Imaging findings of neurogenic tumours in the head and neck region

研究成果: ジャーナルへの寄稿学術誌査読

26 被引用数 (Scopus)

抄録

Objective: The aim of this study was to describe the CT,MRI and ultrasonography findings of five cases of neurogenic tumours in the head and neck region. Methods: Five neurogenic tumours were analysed with respect to their CT value, the presence of cystic change, target sign, lobulation, connection to the nerve and vascularity. Results: The contrast-enhanced CT (ECT) of the schwannomas demonstrated either a mass with low enhancement (two out of three cases), which reflected the predominant Antoni B components, or a mass with cystic changes, which was an Antoni A-based schwannoma displaying cystic changes (one out of three cases). On MRI, all tumours showed homogeneous and isointense signals for muscle on T1 weighted images (T 1 WIs). T 2 weighted images (T 2WIs) and gadolinium (Gd)-enhanced T 1 WIs demonstrated target sign in both schwannomas. Ultrasound examination showed a well-defined, ovoid or round hypoechoic mass. The direct connection to the nerve was demonstrated in two of the five cases. Lobulation was observed in only one of the five cases and cystic changes were observed in one of the five cases. In all of the cases, no vascularity was seen in power Doppler images (PDIs) obtained percutaneously. Conclusions: Low-enhanced areas on ECTs can be specific for schwannomas, which suggests the predominance of Antoni B components. The target sign on T 2 WIs and Gdenhanced T 1 WIs can be specific, which can be used to differentiate the two different components (Antoni A and Antoni B). The direct connection to the nerve can be a specific finding for neurogenic tumours; however, at present the sensitivity is 40%.

本文言語英語
ページ(範囲)18-23
ページ数6
ジャーナルDentomaxillofacial Radiology
41
1
DOI
出版ステータス出版済み - 1月 1 2012

!!!All Science Journal Classification (ASJC) codes

  • 耳鼻咽喉科学
  • 放射線学、核医学およびイメージング
  • 歯科学(全般)

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