Current oncologic concepts and emerging techniques for imaging of head and neck squamous cell cancer
Identifieur interne : 002520 ( Main/Merge ); précédent : 002519; suivant : 002521Current oncologic concepts and emerging techniques for imaging of head and neck squamous cell cancer
Auteurs : Maliha Sadick [Allemagne] ; Stefan O. Schoenberg [Allemagne] ; Karl Hoermann [Allemagne] ; Haneen Sadick [Allemagne]Source :
- GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery [ 1865-1011 ] ; 2012.
Abstract
The incidence of head and neck squamous cell carcinoma (HNSCC) is increasing and currently they account for 5% of all malignancies worldwide. Inspite of ongoing developments in diagnostic imaging and new therapeutic options, HNSCC still represents a multidisciplinary challenge.
One of the most important prognostic factors in HNSCC is the presence of lymph node metastases. Patients with confirmed nodal involvement have a considerable reduction of their 5-year overall survival rate. In the era of individually optimised surgery, chemotherapy and intensity modulated radiotherapy, the main role of pre- and posttherapeutic imaging remains cancer detection at an early stage and accurate follow-up. The combined effort of early diagnosis and close patient monitoring after surgery and/or radio-chemotherapy influences disease progression and outcome predicition in patients with HNSCC.
This review article focuses on currrent oncologic concepts and emerging tools in imaging of head and neck squamous cell cancer. Besides the diagnostic spectrum of the individual imaging modalities, their limitations are also discussed. One main part of this article is dedicated to PET-CT which combines functional and morphological imaging. Furthermore latest developments in MRI are presented with regard to lymph node staging and response prediction. Last but not least, a clinical contribution in this review explains, which information the head and neck surgeon requires from the multimodality imaging and its impact on operation planning.
Url:
DOI: 10.3205/cto000090
PubMed: 23320060
PubMed Central: 3544205
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Schoenberg</name><affiliation wicri:level="3"><nlm:aff id="A1">Institute of Clinical Radiology and Nuclear Medicine, University Hospital Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Clinical Radiology and Nuclear Medicine, University Hospital Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author><author><name sortKey="Hoermann, Karl" sort="Hoermann, Karl" uniqKey="Hoermann K" first="Karl" last="Hoermann">Karl Hoermann</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of ORL and Head and Neck Surgery, University Hospital Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of ORL and Head and Neck Surgery, University Hospital Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author><author><name sortKey="Sadick, Haneen" sort="Sadick, Haneen" uniqKey="Sadick H" first="Haneen" last="Sadick">Haneen Sadick</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of ORL and Head and Neck Surgery, University Hospital Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of ORL and Head and Neck Surgery, University Hospital Mannheim, Medical Faculty Mannheim of the University of Heidelberg, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author></analytic><series><title level="j">GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery</title><idno type="eISSN">1865-1011</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The incidence of head and neck squamous cell carcinoma (HNSCC) is increasing and currently they account for 5% of all malignancies worldwide. Inspite of ongoing developments in diagnostic imaging and new therapeutic options, HNSCC still represents a multidisciplinary challenge.</p><p>One of the most important prognostic factors in HNSCC is the presence of lymph node metastases. Patients with confirmed nodal involvement have a considerable reduction of their 5-year overall survival rate. In the era of individually optimised surgery, chemotherapy and intensity modulated radiotherapy, the main role of pre- and posttherapeutic imaging remains cancer detection at an early stage and accurate follow-up. The combined effort of early diagnosis and close patient monitoring after surgery and/or radio-chemotherapy influences disease progression and outcome predicition in patients with HNSCC.</p><p>This review article focuses on currrent oncologic concepts and emerging tools in imaging of head and neck squamous cell cancer. Besides the diagnostic spectrum of the individual imaging modalities, their limitations are also discussed. One main part of this article is dedicated to PET-CT which combines functional and morphological imaging. Furthermore latest developments in MRI are presented with regard to lymph node staging and response prediction. Last but not least, a clinical contribution in this review explains, which information the head and neck surgeon requires from the multimodality imaging and its impact on operation planning.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lell, M" uniqKey="Lell M">M Lell</name></author><author><name sortKey="Hinkmann, F" uniqKey="Hinkmann F">F Hinkmann</name></author><author><name sortKey="Gottwald, F" uniqKey="Gottwald F">F Gottwald</name></author><author><name sortKey="Bautz, W" uniqKey="Bautz W">W Bautz</name></author><author><name sortKey="Radkow, T" uniqKey="Radkow T">T Radkow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guntinas Lichius, O" uniqKey="Guntinas Lichius O">O Guntinas-Lichius</name></author><author><name sortKey="Wendt, T" uniqKey="Wendt T">T Wendt</name></author><author><name sortKey="Buentzel, J" uniqKey="Buentzel J">J Buentzel</name></author><author><name sortKey="Esser, 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Gm" uniqKey="Tse G">GM Tse</name></author><author><name sortKey="Vlantis, Ac" uniqKey="Vlantis A">AC Vlantis</name></author><author><name sortKey="Wong, Jk" uniqKey="Wong J">JK Wong</name></author><author><name sortKey="Ahuja, At" uniqKey="Ahuja A">AT Ahuja</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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