Multi-detector row computed tomography (MDCT) and magnetic resonance imaging (MRI) in the evaluation of the mandibular invasion by squamous cell carcinomas (SCC) of the oral cavity. Correlation with pathological data
Identifieur interne : 002E99 ( Ncbi/Curation ); précédent : 002E98; suivant : 002F00Multi-detector row computed tomography (MDCT) and magnetic resonance imaging (MRI) in the evaluation of the mandibular invasion by squamous cell carcinomas (SCC) of the oral cavity. Correlation with pathological data
Auteurs : Antonello Vidiri [Italie] ; Antonino Guerrisi ; Raul Pellini [Italie] ; Valentina Manciocco [Italie] ; Renato Covello [Italie] ; Oreste Mattioni [Italie] ; Isabella Guerrisi ; Salvatore Di Giovanni [Italie] ; Giuseppe Spriano [Italie] ; Marcello Crecco [Italie]Source :
- Journal of Experimental & Clinical Cancer Research : CR [ 0392-9078 ] ; 2010.
Abstract
To retrospectively compare the diagnostic accuracy of magnetic resonance imaging (MRI) and multidetector-row computed tomography (MDCT) in the assessment of the mandibular invasion by squamous cell carcinoma (SCC) having histopathological exams as standard of reference.
Institutional review board approval with a waiver of informed patient consent was obtained. Of the 147 patients selected from our database who underwent surgical excision of a tumour arising into the oral cavity, thirty-six patients (26 men, 10 women; mean age, 56 years; range, 30-75 years) with hystologically proven SCC who performed both a preoperative MRI and MDCT, composed our final study population.
Images were qualitatively analyzed in consensus by two expert radiologist in head and neck imaging. Sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV) were assessed for both MRI and MDCT.
Differences in sensitivity, specificity, positive and negative predictive values were calculated at a statistical significance of p < .05.
The sensitivity, the specificity and the accuracy of MRI and MDCT in the detection of the mandibular involvement were respectively 93%, 82%, 86% and 79%, 82%, 81%, while the positive predictive value (PPV) and negative predictive value (NPV) were respectively 76%, 95% and 73%, 86%. There wasn't any statistically significant difference in overall diagnostic accuracy between MRI and MDCT in the evaluation of mandibular tumour invasion (p > .05).
MRI showed to have a higher sensitivity compare to MDCT in the assessment of mandibular involvement from SCC arising in the oral cavity although none statistically significant differences were noted.
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DOI: 10.1186/1756-9966-29-73
PubMed: 20565737
PubMed Central: 2907338
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Antonino Guerrisi<affiliation><nlm:aff id="I2">Department of Radiological Sciences, University of Rome Sapienza, Viale Regina 324 Rome Italy</nlm:aff><wicri:noCountry code="subfield">Viale Regina 324 Rome Italy</wicri:noCountry></affiliation><affiliation><nlm:aff id="I2">Department of Radiological Sciences, University of Rome Sapienza, Viale Regina 324 Rome Italy</nlm:aff><wicri:noCountry code="subfield">Viale Regina 324 Rome Italy</wicri:noCountry></affiliation>Le document en format XML
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Chianesi 53, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Radiology and Diagnostic Imaging, Regina Elena Institute, E. 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Chianesi 53, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Radiology and Diagnostic Imaging, Regina Elena Institute, E. 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Correlation with pathological data</title><author><name sortKey="Vidiri, Antonello" sort="Vidiri, Antonello" uniqKey="Vidiri A" first="Antonello" last="Vidiri">Antonello Vidiri</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Radiology and Diagnostic Imaging, Regina Elena Institute, E. Chianesi 53, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Radiology and Diagnostic Imaging, Regina Elena Institute, E. Chianesi 53, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Guerrisi, Antonino" sort="Guerrisi, Antonino" uniqKey="Guerrisi A" first="Antonino" last="Guerrisi">Antonino Guerrisi</name><affiliation><nlm:aff id="I2">Department of Radiological Sciences, University of Rome Sapienza, Viale Regina 324 Rome Italy</nlm:aff><wicri:noCountry code="subfield">Viale Regina 324 Rome Italy</wicri:noCountry></affiliation></author><author><name sortKey="Pellini, Raul" sort="Pellini, Raul" uniqKey="Pellini R" first="Raul" last="Pellini">Raul Pellini</name><affiliation wicri:level="3"><nlm:aff id="I3">Department of Otholaringology and Maxillo-Facial Surgery, Regina Elena Institute, E.Chianesi 53, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Otholaringology and Maxillo-Facial Surgery, Regina Elena Institute, E.Chianesi 53, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Manciocco, Valentina" sort="Manciocco, Valentina" uniqKey="Manciocco V" first="Valentina" last="Manciocco">Valentina Manciocco</name><affiliation wicri:level="3"><nlm:aff id="I3">Department of Otholaringology and Maxillo-Facial Surgery, Regina Elena Institute, E.Chianesi 53, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Otholaringology and Maxillo-Facial Surgery, Regina Elena Institute, E.Chianesi 53, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Covello, Renato" sort="Covello, Renato" uniqKey="Covello R" first="Renato" last="Covello">Renato Covello</name><affiliation wicri:level="3"><nlm:aff id="I4">Department of Pathology, Regina Elena Institute, E.Chianesi 53, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Pathology, Regina Elena Institute, E.Chianesi 53, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Mattioni, Oreste" sort="Mattioni, Oreste" uniqKey="Mattioni O" first="Oreste" last="Mattioni">Oreste Mattioni</name><affiliation wicri:level="3"><nlm:aff id="I5">Department of Bioimages and Radiological Sciences "A. Gemelli" University Hospital, Largo Francesco Vito 1, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Bioimages and Radiological Sciences "A. Gemelli" University Hospital, Largo Francesco Vito 1, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Guerrisi, Isabella" sort="Guerrisi, Isabella" uniqKey="Guerrisi I" first="Isabella" last="Guerrisi">Isabella Guerrisi</name><affiliation><nlm:aff id="I2">Department of Radiological Sciences, University of Rome Sapienza, Viale Regina 324 Rome Italy</nlm:aff><wicri:noCountry code="subfield">Viale Regina 324 Rome Italy</wicri:noCountry></affiliation></author><author><name sortKey="Di Giovanni, Salvatore" sort="Di Giovanni, Salvatore" uniqKey="Di Giovanni S" first="Salvatore" last="Di Giovanni">Salvatore Di Giovanni</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Radiology and Diagnostic Imaging, Regina Elena Institute, E. Chianesi 53, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Radiology and Diagnostic Imaging, Regina Elena Institute, E. Chianesi 53, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Spriano, Giuseppe" sort="Spriano, Giuseppe" uniqKey="Spriano G" first="Giuseppe" last="Spriano">Giuseppe Spriano</name><affiliation wicri:level="3"><nlm:aff id="I3">Department of Otholaringology and Maxillo-Facial Surgery, Regina Elena Institute, E.Chianesi 53, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Otholaringology and Maxillo-Facial Surgery, Regina Elena Institute, E.Chianesi 53, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Crecco, Marcello" sort="Crecco, Marcello" uniqKey="Crecco M" first="Marcello" last="Crecco">Marcello Crecco</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Radiology and Diagnostic Imaging, Regina Elena Institute, E. Chianesi 53, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Radiology and Diagnostic Imaging, Regina Elena Institute, E. Chianesi 53, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Experimental & Clinical Cancer Research : CR</title><idno type="ISSN">0392-9078</idno><idno type="eISSN">1756-9966</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>To retrospectively compare the diagnostic accuracy of magnetic resonance imaging (MRI) and multidetector-row computed tomography (MDCT) in the assessment of the mandibular invasion by squamous cell carcinoma (SCC) having histopathological exams as standard of reference.</p></sec><sec><title>Materials and methods</title><p>Institutional review board approval with a waiver of informed patient consent was obtained. Of the 147 patients selected from our database who underwent surgical excision of a tumour arising into the oral cavity, thirty-six patients (26 men, 10 women; mean age, 56 years; range, 30-75 years) with hystologically proven SCC who performed both a preoperative MRI and MDCT, composed our final study population.</p><p>Images were qualitatively analyzed in consensus by two expert radiologist in head and neck imaging. Sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV) were assessed for both MRI and MDCT.</p><p>Differences in sensitivity, specificity, positive and negative predictive values were calculated at a statistical significance of p < .05.</p></sec><sec><title>Results</title><p>The sensitivity, the specificity and the accuracy of MRI and MDCT in the detection of the mandibular involvement were respectively 93%, 82%, 86% and 79%, 82%, 81%, while the positive predictive value (PPV) and negative predictive value (NPV) were respectively 76%, 95% and 73%, 86%. There wasn't any statistically significant difference in overall diagnostic accuracy between MRI and MDCT in the evaluation of mandibular tumour invasion (p > .05).</p></sec><sec><title>Conclusion</title><p>MRI showed to have a higher sensitivity compare to MDCT in the assessment of mandibular involvement from SCC arising in the oral cavity although none statistically significant differences were noted.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Strong, Ew" uniqKey="Strong E">EW Strong</name></author><author><name sortKey="Spiro, Rh" uniqKey="Spiro R">RH Spiro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, Ay" uniqKey="Chen A">AY Chen</name></author><author><name sortKey="Myers, Jn" uniqKey="Myers J">JN Myers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leipzig, B" uniqKey="Leipzig B">B 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