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MR Imaging of Laryngeal Cancer

  • J. A. Castelijns
  • G. B. Snow
  • J. Valk

Part of the Series in Radiology book series (SERA, volume 23)

Table of contents

  1. Front Matter
    Pages i-xvii
  2. J. A. Castelijns, G. B. Snow
    Pages 1-10
  3. G. J. Gerritsen, G. B. Snow
    Pages 11-22
  4. J. A. Castelijns
    Pages 23-27
  5. J. A. Castelijns
    Pages 29-37
  6. J. A. Castelijns
    Pages 39-53
  7. J. A. Castelijns
    Pages 55-63
  8. J. A. Castelijns, M. C. Kaiser, J. Valk, G. J. Gerritsen, A. H. van Hattum, G. B. Snow
    Pages 65-79
  9. J. A. Castelijns, G. J. Gerritsen, M. C. Kaiser, J. Valk, W. Jansen, C. J. L. M. Meyer et al.
    Pages 81-100
  10. J. A. Castelijns, G. J. Gerritsen, M. C. Kaiser, J. Valk, T. E. G. van Zanten, R. G. Golding et al.
    Pages 101-122
  11. J. A. Castelijns, R. P. Golding, C. van Schaik, J. Valk, G. B. Snow
    Pages 123-134
  12. J. A. Castelijns, G. B. Snow, J. Valk
    Pages 135-139
  13. Back Matter
    Pages 141-147

About this book

Introduction

MRI is assuming a dominant role in imaging of the larynx. Its superior soft tissue contrast resolution makes it ideal for differentiating invasion of tumors of the larynx from normal or more sharply circumscribed configuration of most of the benign lesions. Over ten years ago CT made a major impact on laryngeal examination because it was the first time that Radiologists were beginning to look at submucosal disease. All of the previous examinations duplicated the infor­ mation that was available to the clinician via direct and in-direct laryngo­ scopy. With the advent of rigid and flexible endoscopes, clinical examination became sufficiently precise that there was little need to perform studies such as laryngography which merely showed surface anatomy. The status of deep structures by these techniques was implied based on function. Fortunately laryngography is now behind us together with all of the gagging and contrast reactions which we would all like to forget. CT is still an excellent method of examining the larynx but it is unfortunately limited to the axial plane. With presently available CT techniques motion deteriorates any reformatting in sagittal or coronal projections. The latter two planes are extremely helpful in delineating the vertical extent of submucosal spreads. MRI has proven extremely valuable by producing all three basic projections, plus superior soft tissue contrast. Although motion artifacts still degrade the images in some patients, newer pulsing sequences that permit faster scanning are elimi­ nating most of these problems.

Keywords

cancer imaging

Authors and affiliations

  • J. A. Castelijns
    • 1
  • G. B. Snow
    • 2
  • J. Valk
    • 3
  1. 1.Department of RadiologyThe Netherlands
  2. 2.Department of Otolaryngology/Head and Neck SurgeryThe Netherlands
  3. 3.Department of RadiologyFree University HospitalAmsterdamThe Netherlands

Bibliographic information