Value of contrast-enhanced magnetic resonance imaging in differentiation of hemangiomas from lymphangiomas in the oral and maxillofacial region

Koichi Yonetsu, Eiji Nakayama, Toshiyuki Kawazu, Shigenobu Kanda, Satoru Ozeki, Masanori Shinohara

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16 Citations (Scopus)

Abstract

Objective. The purpose of this study was to investigate the ability of contrast-enhanced magnetic resonance imaging to differentiate hemangioma from lymphangioma in the oral and maxillofacial region. Study design. Contrast-enhanced magnetic resonance imaging was performed in 20 patients (21 masses: 17 hemangiomas and 4 lymphangiomas) through use of either a 0.2-T permanent system or a 0.5-T superconductive system and spin-echo pulse sequences. Results. After intravenous administration of contrast medium, enhancement was observed in all hemangiomas in areas corresponding to those with high signal on T2-weighted images. Unequivocally increased signal was observed in 10 masses, and slightly increased signal was observed in 7 masses. On the other hand, none of the lymphangiomas showed an enhancing mass on contrast-enhanced T1-weighted images. Conclusions. Although contrast-enhanced T1-weighted imaging may not improve delineation of masses in all cases, it can be used to differentiate between deep hemangiomas and lymphangiomas.

Original languageEnglish
Pages (from-to)496-500
Number of pages5
JournalOral surgery, oral medicine, oral pathology, oral radiology, and endodontics
Volume88
Issue number4
DOIs
Publication statusPublished - Jan 1 1999
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology
  • Dentistry(all)

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