Utility of CT and MRI in assessment of mandibular involvement in oral cavity cancer

Objective: Oral cavity squamous cell carcinoma (SCC) may present with early invasion of mandibular bone. Preoperative planning of surgery is essential considering patient's postoperative quality of life. Our purpose was to evaluate the efficacy of computer tomography scan (CT) and magnetic reso...

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Autores principales:	Andreea Nae, Gerard O'Leary, Linda Feeley, Cassie Fives, Brendan Fitzgerald, Elena Chiriac, Patrick Sheahan
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2019
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/5c4c6dcdf14a48baaefd178a3456ea27
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spelling	oai:doaj.org-article:5c4c6dcdf14a48baaefd178a3456ea272021-12-02T12:52:22ZUtility of CT and MRI in assessment of mandibular involvement in oral cavity cancer2095-881110.1016/j.wjorl.2019.02.001https://doaj.org/article/5c4c6dcdf14a48baaefd178a3456ea272019-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S209588111830132Xhttps://doaj.org/toc/2095-8811Objective: Oral cavity squamous cell carcinoma (SCC) may present with early invasion of mandibular bone. Preoperative planning of surgery is essential considering patient's postoperative quality of life. Our purpose was to evaluate the efficacy of computer tomography scan (CT) and magnetic resonance imaging (MRI) in detecting mandibular bone involvement in oral SCC. Methods: A retrospective study was conducted on 98 patients with SCC of floor of mouth, lower alveolus and retromolar trigone operated on with curative intent. Preoperative CT and MRI scans were re-reviewed by a consultant radiologist and original histology slides were re-reviewed by 3 pathologists. Results: Forty-five patients were included in the final study. Combined CT and MRI had a sensitivity of 100% and a specificity of 72%. Conclusion: The results suggest that combined CT and MRI have diagnostic utility in detecting mandibular invasion by oral cancer, but with a significant false positive rate. Keywords: Oral cavity SCC, CT, MRI, Mandibular invasion, Diagnostic accuracyAndreea NaeGerard O'LearyLinda FeeleyCassie FivesBrendan FitzgeraldElena ChiriacPatrick SheahanKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 5, Iss 2, Pp 71-75 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Andreea Nae Gerard O'Leary Linda Feeley Cassie Fives Brendan Fitzgerald Elena Chiriac Patrick Sheahan Utility of CT and MRI in assessment of mandibular involvement in oral cavity cancer
description	Objective: Oral cavity squamous cell carcinoma (SCC) may present with early invasion of mandibular bone. Preoperative planning of surgery is essential considering patient's postoperative quality of life. Our purpose was to evaluate the efficacy of computer tomography scan (CT) and magnetic resonance imaging (MRI) in detecting mandibular bone involvement in oral SCC. Methods: A retrospective study was conducted on 98 patients with SCC of floor of mouth, lower alveolus and retromolar trigone operated on with curative intent. Preoperative CT and MRI scans were re-reviewed by a consultant radiologist and original histology slides were re-reviewed by 3 pathologists. Results: Forty-five patients were included in the final study. Combined CT and MRI had a sensitivity of 100% and a specificity of 72%. Conclusion: The results suggest that combined CT and MRI have diagnostic utility in detecting mandibular invasion by oral cancer, but with a significant false positive rate. Keywords: Oral cavity SCC, CT, MRI, Mandibular invasion, Diagnostic accuracy
format	article
author	Andreea Nae Gerard O'Leary Linda Feeley Cassie Fives Brendan Fitzgerald Elena Chiriac Patrick Sheahan
author_facet	Andreea Nae Gerard O'Leary Linda Feeley Cassie Fives Brendan Fitzgerald Elena Chiriac Patrick Sheahan
author_sort	Andreea Nae
title	Utility of CT and MRI in assessment of mandibular involvement in oral cavity cancer
title_short	Utility of CT and MRI in assessment of mandibular involvement in oral cavity cancer
title_full	Utility of CT and MRI in assessment of mandibular involvement in oral cavity cancer
title_fullStr	Utility of CT and MRI in assessment of mandibular involvement in oral cavity cancer
title_full_unstemmed	Utility of CT and MRI in assessment of mandibular involvement in oral cavity cancer
title_sort	utility of ct and mri in assessment of mandibular involvement in oral cavity cancer
publisher	KeAi Communications Co., Ltd.
publishDate	2019
url	https://doaj.org/article/5c4c6dcdf14a48baaefd178a3456ea27
work_keys_str_mv	AT andreeanae utilityofctandmriinassessmentofmandibularinvolvementinoralcavitycancer AT gerardoleary utilityofctandmriinassessmentofmandibularinvolvementinoralcavitycancer AT lindafeeley utilityofctandmriinassessmentofmandibularinvolvementinoralcavitycancer AT cassiefives utilityofctandmriinassessmentofmandibularinvolvementinoralcavitycancer AT brendanfitzgerald utilityofctandmriinassessmentofmandibularinvolvementinoralcavitycancer AT elenachiriac utilityofctandmriinassessmentofmandibularinvolvementinoralcavitycancer AT patricksheahan utilityofctandmriinassessmentofmandibularinvolvementinoralcavitycancer
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Utility of CT and MRI in assessment of mandibular involvement in oral cavity cancer

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