JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (10): 76-79.doi: 10.6040/j.issn.1671-7554.0.2015.840

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Value of CT and MRI in the treatment options of laryngeal cancer

MENG Xiangshui1, CHAI Xiangjun2, MA Xiangxing1, REN Qingguo1, YANG Zhicheng1   

  1. 1. Department of Radiology;
    2. Department of Infection Management, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2015-09-06 Online:2016-10-10 Published:2016-10-10

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Abstract: Objective To explore the value of CT and MRI on the invasive range and treatment options of laryngeal cancel. Methods Results of neck CT and MRI of 35 patients with laryngeal cancel were analyzed. Tumor lesions of infraglottic region, subglottic region, vocal cord, anterior commissure, thyroid cartilage, paraglottic space, arytenoid cartilage and cervical lymph node metastasis were compared with results of laryngoscope and surgical pathology. Results More lesions of the infraglottic region, subglottic region, vocal cord, anterior commissure, thyroid cartilage, paraglottic space, arytenoid cartilage and cervical lymph node metastasis were displayed on MRI than CT, but there were no statistical differences. The sensitivity of plain and contrast enhanced MRI were similar, and more than that of plain and contrast enhanced CT. The sensitivity of contrast enhancement CT was more than that of plain CT. Specific and positive predictive value of plain and enhanced MRI and CT were almost the same. Kappa value of plain and contrast enhanced MRI and contrast enhanced CT were similar, but more than that of plain CT. Negative predictive value of plain and enhanced MRI were the same, but more than that of plain and contrast enhanced CT. The negative predictive value of plain and enhanced CT were almost the same. Conclusion MRI can provide more information than CT for tumor invasive range and treatment options of laryngeal cancel.

Key words: Computed Tomography, Magnetic Resonance Imaging, Laryngeal Cancer

CLC Number: 

  • R445
[1] DE Virgilio A, Bussu F, DE Vincentiis M. Evidence-based review of treatment options for patients with glottic cancer[J]. Acta Otorhinolaryngol Ital, 2012, 32(4):256-257.
[2] Joshi VM, Wadhwa V, Mukherji SK.Imaging in laryngeal cancers [J]. Indian J Radiol Imaging, 2012, 22(3): 209-226.
[3] 凌小莉, 戚乐, 丁建平, 等. MRI在喉癌诊断、分期及术后随访中的价值[J]. 实用医学杂志, 2013, 29(2):263-265. LING Xiaoli, QI Le, DING Jianping, et al. The value of MRI in the diagnosis, staging and postoperative follow-up of laryngeal cancer [J]. The Journal of Practical Medicine, 2013, 29(2):263-265.
[4] Maroldi R, Ravanelli M, Farina D. Magnetic resonance for laryngeal cancer [J]. Curr Opin Otolaryngol Head Neck Surg, 2014, 22(2):131-139.
[5] Bertrand M, Tollard E, Francois A, et al. CT scan, MR imaging and anatomopathologic correlation in the glottic carcinoma T1-T2 [J]. Rev Laryngol Otol Rhinol, 2010, 131(1):51-57.
[6] 罗文军, 郭伟, 罗甜, 等. 磁共振成像在喉癌诊断中的应用价值[J]. 实用临床医学, 2014, 15(6):103-105. LUO Wenjun, GUO Wei, LUO Tian, et al. Application of Magnetic Resonance Imaging in Diagnosis of Laryngeal Carcinoma[J]. Practical Clinical Medicine, 2014, 15(6):103-105.
[7] Kuno H, Onaya H, Fujii S, et al. Primary staging of laryngeal and hypopharyngeal cancer: CT, MR imaging and dual energy CT[J]. Eur J Radiol, 2014, 83(1):23-35.
[8] Li B, Bobinski M, Gandour-Edwards R, et al. Overstaging of cartilage invasion by multidetector CT scan for laryngeal cancer and its potential effect on the use of organ preservation with chemoradiation[J]. Br J Radiol, 2011, 84(997):64-69.
[9] Hartl DM, Landry G, Hans S, et al. Organ preservation surgery for laryngeal squamous cell carcinoma: low incidence of thyroid cartilage invasion [J]. Laryngoscope, 2010, 120(6):1173-1176.
[10] Hartl DM, Landry G, Bidault F, et al. CT-scan prediction of thyroid cartilage invasion for early laryngeal squamous cell carcinoma [J]. Eur Arch Otorhinolaryngol, 2013, 270(1):287-291.
[11] Peters TT, Castelijns JA, Ljumanovic R, et al. Diagnostic value of CT and MRI in the detection of paratracheal lymph node metastasis [J]. Oral Oncol, 2012, 48(5): 450-455.
[12] 窦社伟, 史大鹏, 李艳, 等. 喉癌的CT诊断[J]. 实用放射学杂志, 2007, 23(9):1167-1169. DOU Shewei, SHI Dapeng, LI Yan, et al. CT Diagnosis of Laryngeal Cancer[J]. Journal of Practical Radiology, 2007, 23(9):1167-1169.
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