Abstract
Purpose
To evaluate the usefulness of the fat suppression technique for magnetic resonance imaging of oral tongue cancer.
Methods
One hundred and fourteen patients underwent both magnetic resonance imaging (MRI) and computed tomography (CT). All patients were clinically diagnosed as having oral tongue cancer shown to be squamous cell carcinoma histopathologically. We used two types of CT and six types of MRI scanning: plain CT, contrast enhanced CT, conventional T1w, conventional PDw, conventional T2w, fat-suppressed (FATS) T1w, Gd-enhanced conventional T1w, and Gd-enhanced FATS T1w images. The focus of our study was Gd-enhanced FATS T1w imaging.
Results
Tumor detection rates were as follows: Gd-enhanced FATS T1w MRI, 86.8%; conventional T2w MRI, 71.9%; conventional PDw MRI, 65.8%; Gd-enhanced conventional T1w MRI, 47.4%; contrast enhanced CT, 36.8%; T1w MRI, 20.2%; CT, 10.5%. There were 59 cases in which tumors were detected by Gd-enhanced FATS T1w MRI but not detected by contrast enhanced CT.
Conclusions
Gd-enhanced FATS T1w MRI was the best for the tumor detection and Gd-enhanced conventional T1w MRI was not useful in the diagnosis of the tongue cancer. CT imaging must not be the first choice for tumor detection in tongue cancer patients.
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References
Bootz, F., Lenz, M., Skalej, M. and Bongers, H.: Computed tomography and Magnetic resonance imaging in T-stage evaluation of oral and oropharyngeal carcinoma.Clin. Otolaryngol. 17: 421–429, 1992.
Crecco, M., Vidiri, A., Palma, O., Floris, R. Squillaci, E., Mattioli, M. and Squillaci, S.: T stages of tumors of the tongue and floor of the mouth: Correlation between MR with gadopentetate dimeglumine and pathologic data.AJNR Am. J. Neuroradiol. 15: 1695–1702, 1994.
Hermans, R., Verwaerde, L., De Schrijver, T. and Baert, A.L.: CT and MR imaging in tumors of the tongue, tongue base, and floor of the mouth: A comparative study.J Belge Radiol. 77: 78–83, 1994.
Heissler, E., Steinkamp, H.J., Heim, T., Zwicker, C., Felix, R. and Bier, J.: Value of magnetic resonance imaging in staging carcinomas of the oral cavity and oropharynx.Int J Oral Maxillofac Surg. 23: 22–27, 1994.
Ross, M.R., Schomer, D.F., Chappell, P. and Enzmann, D.R.: MR imaging of head and neck tumors: Comparison of T1-weighted contrastenhanced fat-suppressed images with conventional T2-weighted and fast spin-echo T2-weighted images.AJR Am J Roentogenol. 163: 173–178, 1994.
Einspieler, R, Ebner, F., Posawetz, W., Ranner, G., Fluckiger, F. and Lammer, J.: MR imaging with Gd-DTPA in carcinomas of tongue, oro-and hypopharynx.Eur J Radiol. 13: 21–26, 1991.
Dixon, W.T.: Simple proton spectroscopic imaging.Radiology 153: 189–194, 1984
Mukherji, S.K., Tart, R.P., Fitzsimmons, J., Belden, C., McGorray, S., Guy, J. and Mancuso.: Fat-suppressed MR of the orbit and cavernous sinus: Comparison of fast spin-echo and conventional spin-echo.AJNR Am J Neuroradiol. 15: 1707–1714, 1994.
Kerslakee, R.W., Fox, J.N., Carleton, P.J., Imrie, M.J., Cook, A.M., Bowsley, S.J. and Horsman, A.: Dynamic contrast-enhanced and fat suppressed magnetic resonance imaging in suspected recurrent carcinoma of the breast: Preliminary experience.Br J Radiol. 67: 1158–1168, 1994.
Szumowski, J., Coshow, W., Li, F., Coombs, B. and Quinn, S.F.: Double-echo three-point-Dixon method for fat suppression MRI.Magn Reson Med. 34: 120–124, 1995.
Lenz, M., Kersting, S.B. and Gross, M.: Diagnosis and treatment of the N0 neck in carcinomas of the upper aerodigestive tract: Current status of diagnostic procedures.Eur Arch Otorhinolaryngol. 250: 432–438, 1993.
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Murakami, S., Fuchihata, H., Yoon, S. et al. Usefulness of fat-suppressed Gd-enhanced MR imaging of tongue cancer. Oral Radiol. 15, 19–26 (1999). https://doi.org/10.1007/BF02489753
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DOI: https://doi.org/10.1007/BF02489753