Dynamic contrast-enhanced magnetic resonance imaging in Head and Neck Cancer: differentiation of new H&N cancer, recurrent disease, and benign post-treatment changes

Clin Imaging. 2015 Jul-Aug;39(4):566-70. doi: 10.1016/j.clinimag.2015.01.016. Epub 2015 Feb 3.

Abstract

Purpose: To determine if dynamic contrast-enhanced (DCE)-magnetic resonance imaging (MRI) parameters such as permeability surface area (PS) and blood volume (BV) allow differentiating between new head and neck (HN) cancer, recurrent HN cancer, and post-treatment benign changes.

Method: A total of 35 patients with newly diagnosed, recurrent, and benign post-treatment benign changes underwent DCE-MRI. PS and BV were calculated.

Results: PS values of the lesion were 2.3×10(4)±5.8×10(4) for the newly diagnosed cancer group, 3.3×10(4)±1.7×10(4) for the recurrent cancer group, and 4.8×10(4)±8.1×10(4) for the post-treatment benign change group (P=.031).

Conclusion: Post-treatment benign changes in the HN region had significantly high permeability property than newly diagnosed or previously treated recurrent tumor.

Keywords: Dynamic contrast-enhanced MRI; Head and neck cancer; Permeability surface area product.

MeSH terms

  • Adult
  • Aged
  • Carcinoma, Squamous Cell / pathology*
  • Contrast Media
  • Diagnosis, Differential
  • Female
  • Head and Neck Neoplasms / pathology*
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local / pathology*
  • Squamous Cell Carcinoma of Head and Neck

Substances

  • Contrast Media