Advertisement

MR-Guided Biopsies of the Head and Neck

  • G. M. Kacl
  • G. K. von Schulthess
Part of the Medical Radiology book series (MEDRAD)

Abstract

Reflecting the unsurpassed soft tissue contrast inherent to the MR experiment, MR imaging (MRI) has emerged as a major diagnostic tool in the assessment of various pathologies affecting the head and neck region. Most soft tissue pathologies of the head and neck are well depicted on fast-spin-echo (SE) images with fat suppression. Without the use of contrast medium, vascular morphology can be easily delineated on gradient-echo (GRE) sequences (Vogl et al. 1994a). Although computed tomography (CT) is superior in the assessment of osseous and air-filled structures, contrast-enhanced MRI is of major value in delineating tumors within the soft tissues and vessels (Vogl et al. 1993,1994b).

Keywords

Skull Base Parathyroid Gland Neck Region Parathyroid Adenoma Soft Tissue Pathology 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bagley JS, Ewen SW, Smith FW, Krukowski ZH (1996) Magnetic resonance imaging of thyroid swellings. Br J Surg 83:828–829PubMedCrossRefGoogle Scholar
  2. Belkin BA, Papageorge MB, Fakitsas J, Bankoff MS (1988) A comparative study of magnetic resonance imaging versus computed tomography for the evaluation of maxillary and mandibular tumors. J Oral Maxillofac Surg 46:1039–1047PubMedCrossRefGoogle Scholar
  3. Boland GW, Lee MJ, Mueller PR, et al (1993) Efficacy of sono-graphically guided biopsy of thyroid masses and cervical lymph nodes. AJR Am J Roentgenol 161:1053–1056PubMedGoogle Scholar
  4. Castelijns JA, van den Brekel MW (1993) Magnetic resonance imaging evaluation of extracranial head and neck tumors. Magn Reson Q 9:113–128PubMedGoogle Scholar
  5. Duckwiler G, Lufkin RB, Teresi L, et al (1989) Head and neck lesions: MR-guided aspiration biopsy. Radiology 170:519–522PubMedGoogle Scholar
  6. Freitas JE, Freitas AE (1994) Thyroid and parathyroid imaging. Semin Nucl Med 24:234-245PubMedCrossRefGoogle Scholar
  7. Giron J, Ouhayoun E, Dahan M, et al (1996) Imaging of hyperparathyroidism: US, CT, MRI and MIBI scintigraphy. Eur J Radiol 21:167–173PubMedCrossRefGoogle Scholar
  8. Han MH, Jabour B, Andrews J, et al (1991) MR-guided aspiration and drainage of a nasopharyngeal mucus retention cyst. Am J Neuroradiol 12:1185–1186PubMedGoogle Scholar
  9. Hell B, Heissler E, Gazounis G, Menneking H, Bier J (1994) Microsurgical and prosthetic reconstruction of patient with recurrent ameloblastoma extending into the skull base. Int J Oral Maxillofac Surg 23:90–92PubMedCrossRefGoogle Scholar
  10. Hotzinger H, Barth HH, Ries G (1983) Recurrent ameloblastoma of the upper jaw — diagnosis. Morphol Med 3:89–96PubMedGoogle Scholar
  11. Jackson IT, Callan PP, Forté RA (1996) An anatomical classification of maxillary ameloblastoma as an aid to surgical treatment. J Oral Maxillofac Surg 24:230–236Google Scholar
  12. Jolesz F, Silverman SG (1995) Interventional magnetic resonance therapy. Semin Interventional Radiol 12:20–27CrossRefGoogle Scholar
  13. Kraus DH, Lanzieri CF, Wanmaker JR, et al (1992) Complementary use of computed tomography and magnetic resonance imaging in assessing skull base lesions. Laryngoscope 102:623–629PubMedCrossRefGoogle Scholar
  14. Lee VS, Spritzer CE, Coleman RE, et al (1996) The complementary roles of fast spin-echo MR imaging and double-phase 99m Tc-sestamibi scintigraphy for localization of hyperfunctioning parathyroid glands. AJR AM J Roentgenol 167:1555–1561PubMedGoogle Scholar
  15. Lufkin RB, Teresi L, Hanafee W (1987) New needle for MR-guided aspiration cytology of the head and neck. AJR AM J Roentgenol 149:380–382PubMedGoogle Scholar
  16. Lufkin RB, Teresi L, Chiu L, Hanafee W (1988a) A technique for MR-guided needle placement. AJR Am J Roentgenol 151:193–196PubMedGoogle Scholar
  17. Lufkin RB, Duckwiler G, Spickler E, et al (1988b) MR body stereotaxis: an aid for MR-guided biopsies. J Comput Assist Tomogr 12:1088–1089PubMedCrossRefGoogle Scholar
  18. Lufkin RB, Robinson JD, Castro DJ, et al (1990) Interventional magnetic resonance imaging in the head and neck. Top Magn Reson Imaging 2:76–80PubMedGoogle Scholar
  19. Lufkin RB, Davis WL, Osborn AG (1993) Overview of MR imaging modalities. J Comput Assist Tomogr Suppl 17:24–29Google Scholar
  20. Moon Hee Nan, Kee Hyun Chang, In One Kim, et al (1993) Non-Hodgkin lymphoma of the central skull base: MR manifestations. J Comput Assist Tomogr 17:567–571CrossRefGoogle Scholar
  21. Mueller PR, Stark DD, Simeone JF, et al (1986) MR-guided aspiration biopsy: needle design and clinical trials. Radiology 161:605–609PubMedGoogle Scholar
  22. Numerow LM, Morita ET, Clark OH, Higgins CB (1995) Persistent/recurrent hyperparathyroidism: a comparison of sestamibi scintigraphy, MRI and ultrasonography. JMRI 5:702–708PubMedCrossRefGoogle Scholar
  23. Schenck JF, Jolesz FA, Roemer PB, et al (1995) Superconducting open-configuration MR imaging system for image-guided therapy. Radiology 195:805–814PubMedGoogle Scholar
  24. Silverman SG, Collick BD, Figueira MR, et al (1995) Interactive MR-guided biopsy in an open-configuration MR imaging system. Radiology 197:175–181PubMedGoogle Scholar
  25. Vogl TJ, Dresel S, Juergens M, Assal J, Lissner J (1993) MR imaging with Gd-DTPA in lesions of the head and neck. J Otolaryngol 22:220–230PubMedGoogle Scholar
  26. Vogl TJ, Mack MG, Juergens M, et al (1994a) Fat suppression in contrast-enhanced MRT of the skull base and of the head and neck area: its clinical value. RoFo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 160:417–424PubMedCrossRefGoogle Scholar
  27. Vogl TJ, Mack MG, Juergens M, et al (1994b) MR diagnosis of head and neck tumors: comparison of contrast enhancement with triple-dose gadodiamide and standard-dose gadopentetate dimeglumine in the same patients. AJR Am J Roentgenol 163:425–432Google Scholar
  28. Vogl TJ, Mack MG, Mueller P, et al (1995a) Recurrent nasopharyngeal tumors: preliminary clinical results with interventional MR imaging — controlled laser-induced thermo-therapy. Radiology 196:725–733PubMedGoogle Scholar
  29. Vogl TJ, Mack MG, Muller P, et al (1995b) MR-guided laser-induced thermotherapy in tumors of the head and neck region: initial clinical results. RoFo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 163:505–514PubMedCrossRefGoogle Scholar
  30. von Schulthess GK, Weder W, Goebel N, et al (1988) 1.5 T MRI, CT, ultrasonography and scintigraphy in hyperparathyroidism. Eur J Radiol 8:157–164Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • G. M. Kacl
    • 1
  • G. K. von Schulthess
    • 2
  1. 1.Institute of Diagnostic RadiologyZurich University HospitalZurichSwitzerland
  2. 2.Division of Nuclear MedicineZurich University HospitalZurichSwitzerland

Personalised recommendations