNAM Université, INSERM, U1063AngersFrance
  5. 5.Assistance Publique-Hôpitaux de Marseille, Service de RadiologieCentre Hospitalier Universitaire la TimoneMarseilleFrance
  6. 6.Hospices civils de Lyon, Groupement Hospitalier EstFédération d’EndocrinologieLyonFrance
  7. 7.Faculté de Médecine Lyon-EstUniversité de LyonLyonFrance
  8. 8.INSERM UMR1052, UMR CNRS 5286Cancer Research Center of LyonLyonFrance
  9. 9.Groupement Hospitalier Est, Service de RadiologieHospices civils de LyonLyonFrance
  10. 10.Service de RadiologieCentre Hospitalier Universitaire d’AngersAngersFrance
  11. 11.Service de RadiologieCentre Hospitalo-Universitaire de ReimsReimsFrance
  12. 12.Service de RadiologieCentre Hospitalo-Universitaire de LilleLilleFrance
  13. 13.Assistance Publique-Hôpitaux de Paris, Service de RadiologieHôpital CochinParisFrance
  14. 14.Service de RadiologieInstitut Gustave RoussyVillejuifFrance
  15. 15.Service de RadiologieCentre Hospitalo-Universitaire de NantesNantesFrance
  16. 16.Service de NeuroradiologieCentre Hospitalo-Universitaire de Clermont-FerrandClermont FerrandFrance
  17. 17.Assistance Publique-Hôpitaux de Paris, Service de GénétiqueHôpital Européen Georges PompidouParisFrance
  18. 18.INSERM, UMR970Paris Cardiovascular Research CenterParisFrance
  19. 19.Sorbonne Paris Cité, Faculté de MédecineUniversité Paris DescartesParisFrance
  20. 20.Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges PompidouUnité d’Épidémiologie et de Recherche CliniqueParisFrance
  21. 21.INSERMCentre d’investigation Épidémiologique 4ParisFrance

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