Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-27T08:00:12.609Z Has data issue: false hasContentIssue false
  • English
  • Français

Laryngeal imaging by computerized tomography and magnetic resonance following radiation therapy: a need for caution

Published online by Cambridge University Press:  29 June 2007

R. J. S. Briggs ,
A. P. Gallimore  and
D. J. Howard
R. J. S. Briggs*
Affiliation:
(London)
A. P. Gallimore
Affiliation:
(London)
D. J. Howard
Affiliation:
(London)
*
R. J. S. Briggs, The Institute of Laryngology and Otology, 330 Gray's Inn Road, London WC1X 8DA. Fax: 071 833 9480
Get access Rights & Permissions [Opens in a new window]

Abstract

For patients with laryngeal tumours, the use of computerized tomography (CT) or magnetic resonance imaging (MR) may facilitate accurate staging by the demonstration of cartilage invasion or tumour extension to areas such as the pre-epiglottic space. The role of imaging in the follow-up of patients after radiotherapy, however, has not been examined. A prospective study of 18 patients undergoing laryngectomy was performed. The results of pre-operative CT and MR imaging were correlated with the pathological findings from whole organ axial sections of the laryngeal specimens. In five patients (28 per cent) both CT and MR images were significantly impaired by movement artefact. In the eight patients without previous radiotherapy, seven had adequate quality imaging and both CT and MR accurately demonstrated the site, size and extent of laryngeal tumour. In eight of the ten patients following radiation therapy the presence of tumour was correctly identified, however there was a poor correlation between the imaging and pathological findings. Two patients had radionecrosis alone. Neither CT nor MR imaging could differentiate between radionecrosis and recurrent tumour.

Keywords

Tomography, X-ray computedMagnetic resonance imagingLarynxRadiotherapy
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 6 , June 1993 , pp. 565 - 568
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Annual Meeting of the Association of Head and Neck Oncologists of Great Britain, Royal Marsden Hospital, 24 April 1992.

References

Castelijns, J. A., Dormbos, J., Verbeeten, B. jr, Vielvoye, G. J., Bloem, J. L. (1985) MR imaging of the normal larynx. Journal of Computer Assisted Tomography 9(5): 919–925.CrossRefGoogle ScholarPubMed
Castelijns, J. A., Gerritsen, G. J., Kaiser, M. C, Valk, J., van Zenten, T. E. G., Golding, R. G., Meyer, C. J. L. M.,van Hattum, L. H., Sprenger, M.Bezemer, P. D., Snow, G. B. (1987 a) Invasion of laryngeal cartilage by cancer: comparison of CT and MR imaging (1). Radiology 166: 199–206Google Scholar
Castelijns, J. A., Gerritsen, G. J., Valk, J., Meyer, C. J. L. M., Kaiser, M. C, Jansen, W., Snow, G. B. (1987 b) MRI of normal or cancerous laryngeal cartilages: histopathologic correlation. Laryngoscope 97: 1085–1093CrossRefGoogle ScholarPubMed
Castelijns, J. A., Kaiser, M. C, Valk, J., Gerritsen, G. J.van Hattum, A. H., Snow, G. B. (1987 c) MR imaging of laryngeal cancer. Journal of Computer Assisted Tomography 11(1): 134–140.CrossRefGoogle ScholarPubMed
Kikinis, R., Wofensberger, M., Boesch, C, Martin, E. (1989) Larynx: MR imaging at 2.35 T1. Radiology 171: 165–169CrossRefGoogle Scholar
Kulekci, M., Kinishi, M., Amatsu, M., Itoh, H. (1987) MIR of laryngeal carcinoma: a correlation with histologic sections. Kobe Journal of Medical Science 33: 215–234Google Scholar
Lloyd, G. A. S., Michaels, L., Phelps, P. D. (1981) The demonstration of cartilaginous involvement in laryngeal carcinoma by computerized tomography. Clinical Otolaryngology 6: 171–177CrossRefGoogle ScholarPubMed
Maafee, M. F, Schild, J. A., Michael, A. S., Choi, K. H., Capek, V. (1984) Cartilage involvement in laryngeal carcinoma: correlation of CT and pathologic macrosection studies. Journal of Computer Assisted Tomography (5): 969–973.CrossRefGoogle Scholar
Michaels, L., Gregor, R. T. (1980) Examination of the larynx in the histopathology laboratory. Journal of Clinical Pathology 33: 705–710CrossRefGoogle ScholarPubMed
Phillips, C. D., Gay, S. B., Newton, R. L., Levine, P. A. (1990) Gadolinium-enhanced MRI of tumours of the head and neck. Head and Neck 12: 308–315CrossRefGoogle ScholarPubMed
Wortham, D. G., Hoover, L. A., Lufkin, R. B., Yao, S. F. (1986) Magnetic resonance imaging of the larynx: a correlation with histologic sections. Otolaryngology-Head and Neck Surgery 94: 123–133CrossRefGoogle ScholarPubMed