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Role of Diffusion Weighted Imaging in Differentiating Benign from Malignant Head and Neck Tumors

Received: 1 January 2016     Accepted: 26 January 2016     Published: 19 February 2016
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Abstract

Head and neck mass is considered to be a relatively common finding in adult and pediatric patients and can present a difficult diagnostic challenge. Differentiation of benign head and neck tumors from malignant lesions are important for treatment strategy as well as for predicting prognosis of malignant tumors. The aim of this work is to review the role of diffusion MRI scan in differentiation between benign and malignant head and neck masses This study was performed on 72 patients (30 men and 42 women aged from 13 years to 85 years, mean age of 51 years) with head and neck mass, in the period from September 2012 until May 2014. We found that DWI is a reliable noninvasive imaging tool to help in differentiation between malignant and benign head and neck lesions and also to identify the tumor-free soft tissue in patients with head and neck neoplasms. It could be performed with conventional MR systems in few minutes time, Further studies on larger number of patients is required to assess if such a technique should be implemented routinely with conventional MRI scan.

Published in International Journal of Medical Imaging (Volume 4, Issue 1)
DOI 10.11648/j.ijmi.20160401.11
Page(s) 1-6
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Head and Neck, Diffusion MRI, Tumors, Benign, Malignant

References
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[2] Abdel Razek AAK, Gaballa G, Elhawarey G, Megahed AS, Hafez M, Nada N. Characterization of pediatric head and neck masses with diffusion-weighted MR imaging. Eur Radiol. 2009; 19: 201-208.
[3] Meuwly J, Lepori D, Theumann N, Schnyder P, Etechami G, Hohlfeld J, Gudinchet F Multimodality imaging evaluation of the pediatric neck: techniques and spectrum of findings. RadioGraphics.2005; 25: 931–948.
[4] Thoeny HC, De Keyzer F, King AD. Diffusion-weighted MR imaging in the head and neck. Radiology. 2012; 263: 19-32.
[5] Hatakenaka M, Nakamura K, Yabuuchi H, et al. Pretreatment apparent diffusion coefficient of the primary lesion correlates with local failure in head-and-neck cancer treated with chemoradiotherapy or radiotherapy. Int J Radiat Oncol Biol Phys 2011; 81(2): 339–345.
[6] King AD, Mo FK, Yu KH, et al. Squamous cell carcinoma of the head and neck: diffusion weighted MR imaging for prediction and monitoring of treatment response. Eur Radiol 2010; 20(9): 2213–2220.
[7] Koç O, Paksoy Y, Erayman İ, Kivrak AS, Arbag H. Role of diffusion weighted MR in the discrimination diagnosis of the cystic and/or necrotic head and neck lesions. Eur J Radiol. 2007; 62: 205-213.
[8] Habermann CR, Arndt C, Graessner J, et al. Diffusion-weighted echo-planar MR imaging of primary parotid gland tumors: is a prediction of different histologic subtypes possible? AJNR Am J Neuroradiol 2009; 30(3): 591–596.
[9] Dirix P, De Keyzer F, Vandecaveye V, Stroobants S, Hermans R, Nuyts S. Diffusion weighted magnetic resonance imaging to evaluate major salivary gland function before and after radiotherapy. Int J Radiat Oncol Biol Phys 2008; 71(5): 1365–1371.
[10] Wang J, Takashima S, Kawakami F, et al. Head and neck lesions: characterization with diffusion-weighted echo-planar MR imaging. Radiology 2001; 220: 621–30.
[11] Sakamoto J, Yoshino N, Okochi K, et al. Tissue characterization of head and neck lesions using diffusion-weighted MR imaging with SPLICE. Eur J Radiol. 2009; 69: 260-268.
[12] Schaefer PW, Grant PE, Gonzalez RG. Diffusion-weighted MR Imaging of the Brain1. Radiology. 2000; 217: 331.
[13] S. Kito, Y. Morimoto, T. Tanaka, et al. Utility of diffusion-weighted images using fast asymmetric spin-echo sequences for detection of abcess formation in the head and neck region Oral Surg Oral Med Oral Radiol Endod; 2006: 101: pp. 231–238.
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[15] Bukte Y, Paksoy Y, Genc¸ E, Uca AU. Role of diffusion-weighted MR in differential diagnosis of intracranial cystic lesions. Clinical Radiology 2005; 60: 375–83.
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  • APA Style

    Haney Heneidy, Waled Yosef. (2016). Role of Diffusion Weighted Imaging in Differentiating Benign from Malignant Head and Neck Tumors. International Journal of Medical Imaging, 4(1), 1-6. https://doi.org/10.11648/j.ijmi.20160401.11

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    ACS Style

    Haney Heneidy; Waled Yosef. Role of Diffusion Weighted Imaging in Differentiating Benign from Malignant Head and Neck Tumors. Int. J. Med. Imaging 2016, 4(1), 1-6. doi: 10.11648/j.ijmi.20160401.11

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    AMA Style

    Haney Heneidy, Waled Yosef. Role of Diffusion Weighted Imaging in Differentiating Benign from Malignant Head and Neck Tumors. Int J Med Imaging. 2016;4(1):1-6. doi: 10.11648/j.ijmi.20160401.11

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  • @article{10.11648/j.ijmi.20160401.11,
      author = {Haney Heneidy and Waled Yosef},
      title = {Role of Diffusion Weighted Imaging in Differentiating Benign from Malignant Head and Neck Tumors},
      journal = {International Journal of Medical Imaging},
      volume = {4},
      number = {1},
      pages = {1-6},
      doi = {10.11648/j.ijmi.20160401.11},
      url = {https://doi.org/10.11648/j.ijmi.20160401.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20160401.11},
      abstract = {Head and neck mass is considered to be a relatively common finding in adult and pediatric patients and can present a difficult diagnostic challenge. Differentiation of benign head and neck tumors from malignant lesions are important for treatment strategy as well as for predicting prognosis of malignant tumors. The aim of this work is to review the role of diffusion MRI scan in differentiation between benign and malignant head and neck masses This study was performed on 72 patients (30 men and 42 women aged from 13 years to 85 years, mean age of 51 years) with head and neck mass, in the period from September 2012 until May 2014. We found that DWI is a reliable noninvasive imaging tool to help in differentiation between malignant and benign head and neck lesions and also to identify the tumor-free soft tissue in patients with head and neck neoplasms. It could be performed with conventional MR systems in few minutes time, Further studies on larger number of patients is required to assess if such a technique should be implemented routinely with conventional MRI scan.},
     year = {2016}
    }
    

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    AB  - Head and neck mass is considered to be a relatively common finding in adult and pediatric patients and can present a difficult diagnostic challenge. Differentiation of benign head and neck tumors from malignant lesions are important for treatment strategy as well as for predicting prognosis of malignant tumors. The aim of this work is to review the role of diffusion MRI scan in differentiation between benign and malignant head and neck masses This study was performed on 72 patients (30 men and 42 women aged from 13 years to 85 years, mean age of 51 years) with head and neck mass, in the period from September 2012 until May 2014. We found that DWI is a reliable noninvasive imaging tool to help in differentiation between malignant and benign head and neck lesions and also to identify the tumor-free soft tissue in patients with head and neck neoplasms. It could be performed with conventional MR systems in few minutes time, Further studies on larger number of patients is required to assess if such a technique should be implemented routinely with conventional MRI scan.
    VL  - 4
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Author Information
  • Radiology Department, Medical Research Institute, Alexandria University, Alexandria, Egypt

  • Surgey Department, Ain Shams University, Cairo, Egypt

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