Comparison of PET/CT and MRI for the detection of bone marrow invasion in patients with squamous cell carcinoma of the oral cavity
Identifieur interne : 004A73 ( Main/Exploration ); précédent : 004A72; suivant : 004A74Comparison of PET/CT and MRI for the detection of bone marrow invasion in patients with squamous cell carcinoma of the oral cavity
Auteurs : Yasser G. Abd El-Hafez [Taïwan, Égypte] ; Chien-Cheng Chen [Taïwan] ; Shu-Hang Ng [Taïwan] ; Chien-Yu Lin [Taïwan] ; Hung-Ming Wang [Taïwan] ; Sheng-Chieh Chan [Taïwan] ; I-How Chen [Taïwan] ; Shiang-Fu Huan [Taïwan] ; Chung-Jan Kang [Taïwan] ; Li-Yu Lee [Taïwan] ; Chih-Hung Lin [Taïwan] ; Chun-Ta Liao [Taïwan] ; Tzu-Chen Yen [Taïwan]Source :
- Oral oncology : (1997) [ 1368-8375 ] ; 2011.
Descripteurs français
- Pascal (Inist)
- Carcinome épidermoïde, Carcinome basocellulaire, Cancer de la cavité buccale, Tomographie par émission de positons, Tomodensitométrie, Tomoscintigraphie, Etude comparative, Imagerie RMN, Moelle osseuse, Homme, Cavité buccale, Os, Mandibule, Maxillaire, Cancérologie, ORL, Stomatologie, Fluorodéoxyglucose.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Our aim was to retrospectively assess the diagnostic performance from combined positron emission tomography/computed tomography (PET/CT) and magnetic resonance imaging (MRI) for the detection of bone marrow invasion of the mandible or maxilla in patients with oral cavity squamous cell carcinoma (OCSCC). A total of 114 patients with OCSCC, arising from or abutting the upper or lower alveolar ridge, underwent staging PET/CT and MRI studies before surgery. The possibility of bone marrow invasion on PET/CT and MRI was graded retrospectively on a 5-point score. Histopathology was taken as the reference standard. Sensitivity, specificity, predictive values and likelihood ratios were calculated. Clinical factors affecting the performance, like tumor origin and dentate status were also explored. PET/CT was found to be more specific than MRI (83% vs. 61%, respectively, p = 0.0015) but less sensitive (78% vs. 97%, respectively, p = 0.0391). Dentate status and tumor origin affected the diagnostic performance of PET/CT. In patients with positive MRI, sensitivity and specificity of PET/CT were 78% and 100% in dentate patients with alveolar ridge tumors, 75% and 80% in dentate patient with buccal tumors, 90% and 33% in edentulous patients with alveolar ridge tumors and 0% and 63% for edentulous patients with buccal tumors, respectively. PET/CT is more specific than MRI and can be used to complement the role of MRI. A negative MRI result can confidently exclude the presence of bone marrow invasion, while in patients with positive MRI findings, a negative PET/CT may be useful to rule out bone marrow invasion in dentate patients.
Affiliations:
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aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Kang, Chung Jan" sort="Kang, Chung Jan" uniqKey="Kang C" first="Chung-Jan" last="Kang">Chung-Jan Kang</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Otorhinolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Li Yu" sort="Lee, Li Yu" uniqKey="Lee L" first="Li-Yu" last="Lee">Li-Yu Lee</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>10 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Chih Hung" sort="Lin, Chih Hung" uniqKey="Lin C" first="Chih-Hung" last="Lin">Chih-Hung Lin</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>11 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Liao, Chun Ta" sort="Liao, Chun Ta" uniqKey="Liao C" first="Chun-Ta" last="Liao">Chun-Ta Liao</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Otorhinolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Yen, Tzu Chen" sort="Yen, Tzu Chen" uniqKey="Yen T" first="Tzu-Chen" last="Yen">Tzu-Chen Yen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Nuclear Medicine Department, Molecular Imaging Center, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">11-0196589</idno><date when="2011">2011</date><idno type="stanalyst">PASCAL 11-0196589 INIST</idno><idno type="RBID">Pascal:11-0196589</idno><idno type="wicri:Area/PascalFrancis/Corpus">000149</idno><idno type="wicri:Area/PascalFrancis/Curation">000551</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000146</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000146</idno><idno type="wicri:doubleKey">1368-8375:2011:Abd El Hafez Y:comparison:of:pet</idno><idno 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Abd El-Hafez</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Nuclear Medicine Department, Molecular Imaging Center, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Radiotherapy and Nuclear Medicine Department, South Egypt Cancer Institute, Assiut University</s1><s3>EGY</s3><sZ>1 aut.</sZ></inist:fA14><country>Égypte</country><wicri:noRegion>Radiotherapy and Nuclear Medicine Department, South Egypt Cancer Institute, Assiut University</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Chien Cheng" sort="Chen, Chien Cheng" uniqKey="Chen C" first="Chien-Cheng" last="Chen">Chien-Cheng Chen</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Ng, Shu Hang" sort="Ng, Shu Hang" uniqKey="Ng S" first="Shu-Hang" last="Ng">Shu-Hang Ng</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Chien Yu" sort="Lin, Chien Yu" uniqKey="Lin C" first="Chien-Yu" last="Lin">Chien-Yu Lin</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Radiation Oncology, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>4 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Wang, Hung Ming" sort="Wang, Hung Ming" uniqKey="Wang H" first="Hung-Ming" last="Wang">Hung-Ming Wang</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Medical Oncology, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>5 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Chan, Sheng Chieh" sort="Chan, Sheng Chieh" uniqKey="Chan S" first="Sheng-Chieh" last="Chan">Sheng-Chieh Chan</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Nuclear Medicine Department, Molecular Imaging Center, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Chen, I How" sort="Chen, I How" uniqKey="Chen I" first="I-How" last="Chen">I-How Chen</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Otorhinolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Huan, Shiang Fu" sort="Huan, Shiang Fu" uniqKey="Huan S" first="Shiang-Fu" last="Huan">Shiang-Fu Huan</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Otorhinolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Kang, Chung Jan" sort="Kang, Chung Jan" uniqKey="Kang C" first="Chung-Jan" last="Kang">Chung-Jan Kang</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Otorhinolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Li Yu" sort="Lee, Li Yu" uniqKey="Lee L" first="Li-Yu" last="Lee">Li-Yu Lee</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>10 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Chih Hung" sort="Lin, Chih Hung" uniqKey="Lin C" first="Chih-Hung" last="Lin">Chih-Hung Lin</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>11 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Liao, Chun Ta" sort="Liao, Chun Ta" uniqKey="Liao C" first="Chun-Ta" last="Liao">Chun-Ta Liao</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Otorhinolaryngology, Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author><author><name sortKey="Yen, Tzu Chen" sort="Yen, Tzu Chen" uniqKey="Yen T" first="Tzu-Chen" last="Yen">Tzu-Chen Yen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Nuclear Medicine Department, Molecular Imaging Center, Chang Gung Memorial Hospital, Chang Gung University</s1><s2>Taoyuan</s2><s3>TWN</s3><sZ>1 aut.</sZ><sZ>6 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Taïwan</country><wicri:noRegion>Taoyuan</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Oral oncology : (1997)</title><title level="j" type="abbreviated">Oral oncol. : (1997)</title><idno type="ISSN">1368-8375</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Oral oncology : (1997)</title><title level="j" type="abbreviated">Oral oncol. : (1997)</title><idno type="ISSN">1368-8375</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Basal cell carcinoma</term><term>Bone</term><term>Bone marrow</term><term>Cancerology</term><term>Comparative study</term><term>Computerized axial tomography</term><term>ENT</term><term>Emission tomography</term><term>Human</term><term>Mandible</term><term>Maxillary</term><term>Nuclear magnetic resonance imaging</term><term>Oral cancer</term><term>Oral cavity</term><term>Positron emission tomography</term><term>Squamous cell carcinoma</term><term>Stomatology</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Carcinome épidermoïde</term><term>Carcinome basocellulaire</term><term>Cancer de la cavité buccale</term><term>Tomographie par émission de positons</term><term>Tomodensitométrie</term><term>Tomoscintigraphie</term><term>Etude comparative</term><term>Imagerie RMN</term><term>Moelle osseuse</term><term>Homme</term><term>Cavité buccale</term><term>Os</term><term>Mandibule</term><term>Maxillaire</term><term>Cancérologie</term><term>ORL</term><term>Stomatologie</term><term>Fluorodéoxyglucose</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Our aim was to retrospectively assess the diagnostic performance from combined positron emission tomography/computed tomography (PET/CT) and magnetic resonance imaging (MRI) for the detection of bone marrow invasion of the mandible or maxilla in patients with oral cavity squamous cell carcinoma (OCSCC). A total of 114 patients with OCSCC, arising from or abutting the upper or lower alveolar ridge, underwent staging PET/CT and MRI studies before surgery. The possibility of bone marrow invasion on PET/CT and MRI was graded retrospectively on a 5-point score. Histopathology was taken as the reference standard. Sensitivity, specificity, predictive values and likelihood ratios were calculated. Clinical factors affecting the performance, like tumor origin and dentate status were also explored. PET/CT was found to be more specific than MRI (83% vs. 61%, respectively, p = 0.0015) but less sensitive (78% vs. 97%, respectively, p = 0.0391). Dentate status and tumor origin affected the diagnostic performance of PET/CT. In patients with positive MRI, sensitivity and specificity of PET/CT were 78% and 100% in dentate patients with alveolar ridge tumors, 75% and 80% in dentate patient with buccal tumors, 90% and 33% in edentulous patients with alveolar ridge tumors and 0% and 63% for edentulous patients with buccal tumors, respectively. PET/CT is more specific than MRI and can be used to complement the role of MRI. A negative MRI result can confidently exclude the presence of bone marrow invasion, while in patients with positive MRI findings, a negative PET/CT may be useful to rule out bone marrow invasion in dentate patients.</div></front></TEI><affiliations><list><country><li>Taïwan</li><li>Égypte</li></country></list><tree><country name="Taïwan"><noRegion><name sortKey="Abd El Hafez, Yasser G" sort="Abd El Hafez, Yasser G" uniqKey="Abd El Hafez Y" first="Yasser G." last="Abd El-Hafez">Yasser G. Abd El-Hafez</name></noRegion><name sortKey="Chan, Sheng Chieh" sort="Chan, Sheng Chieh" uniqKey="Chan S" first="Sheng-Chieh" last="Chan">Sheng-Chieh Chan</name><name sortKey="Chen, Chien Cheng" sort="Chen, Chien Cheng" uniqKey="Chen C" first="Chien-Cheng" last="Chen">Chien-Cheng Chen</name><name sortKey="Chen, I How" sort="Chen, I How" uniqKey="Chen I" first="I-How" last="Chen">I-How Chen</name><name sortKey="Huan, Shiang Fu" sort="Huan, Shiang Fu" uniqKey="Huan S" first="Shiang-Fu" last="Huan">Shiang-Fu Huan</name><name sortKey="Kang, Chung Jan" sort="Kang, Chung Jan" uniqKey="Kang C" first="Chung-Jan" last="Kang">Chung-Jan Kang</name><name sortKey="Lee, Li Yu" sort="Lee, Li Yu" uniqKey="Lee L" first="Li-Yu" last="Lee">Li-Yu Lee</name><name sortKey="Liao, Chun Ta" sort="Liao, Chun Ta" uniqKey="Liao C" first="Chun-Ta" last="Liao">Chun-Ta Liao</name><name sortKey="Lin, Chien Yu" sort="Lin, Chien Yu" uniqKey="Lin C" first="Chien-Yu" last="Lin">Chien-Yu Lin</name><name sortKey="Lin, Chih Hung" sort="Lin, Chih Hung" uniqKey="Lin C" first="Chih-Hung" last="Lin">Chih-Hung Lin</name><name sortKey="Ng, Shu Hang" sort="Ng, Shu Hang" uniqKey="Ng S" first="Shu-Hang" last="Ng">Shu-Hang Ng</name><name sortKey="Wang, Hung Ming" sort="Wang, Hung Ming" uniqKey="Wang H" first="Hung-Ming" last="Wang">Hung-Ming Wang</name><name sortKey="Yen, Tzu Chen" sort="Yen, Tzu Chen" uniqKey="Yen T" first="Tzu-Chen" last="Yen">Tzu-Chen Yen</name></country><country name="Égypte"><noRegion><name sortKey="Abd El Hafez, Yasser G" sort="Abd El Hafez, Yasser G" uniqKey="Abd El Hafez Y" first="Yasser G." last="Abd El-Hafez">Yasser G. 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