Systematic review of the diagnostic value of magnetic resonance imaging for early glottic carcinoma
| Autor: | Frank A. Pameijer, Sylvia L. van Egmond, Chris H.J. Terhaard, Luuk M. Janssen, J.J. Bluemink, Inge Stegeman |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Laryngeal Ventricle Magnetic resonance imaging General Medicine 03 medical and health sciences Therapeutic approach 0302 clinical medicine Glottic cancer 030220 oncology & carcinogenesis medicine Radiology Stage (cooking) 030223 otorhinolaryngology business Systematic search |
| Zdroj: | Laryngoscope Investigative Otolaryngology. 3:49-55 |
| ISSN: | 2378-8038 |
| Popis: | Objective In early glottic cancer, accurate assessment of tumor extension, including depth infiltration, is of great importance for both staging, therapeutic approach and systematic comparison of data. Our goal was to assess the diagnostic value of MRI in pre-therapeutic staging of primary early stage (T1 and T2) glottic carcinoma. Study design Systematic review of literature. Methods We conducted a systematic search in Pubmed, Embase, and Scopus up to September 23, 2016. Included studies were selected and critically appraised for relevance and validity. Results Seven out of 938 unique articles were selected, including 64 cases. MRI over-staged 6% and under-staged 13% of cT1 and cT2 tumors. However, available data is heterogeneous, very limited and mainly based on subanalysis of a small amount of patients. Reported MRI protocols appear to be suboptimal for small laryngeal lesions. Diagnostic value of MRI for subtle depth infiltration or laryngeal anatomical subsites (eg, laryngeal ventricle, vocal cord, etc.) could not be assessed. Conclusions More studies are needed to assess the diagnostic value of MRI for small glottic tumors. |
| Databáze: | OpenAIRE |
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